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ISSN 2448-8747 (Print)
Publicación cuatrimestral editada por la Secretaría de Salud Jalisco

2016, Number 3

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Sal Jal 2016; 3 (3)

Estudio comparativo de la competencia clínica de médicos de primer contacto para el manejo nutrición del diabético 2, en dos ciudades de países latinos: Guatemala y Guadalajara

Cabrera-Pivaral CE, Orozco-Valerio M, Celis-de la Rosa A, Báez-Báez L, Bustamante-Rivera AP, Méndez-Magaña AC, Zavala-González M

Language: Spanish
References: 29
Page: 143-149
PDF size: 222.45 Kb.


ABSTRACT

Introduction: Diabetes Mellitus requires timely management of nutritional aspect of the disease, by family physicians. They should be trained to identify potential difficulties posed attachment to the usual diet of the patient, in order to guide you in managing it and throughout a meal plan, from an integrative perspective. Objective: The purpose of this study was to analyze the competence of primary care physician for the nutritional management of diabetes 2; The representative sample of physicians arises from medical units of the Social Security in two cities in Latin America; Guatemala and Guadalajara. Materials and Methods: The instrument of validated measurement and reliability of‹ 0.8 was applied to 217 randomly medical (GDL 117 and 100 of GUA) of a total of 750 (450 and 300 in Gdl Gua). The main variable of the study was the clinical competence of doctors in handling the nutritional aspect: inquiry, interpretation and guidance of the diet; and through an ordinal scale, skill levels were defined, which were related to other variables using the median, the Mann Whitney and Kruskal Wallis statistician. Results: The overall results show a median of 30 points on the theoretical value of 100 for Medical Guadalajara and 32 for the sample of Guatemala, these values positioned doctors in a low and very low capacity to 72%. No statistical significance was demonstrated (KW: p‹ 0.05) with other variables. Findings: These results reflect limitations on physicians to identify and manage the nutritional status of diabetic 2 as well as lack of favorable reflection of clinical cases and for implementing more educational information educational strategies that work institutional settings.


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