[The odysseys of Ulysses. A study of tales in a normal working day of the family doctor in Paraguay, Mexico, Peru, and Spain]. / Las odiseas de los Ulises. Estudio de los relatos de un día normal de trabajo del médico de familia en Paraguay, México, Perú y España.

OBJECTIVE: To examine the professional profile of the family doctor in different countries and the social welfare context where their work is carried out. DESIGN: Qualitative Methodology of production of field diaries of a normal day. LOCATION: Primary Heath Care of Toledo and Tenerife in Spain, and Paraguay, Mexico, and Peru. PARTICIPANTS AND CONTEXTS: Non-random sampling, intentional, followed by snowball sample until data saturation. METHOD: Participants wrote a diary of a typical day's work, their circumstances and socio-health context, and were studied by content analysis. Techniques to control the biases were used the check the participants and the triangulation between the obtained results and the existing bibliography, and data found on the Internet daily. We performed a mental map to transcribe the results graphically and in a comprehensive form. RESULTS: A total of 24 diaries of a normal day were obtained (9 doctors in Spain, 7 in Mexico, 4 in Paraguay, and 4 in Peru). We found some similarities, but many differences between countries. In contexts of humble but spirited, rural, with traditional roots and undemanding, there was a wider range of tasks of the family doctor, the coexistence of public and private work, and modern and traditional medicine, with greater presence of family and community care, more physician satisfaction and better patient-physician relationship. CONCLUSIONS: The professional profile of the family doctor is diverse and a context-dependent variable, and is not derived directly from external theory of family medicine.

Las odiseas de los Ulises. Estudio de los relatos de un día normal de trabajo del médico de familia en Paraguay, México, Perú y España / The odysseys of Ulysses. A study of tales in a normal working day of the family doctor in Paraguay, Mexico, Peru, and Spain

OBJETIVO: Examinar en diferentes países el perfil profesional del médico de familia y el contexto socio-sanitario donde aplica su trabajo. DISEÑO: Metodología cualitativa de elaboración de diarios de campo de un día habitual. Emplazamiento: Atención primaria de Toledo y Tenerife en España, y Paraguay, México y Perú. Participantes y contextos: Muestreo no aleatorio, intencionado, seguido de muestra en bola de nieve, hasta la saturación de los datos. MÉTODO: Los participantes escribieron un diario de un día habitual trabajo, sus circunstancias y contexto sociosanitario, y se estudiaron mediante análisis del contenido. Como técnicas para controlar los sesgos se usaron la verificación de los participantes y la triangulación entre los resultados obtenidos y la bibliografía existente, y los datos de diarios encontrados en Internet. Se realizó un mapa mental para transcribir de forma gráfica e integral los resultados. RESULTADOS: Se obtuvieron 24 diarios de un día normal (9 médicos en España, 7 en México, 4 en Paraguay y 4 en Perú). Se encontraron algunas similitudes, pero numerosas diferencias entre países. En los contextos humildes pero animosos, rurales, con raíces tradicionales y poco demandantes, se encontraban un mayor rango de tareas del médico de familia, la coexistencia de trabajo público y privado, y de medicina moderna y tradicional, con mayor presencia de asistencia familiar y comunitaria, más satisfacción del médico y mejor relación médico-paciente. CONCLUSIONES: El perfil profesional del médico de familia es diverso y dependiente del contexto variable, y no se deriva directamente de la teoría externa de la medicina de familia

OBJECTIVE: To examine the professional profile of the family doctor in different countries and the social welfare context where their work is carried out. DESIGN: Qualitative Methodology of production of field diaries of a normal day. Location: Primary Heath Care of Toledo and Tenerife in Spain, and Paraguay, Mexico, and Peru. Participants and contexts: Non-random sampling, intentional, followed by snowball sample until data saturation. METHOD: Participants wrote a diary of a typical day's work, their circumstances and socio-health context, and were studied by content analysis. Techniques to control the biases were used the check the participants and the triangulation between the obtained results and the existing bibliography, and data found on the Internet daily. We performed a mental map to transcribe the results graphically and in a comprehensive form. RESULTS: A total of 24 diaries of a normal day were obtained (9 doctors in Spain, 7 in Mexico, 4 in Paraguay, and 4 in Peru). We found some similarities, but many differences between countries. In contexts of humble but spirited, rural, with traditional roots and undemanding, there was a wider range of tasks of the family doctor, the coexistence of public and private work, and modern and traditional medicine, with greater presence of family and community care, more physician satisfaction and better patient-physician relationship. CONCLUSIONS: The professional profile of the family doctor is diverse and a context-dependent variable, and is not derived directly from external theory of family medicine