Expectativas de los profesionales sanitarios sobre el beneficio obtenido por intervenciones habituales en atención primaria / Health Professionals expectations’ about the benefit of regular Primary Care interventions

Objetivo : Conocer las expectativas que expresan los profesionales sanitarios sobre el beneficio de varias intervenciones de prevención primaria, basadas en estudios de validez moderada-alta, que se realizan de forma habitual en las consultas de atención primaria.Diseño : Estudio transversal descriptivo mediante encuesta.Emplazamiento : Centros de salud españoles, entre el 6 de febrero y el 5 de mayo de 2020.Participantes : Médicos de familia y otros profesionales de atención primaria en ejercicio.Mediciones principales : a) el número y porcentaje de participantes cuya estimación de beneficio se aleja del beneficio respaldado por las evidencias; b) las magnitudes de SOBREestimación, NORMOestimación y SUBestimación de cada participante y de cada subgrupo profesional.Resultados : De los 701 respondedores (67% mujeres), 694 contestaron a las 8 preguntas y 4 entre una y 7. La sobreestimación del beneficio en las 8 intervenciones osciló entre el 86 y el 90% de todos los participantes médicos y entre el 90 y el 96% de todos los participantes enfermeros.Conclusiones : La mayoría de los profesionales encuestados sobreestiman tanto las actividades de prevención como los tratamientos preventivos, lo que les puede llevar a transmitir expectativas exageradas o falsas a los pacientes, exponerlos innecesariamente a efectos adversos derivados de esas intervenciones y a dilapidar recursos.

Aim : Examine the expectations expressed by healthcare professionals about the benefit of several primary prevention interventions that are usually carried out in The Primary Care Consultations with evidence from moderate-high validity studies.Design : Descriptive Cross-sectional Study by Survey.Sitting : Spanish Primary Healthcare Centers, between February 6 and May 5, 2020.Participants : General Practitioner and other practicing Primary Care professionals.Main measurements : a) the number and percentage of participants whose estimate of benefit deviates from the benefit supported by the evidence; b) the magnitudes of OVERestimation, NORMOestimation and UNDERestimation of each participant and each professional subgroup.Results : Of the 701 respondents (67% women), 694 answered all eight questions and 4 between one and seven. The overestimation of benefit in the 8 interventions ranged from 86% to 90% of all medical participants and between 90% and 96% of all nursing participants.Conclusions : Most of the surveyed (healthcare) professionals overestimate both, prevention activities and preventive treatments, this may lead them to instil false hope in patients, to put patients at risk of serious side effects arising from such interventions and to squander resources.

[Health Professionals expectations' about the benefit of regular Primary Care interventions]. / Expectativas de los profesionales sanitarios sobre el beneficio obtenido por intervenciones habituales en atención primaria.

AIM: Examine the expectations expressed by healthcare professionals about the benefit of several primary prevention interventions that are usually carried out in The Primary Care Consultations with evidence from moderate-high validity studies. DESIGN: Descriptive Cross-sectional Study by Survey. SITTING: Spanish Primary Healthcare Centers, between February 6 and May 5, 2020. PARTICIPANTS: General Practitioner and other practicing Primary Care professionals. MAIN MEASUREMENTS: a) the number and percentage of participants whose estimate of benefit deviates from the benefit supported by the evidence; b) the magnitudes of OVERestimation, NORMOestimation and UNDERestimation of each participant and each professional subgroup. RESULTS: Of the 701 respondents (67% women), 694 answered all eight questions and 4 between one and seven. The overestimation of benefit in the 8 interventions ranged from 86% to 90% of all medical participants and between 90% and 96% of all nursing participants. CONCLUSIONS: Most of the surveyed (healthcare) professionals overestimate both, prevention activities and preventive treatments, this may lead them to instil false hope in patients, to put patients at risk of serious side effects arising from such interventions and to squander resources.