Sánchez BV, Rivas AE, Zerquera TG, Peraza AD, Rosell GI

Language: Spanish
References: 13
Page: 211-222
PDF size: 658.44 Kb.

ABSTRACT

Background: to improve the efficiency and effectiveness of the actions of family doctors and nurses in this area is an indispensable requisite in order to achieve a comprehensive health care.
Objective: to assess the quality of health care provided to diabetic patients by the family doctor in Abreus health area.
Methods: a descriptive and observational study based on the application of tools to assess the performance of family doctors in the treatment of diabetes mellitus in the five family doctors consultation in Abreus health area from January to July 2011 was conducted. The five doctors working in these consultations, as well as the 172 diabetic patients were included in the study. At the same time, 172 randomly selected medical records were also revised. Through observation, the existence of some necessary material resources and the quality of their performance as well as the quality of medical records were evaluated. Patient criteria served to assess the quality of the health care provided.
Results: scientific and technical training on diabetes mellitus has been insufficient; the necessary equipment for the appropriate care and monitoring of patients with diabetes is available; in 2.9% of medical records reviewed, interrogation appears in its complete form including the complete physical examination in 12 of them and the complete medical indications in 26.
Conclusions: the quality of comprehensive medical care to diabetic patients included in the study is compromised. Doctors interviewed recognized the need to be trained in the diagnosis and treatment of diabetes in order to improve their professional performance and enhance the quality of the health care provided to these patients.

REFERENCES

1. Cabrera Cruz N, Toledo Fernández A. Los estudios de pesquisa activa en Cuba. Rev Cubana Salud Pública [revista en Internet]. 2008 [ cited 4 Ene 2011 ] ; 34 (1): [aprox. 2p]. A v a i d a b l e f r o m : http://www.scielosp.org/scielo.php?pid=S0864-34662008000100015&script=sci_arttext.

2. Domínguez Alonso E, Seuc Jo AH, Díaz Díaz O, Aldana Padilla D. Esperanza de vida saludable asociada a la diabetes en Cuba:años 1990 y 2003. Rev Cubana Endocrinol [revista en Internet]. 2010 [ cited 21 Dic 2012 ] ; 21 (1): [aprox. 12p]. A v a i d a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532010000100002&lng=es.

3. Fernández Miró M, Goday Arnó A. Diabetes y Ramadán [Internet]. Barcelona: Ediciones Mayo; 2008. [ cited 9 May 2010 ] Avaidable from: http://www.dmtipo2.com/pages/diabetes_y_ramadan_01.php.

4. Mendiola Betancourt BM, Fernández Franch N, Gutiérrez Macías AM, Machado Temes ME, Torres Romo UR, Manso Armas JR. Impacto de una estrategia educativa estomatológica dirigida a pacientes diabéticos tipo 1 en edad pediátrica. AMC [revista en Internet]. 2011 [ cited 21 Dic 2012 ] ; 15 (5): [aprox. 28p]. Avaidable from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552011000500005&lng=es.

5. Pérez Rodríguez A, Barrios López Y, Monier Tornés A, Berenguer Gouarnalusses M, Martínez Fernández I. Repercusión social de la educación diabetológica en personas con diabetes mellitus. MEDISAN [revista en Internet]. 2009 [ cited 30 Ene 2010 ] ; 13 (4): [aprox. 7p]. Avaidable from: http://bvs.sld.cu/revistas/san/vol13_1_09/san11109.htm.

6. G o n z á l e z S á n c h e z M C . P r o p u e s t a metodológica para la evaluación del desempeño profesional de los especialistas de Medicina General Integral de la República de Cuba. MEDICIEGO [revista en Internet]. 2010 [ cited 15 Jun 2011 ] ; 16 (1): [aprox. 10p]. Avaidable from: http://www.bvs.sld.cu/revistas/mciego/vol16_01_10/pdf/t11.pdf.

7. Alcaraz Agüero M. Pase de visita en la comunidad. MEDISAN [revista en Internet]. 2011 [ cited 19 Sep 2012 ] ; 15 (3): [aprox. 10p]. A v a i d a b l e f r o m : http://www.imbiomed.com.mx/1/1/articulos.php? method=showDetail&id_articulo=69458&id_secci on=1893&id_ejemplar=6946&id_revista=80.

8. Llanio Navarro R, Perdomo González G. Entrevista Médica Historia Clínica, Anamnesis. In: Llanio Navarro R, Perdomo González G. Propedéutica Clínica y Semiologia Médica. La Habana: ECIMED; 2007. p. 309-31.

9. Ilizástiguir Dupuy F, Rodríguez Rivera L. El método clínico. Medisur [revista en Internet]. 2010 [ cited 15 Sep 2011 ] ; 8 (5): [aprox. 15p]. A v a i d a b l e f r o m : http://www.medisur.sld.cu/index.php/medisur/arti cle/view/1311/346.

10. Alcaraz Agüero M, Nápoles Román Y, Chaveco Guerra I, Martínez Rondón M, Coello Agüero JM. La historia clínica:un documento básico para el personal médico. MEDISAN [revista en Internet]. 2010 [ cited 19 Sep 2011 ] ; 14 (7): [ a p r o x . 1 3 p ] . A v a i d a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1029-30192010000700018&lng=es.

11. Artola Menéndez S, Rovira Loscos A, Ricart W. Coordinación multidisciplinaria en el abordaje de la diabetes mellitus tipo 2. Med Clin. 2010 ; 135 (Suppl. 2): 27-32.

12. Martínez FA. El método clínico en la docencia médica. EDUMECENTRO [revista en Internet]. 2011 [ cited 19 Sep 2011 ] ; 3 (1): [aprox. 5p]. A v a i d a b l e f r o m : http://www.edumecentro.sld.cu/pag/Vol3%281%2 9/cartaedit.html.

13. Borroto Cruz, R, Lemus Lago RE, Aneiros-Riba R. Atención primaria de salud, medicina familiar y educación médica. 2da ed. Bolivia: Universidad Mayor de San Andrés; 2000.