medigraphic.com
ISSN 2077-2874 (Electronic)
EDUMECENTRO. Revista Educación Médica del Centro

2025, Number 1

<< Back Next >>

EduMeCentro 2025; 17 (1)

Attention to cardiovascular risk by the general medicine specialist from clinical observation

Hierrezuelo RRN, Bonal RR, Hernández MA, Reyes LML, Mejias MVL, Cordovi-Hierrezuelo M

Language: Spanish
References: 15
Page:
PDF size: 177.50 Kb.


ABSTRACT

Background: The high morbidity and mortality from cardiovascular diseases is one of the main health problems in Cuba, that´s why the specialist in Comprehensive General Medicine must have a good performance in the clinical approach to these patients.
Objective: To describe the level of professional performance of the specialist in Comprehensive General Medicine in the care of cardiovascular risk through a clinical observation guide.
Methods: a descriptive cross-sectional study was carried out at the Ramón López Peña University Polyclinic from January to June 2024. The characterization variable was professional performance, and its dimensions: medical care, communication, skills, improvement and scientific-research improvement and bioethics. Theoretical methods were used: historical-logical, analytical-synthetic and inductive-deductive for the collection of information and research foundation. From the empirical level: observation. Descriptive statistics techniques were used (absolute and relative numbers).
Results: the indicators show that doctors do not master the medical care dimension (≥ 70%), while they have little mastery of the communicative dimension (89≤x≥ 70) and they do master the bioethical dimension (90≤x≥ 100); however, the frequency "never" predominated in the dimensions of improvement and scientific-research improvement. The final analysis of this instrument showed that the variable obtained a value of 48.4%, which qualifies in the decision table as “does not master”.
Conclusions: the characterization of the current state of professional performance of specialists in Comprehensive General Medicine revealed limitations in the care of patients with cardiovascular risk, with greater impacts on the medical care, improvement and scientific-research improvement dimensions.


REFERENCES

  1. Bays HE, Kulkarni A, German Ch, Michos ED, Ferraro RA, Bailey AL, et al. Ten things to know about ten cardiovascular disease risk factors – 2022. American J of Preventive Cardiology [Internet].2022 [citado 12/07/2024];10:100342. Disponible en: 10.1016/j.ajpc.2022.100342

  2. Neumann JT, Thao LTP, Callander E, Carr PR, Qaderi V, Nelson MR, et al. A multistate model of health transitions in older people: a secondary analysis of ASPREE clinical trial data. LANCET [Internet]. 2022 [citado 12/07/2024];3(2):89-97. Disponible en: 10.1016/s2666-7568(21)00308-1

  3. Dirección nacional de registros médicos y estadísticas de salud. Anuario estadístico. [Internet]. La Habana: Onei; 2022. Disponible en: http://www.onei.gob.cu/anuario-estadistico-de-cuba-2022

  4. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol [Internet]. 2020 [citado 12/07/2024];76(25):2982–3021. Disponible en: 10.1016/j.jacc.2020.11.010

  5. Visseren LJ, Mach F, Smulders YM, Carballo D,Koskinas KC,Bäck M, et al .Guidelines on cardiovascular disease prevention in clinical practice. Rev Esp Cardiol [Internet]. 2021[citado 12/07/2024];42(34):3227-3337. Disponible en: 10.1093/eurheartj/ehab484

  6. Del Valle Llufrío P. Modelo de competencias profesionales específicas para la formación de los especialistas en gastroenterología [tesis]. La Habana: Universidad de Ciencias Médicas de la Habana; 2023. Disponible en: file:///C:/Users/Dr/Downloads/Tesis%20Competencias%20profesionales%20especificas%20Gastroenterologia%20Final%20Dr.%20Pedro%20Del%20Valle-1.pdf

  7. Hierrezuelo N, Caballero G, Magdariaga A, Bonal Ruiz R, Acosta-Lee C. Escala predictiva de mortalidad por afección cardiovascular en adultos mayores del municipio de Santiago de Cuba. MEDISAN [Internet]. 2023 [citado 12/07/2024];27(4):[aprox. 17 p.]. Disponible en: https://medisan.sld.cu/index.php/san/article/view/4415

  8. Ramos Hernández R, Díaz Díaz AA, Valcárcel Izquierdo N. Propuesta de competencias profesionales específicas para la formación de los especialistas en Medicina General Integral. Rev Haban Cienc Med [Internet]. 2017 [citado 12/07/2024];16(6):[aprox. 18 p.]. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/1975

  9. World Health Organization. Population health management in primary health care: a proactive approach to improve health and well-being. Primary health care policy paper series. [Internet]. Europe: WHO Regional Office for Europe; 2023. Disponible en: https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7497-47264-69316

  10. Pérez C, González G, Alfonso D. Evaluación de un programa de atención de la hipertensión arterial, según normatividad vigente en Colombia. Duazary [Internet] 2014 [citado 12/07/2024];11(1):14-21. Disponible en: https://www.researchgate.net/publication/305294840_Evaluacion_de_un_programa_de_atencion_de_la_hipertension_arterial_segun_normatividad_vigente_en_Colombia

  11. Cañete Rojas Y, Gallardo Sánchez Y, Martínez Rosabal SY, Peña Peña DM. Desempeño social del especialista en Medicina General Integral en el enfrentamiento a la COVID-19. Humanidades Médicas. [Internet] 2020 [citado12/07/2024] 20(2):297-311. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202020000200297

  12. 12 .Difour Milanés Y, Tosar Pérez MA, Hernández González Y, Miranda González D. El desempeño profesional del pediatra en la atención a los factores de riesgo cardiovascular. EDUMECENTRO [Internet]. 2024 [citado 14/07/2024];16:e2840. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2077-28742024000100046

  13. World Medical Association. Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA [Internet]. 2013 [citado 12/07/2024];310(20):2191-4. Disponible en: 10.1001/jama.2013.281053

  14. García Hernández AM. Prevención de los factores de riesgo asociado a enfermedades cardiovasculares. Una revisión bibliográfica. España: Universidad de San Cristóbal La Laguna; 2023 [citado 12/07/2024]. Disponible en: https://riull.ull.es/xmlui/bitstream/handle/915/28883/PREVENCION%20DE%20LOS%20FACTORES%20DE%20RIESGO%20ASOCIADO%20A%20ENFERMEDADES%20CARDIOVASCULARES.%20UNA%20REVISION%20BIBLIOGRAFICA.pdf?sequence=1

  15. Navarro D. El proceso de observación: el caso de la práctica supervisada en inglés en la Sede de Occidente, Universidad de Costa Rica. InterSedes: Rev de las Sedes Regionales [Internet]. 2013 [citado 12/07/2024];14(28):54-69. Disponible en: https://www.redalyc.org/pdf/666/66629446004.pdf




2020     |     www.medigraphic.com