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1.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.) ; 46(8): 538-544, nov.-dic. 2020. tab, graf
Artículo en Español | IBECS-Express | IBECS | ID: ibc-FGT-5931

RESUMEN

OBJETIVO: Analizar el nivel de preparación, conocimiento y experiencia sobre la violencia de género de las/os tutoras/es médicas/os y las/os residentes de medicina de familia de las Unidades Docentes de Atención Familiar y Comunitaria de Galicia. MÉTODO: Estudio descriptivo transversal en las siete Unidades Docentes de Atención Familiar y Comunitaria de Galicia. Se utilizó el cuestionario Physician Readiness Manage Intimate Violence Survey (PREMIS), en su versión validada en español. Esta encuesta permite recoger información de las/os profesionales sanitarios de atención primaria sobre sus actitudes, conocimientos y prácticas con respecto a la violencia de género. Se realizó análisis estadístico descriptivo y comparativo de los datos. RESULTADOS: Se recibieron 159 cuestionarios, 72,32% procedían de mujeres, 59,1% de las respuestas fueron de médicas/os tutoras/es. Se apreció que existían diferencias estadísticamente significativas en la detección/diagnóstico de violencia a favor que aquellas/os profesionales que tenían conocimiento del protocolo de violencia de género o que habían recibido formación sobre esta materia (p < 0,01). En la autopercepción de la formación sobre violencia de género se observaron peores resultados con significación estadística en aquellas/os profesionales con mayor carga asistencial (p < 0,05). CONCLUSIONES: Haber recibido formación o conocer el protocolo de atención sanitaria se asocia con una mayor detección de casos de violencia de género. Se ha constatado déficit en formación en violencia de género tanto en tutoras/es como en residentes de medicina de familia, especialmente en los que tienen mayor carga asistencial, por lo que es una prioridad desarrollar estrategias de formación médica en este campo


OBJECTIVE: To analyse the level of preparation, knowledge and experience of gender violence of medical tutors and family medicine trainees of the Teaching Units of Family and Community Care of Galicia. METHODS: Descriptive cross-sectional study conducted in the 7 Teaching Units of Family and Community Care in Galicia. The Physician Readiness Manage Intimate Violence Survey (PREMIS), in its validated version in Spanish was used. This survey allows the collection of information from primary health care professionals about their attitudes, knowledge, and practices as regards gender violence. A descriptive and comparative statistical analysis was performed on the data. RESULTS: Out of a total of 159 questionnaires received, 72.32% came from women, and 59.1% of the responses were from doctors / tutors. It was noted that there were statistically significant differences in the detection / diagnosis of violence by those professionals who were aware of the gender violence protocol or who had received training in this area (P<.01). In the self-perception of gender violence training, statistically significant worse results were observed in those professionals with greater care burden (P<.05). CONCLUSIONS: Having received training or knowing the health care protocol on gender violence is associated with greater detection of cases of gender violence. There has been a deficit in training in gender-based violence both in tutors and in family medicine residents, especially in those with greater care burden, so it is a priority to develop medical training strategies in this field

3.
J Healthc Qual Res ; 35(5): 305-311, 2020.
Artículo en Español | MEDLINE | ID: mdl-32972902

RESUMEN

OBJECTIVE: To analyse the impact of a management plan for the diabetes process on the level of control of HbA1c and the rate of hypoglycaemia. MATERIAL AND METHODS: The Health Area had a catchment population of 446,603. An anti-diabetic drug prescription (29,705 patients) was used to select diabetic patients. The variables recorded were: percentage of patients with HbA1c <8% and the hypoglycaemia rate before and after implementation of the quality program. RESULTS: The prevalence of diabetes was 11.8%, with 71.3% of them receiving some pharmacological treatment. In the year 2016, in the Integrated Health Area of Santiago de Compostela (Spain), 59.6% (95% CI: 57.9% -61.2%) of the patients had an HbA1c of less than 8%. After the implementation of the quality program, there was an increase in the number of controlled patients, reaching 63.6% (IRQ: 16.0%) in 2017, and 63.8% (95% CI: 62.5% - 65.2%) in 2018. The annual rate of hypoglycaemia increased non-significantly from 2.8 (95% CI: 2.22-3.35) in 2016, to 2.94 (95% CI: 2.35-2.35) in 2017 (P=.083), and 3.0 (95% CI: 2.44-3.56) in 2018 (P=.399). CONCLUSIONS: The implementation of the diabetes process management program enabled the level of control of HbA1c to be improved, as well as increase the percentage of patients who undergo regular check-ups, without increasing hypoglycaemia.

4.
Semergen ; 46(8): 538-544, 2020.
Artículo en Español | MEDLINE | ID: mdl-32536438

RESUMEN

OBJECTIVE: To analyse the level of preparation, knowledge and experience of gender violence of medical tutors and family medicine trainees of the Teaching Units of Family and Community Care of Galicia. METHODS: Descriptive cross-sectional study conducted in the 7 Teaching Units of Family and Community Care in Galicia. The Physician Readiness Manage Intimate Violence Survey (PREMIS), in its validated version in Spanish was used. This survey allows the collection of information from primary health care professionals about their attitudes, knowledge, and practices as regards gender violence. A descriptive and comparative statistical analysis was performed on the data. RESULTS: Out of a total of 159 questionnaires received, 72.32% came from women, and 59.1% of the responses were from doctors / tutors. It was noted that there were statistically significant differences in the detection / diagnosis of violence by those professionals who were aware of the gender violence protocol or who had received training in this area (P<.01). In the self-perception of gender violence training, statistically significant worse results were observed in those professionals with greater care burden (P<.05). CONCLUSIONS: Having received training or knowing the health care protocol on gender violence is associated with greater detection of cases of gender violence. There has been a deficit in training in gender-based violence both in tutors and in family medicine residents, especially in those with greater care burden, so it is a priority to develop medical training strategies in this field.

6.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.) ; 45(8): 510-515, nov.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-189289

RESUMEN

OBJETIVO: Analizar el perfil de los médicos de familia que accedieron a plazas, tanto del cupo general como reservadas para tutores de medicina familiar y comunitaria, mediante concurso de traslados. MATERIAL Y MÉTODOS: Estudio observacional descriptivo. Se establecieron 2 grupos de comparación: en el grupo No Docencia se incluyeron médicos de familia que no solicitaron o no accedieron a plazas de tutoría y en el grupo Docencia, a los que accedieron a plazas reservadas para tutoría. La información se obtuvo de las puntuaciones del concurso de traslados realizado en Galicia en 2018. Se incluyeron 426 médicos de familia que se inscribieron en el concurso: 301 mujeres (70,7%) y 125 hombres (29,3%). Las variables fueron la obtención de plaza con reserva para tutores, el género y los méritos considerados en el concurso: experiencia profesional, formación, publicaciones científicas y lengua gallega. Se utilizaron las pruebas estadísticas no paramétricas de Mann-Whitney y de Kruskal-Wallis, al comprobar la distribución no normal. RESULTADOS: Se encontraron diferencias estadísticamente significativas en la distribución por géneros a favor de los hombres en el grupo Docencia frente al No Docencia, con una p < 0,01. El grupo Docencia obtuvo mejores resultados en formación y publicaciones. Las mujeres obtuvieron resultados estadísticamente significativos a su favor en la variable formación y los hombres en la experiencia. CONCLUSIONES: Para la elección de las plazas docentes en el concurso, las publicaciones y la formación tuvieron un peso importante, pero, teniendo en cuenta una perspectiva de género, un menor porcentaje de mujeres han accedido a las plazas docentes por tener menor puntuación en la categoría de experiencia


OBJECTIVE: To analyse the profile of Family Doctors who gain access to positions, both to the general quota, as well those reserved for teaching tutors of Family and Community Medicine, by means of a relocation competition. MATERIAL AND METHODS: A descriptive observational study was conducted in which 2 comparison groups were established: A Non-Teaching group that did not include Family Doctors who did not request or gain access to tutor positions, and a Teaching group with those that gained access to positions reserved for tutors. The information was obtained from the marks of the relocation competition carried out in Galicia in 2018. A total of 426 General Practitioners that entered the examination were included, of which 301 were female (70.7%) and 125 (29.3%) males. The variables were the obtaining of a position reserved for tutor, gender, and the merits considered in the competition: professional experience, training, scientific publications, and Galician language. The non-parametric statistics tests of Mann-Whitney and Kruskal-Wallis were used, after checking for non-normal distribution. RESULTS: Statistically significant differences were found in the distribution by gender in favour of males in the Teaching group compared to the Non-Teaching group (P<.01). The Teaching group obtained better results in training and publications. The females obtained statistically significant results in their favour in the training variable, and the males in experience. CONCLUSIONS: For the choice of teaching places in relocation interviews and examinations, publications and training had an important weighting; but, taking the gender perspective into account, a lower percentage of women had gained access to teaching positions due to having lower score in the experience category


Asunto(s)
Humanos , Masculino , Femenino , Medicina Comunitaria/educación , Facultades de Medicina , Medicina Familiar y Comunitaria/educación , Selección de Personal , España
7.
J Healthc Qual Res ; 34(6): 314-322, 2019.
Artículo en Español | MEDLINE | ID: mdl-31761741

RESUMEN

OBJECTIVE: To carry out an evaluation of the impact on the number of patients in the risk situation due to safety problems with the medications after compliance with a program to improve the quality of care of the chronic patient on multiple medications in the Health Area of Santiago de Compostela. METHOD: The intervention program consisted of the design of a computer tool that would allow the detection and stratification of the risk of patients with potential safety problems with medications. The program included sessions and pop-ups on the quality of the prescription and the systematic periodic communication of the results on the use of the prescriptions to the doctors and pharmacists of Primary Care. A one-year time horizon was considered. RESULTS: In January 2018, there were 9,874 patients at risk due to potential safety problems related to medicines in the Health Area of Santiago de Compostela. At the end of December 2018, the patients at risk had fallen to 5,797 patients (41.2% reduction; P<.05). CONCLUSIONS: The design of computer tools that allow the use of the information available from the electronic prescription using standardised protocols, along with the team work of hospital pharmacists and primary care pharmacists, the collaboration between physicians, nurses and pharmacists, as well as the design of information adapted to the computer equipment and the stratification of the risk have all been actions with very positive results in the decrease in exposure of chronic patients to risk situations related to medications.


Asunto(s)
Enfermedad Crónica/tratamiento farmacológico , Prescripción Inadecuada , Polifarmacia , Mejoramiento de la Calidad/normas , Calidad de la Atención de Salud/normas , Humanos , Desarrollo de Programa , España
8.
Semergen ; 45(8): 510-515, 2019.
Artículo en Español | MEDLINE | ID: mdl-31326240

RESUMEN

OBJECTIVE: To analyse the profile of Family Doctors who gain access to positions, both to the general quota, as well those reserved for teaching tutors of Family and Community Medicine, by means of a relocation competition. MATERIAL AND METHODS: A descriptive observational study was conducted in which 2 comparison groups were established: A Non-Teaching group that did not include Family Doctors who did not request or gain access to tutor positions, and a Teaching group with those that gained access to positions reserved for tutors. The information was obtained from the marks of the relocation competition carried out in Galicia in 2018. A total of 426 General Practitioners that entered the examination were included, of which 301 were female (70.7%) and 125 (29.3%) males. The variables were the obtaining of a position reserved for tutor, gender, and the merits considered in the competition: professional experience, training, scientific publications, and Galician language. The non-parametric statistics tests of Mann-Whitney and Kruskal-Wallis were used, after checking for non-normal distribution. RESULTS: Statistically significant differences were found in the distribution by gender in favour of males in the Teaching group compared to the Non-Teaching group (P<.01). The Teaching group obtained better results in training and publications. The females obtained statistically significant results in their favour in the training variable, and the males in experience. CONCLUSIONS: For the choice of teaching places in relocation interviews and examinations, publications and training had an important weighting; but, taking the gender perspective into account, a lower percentage of women had gained access to teaching positions due to having lower score in the experience category.


Asunto(s)
Medicina Comunitaria/educación , Docentes Médicos , Medicina Familiar y Comunitaria/educación , Selección de Personal , Femenino , Humanos , Masculino , España
9.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.) ; 45(2): 134-140, mar. 2019. tab
Artículo en Español | IBECS | ID: ibc-188062

RESUMEN

Los estudios de investigación con seres humanos, sus muestras biológicas o sus datos de carácter personal en el ámbito de la biomedicina han sido ya desde mediados del siglo pasado objeto de regulación. Inicialmente una regulación basada en recomendaciones como el Código de Nuremberg, el Informe Belmont o las primeras versiones de la Declaración de Helsinki. Todos ellos documentos en los que fueron conceptualizando los principios (autonomía, beneficencia, no-maleficencia y justicia) que todo investigador había de seguir en el desarrollo de su investigación. Esta primera fase se conoce como período de autorregulación porque se considera que los propios investigadores podrían, siguiendo esas recomendaciones, llevar a cabo sus investigaciones sin otro control. Posteriormente, se pasó a un período claramente regulatorio en el que las premisas de estas recomendaciones fueron progresivamente incorporándose al ordenamiento jurídico de los distintos países y con ello surgió el control externo de la investigación por parte de las administraciones y de otros órganos como los Comités de Ética de la Investigación. La finalidad de este artículo es servir como guía a los profesionales cuya actividad principal es la asistencial en el ámbito de la atención primaria y que a su vez están interesados en iniciar estudios de investigación para responder a las incertidumbres que en el contexto de su actividad diaria les puedan surgir


Studies of research with human beings, their biological specimens, or their personal data in the field of biomedicine have been subject to regulation since the middle of the last century. Initially a regulation based on recommendations such as the Nuremberg Code, the Belmont Report or the first versions of the Declaration of Helsinki. All of them documents in which the principles (autonomy, beneficence, non-maleficence, and justice) were conceptualized, and that all researchers had to follow in the development of their research. This first phase is known as a period of self-regulation, because it is considered that the researchers themselves could, by following these recommendations, carry out their investigations without further control. Subsequently, it went through a clearly regulatory period in which the premises of these recommendations were progressively incorporated into the legal system of the different countries, and with this, arose the external control of the investigation by the administrations and other bodies, such as the Research Ethics Committees. The purpose of this article is to serve as a guide to professionals whose main activity is care in the field of Primary Care and who, in turn, are interested in initiating research studies to respond to uncertainties in the context of their daily activity that may arise


Asunto(s)
Humanos , Investigación Biomédica/normas , Investigación Biomédica/ética , Investigación Biomédica/legislación & jurisprudencia , Guías como Asunto
10.
Semergen ; 45(2): 134-140, 2019 Mar.
Artículo en Español | MEDLINE | ID: mdl-30541705

RESUMEN

Studies of research with human beings, their biological specimens, or their personal data in the field of biomedicine have been subject to regulation since the middle of the last century. Initially a regulation based on recommendations such as the Nuremberg Code, the Belmont Report or the first versions of the Declaration of Helsinki. All of them documents in which the principles (autonomy, beneficence, non-maleficence, and justice) were conceptualized, and that all researchers had to follow in the development of their research. This first phase is known as a period of self-regulation, because it is considered that the researchers themselves could, by following these recommendations, carry out their investigations without further control. Subsequently, it went through a clearly regulatory period in which the premises of these recommendations were progressively incorporated into the legal system of the different countries, and with this, arose the external control of the investigation by the administrations and other bodies, such as the Research Ethics Committees. The purpose of this article is to serve as a guide to professionals whose main activity is care in the field of Primary Care and who, in turn, are interested in initiating research studies to respond to uncertainties in the context of their daily activity that may arise.


Asunto(s)
Investigación Biomédica/normas , Investigación Biomédica/ética , Investigación Biomédica/legislación & jurisprudencia , Guías como Asunto , Humanos
19.
Semergen ; 39(8): 450-2, 2013.
Artículo en Español | MEDLINE | ID: mdl-24315077

RESUMEN

Granulomatous cheilitis is a rare disease included among the orofacial granulomatoses. It is characterized by a idiopathic chronic inflammation of the labial mucosa (macrochelia), which takes the form of episodic and progressive outbreaks. In 10% of patients, it is associated with Crohn's disease. We report the presentation, evaluation and treatment of a case of granulomatous cheilitis which appearted two years after the onset of Crohn's disease. We conclude that granulomatous cheilitis is rare in children, with few reported cases, although probably underdiagnosed because of lack of awareness. The diagnosis of granulomatous cheilitis is clinical, although the histological evaluation is a determining factor. After making the diagnosis a comprehensive assessment of the patient is recommended, to rule out the other associated syndromes described in the literature.


Asunto(s)
Enfermedad de Crohn/complicaciones , Síndrome de Melkersson-Rosenthal/complicaciones , Adolescente , Humanos , Masculino , Síndrome de Melkersson-Rosenthal/diagnóstico
20.
Artículo en Español | IBECS | ID: ibc-117235

RESUMEN

La queilitis granulomatosa es una enfermedad poco frecuente incluida dentro de las granulomatosis orofaciales. Se caracteriza por ser una inflamación crónica idiopática de la mucosa labial (macroquelia), que cursa en forma de brotes episódicos y progresivos. En un 10% de los pacientes se asocia a la enfermedad de Crohn. Presentamos un caso clínico de queilitis granulomatosa que precede en 2 años al diagnóstico de la enfermedad de Crohn, haciendo referencia a la forma de presentación, evolución y tratamiento. Concluimos que la queilitis granulomatosa es una entidad infrecuente, con pocos casos descritos, aunque probablemente infradiagnosticada por su desconocimiento. El diagnóstico de la queilitis granulomatosa es esencialmente clínico, aunque es determinante la evaluación histológica. Después de realizar su diagnóstico se debe recomendar la evaluación integral del paciente, para descartar el resto de las asociaciones sindrómicas descritas en la literatura médica (AU)


Granulomatous cheilitis is a rare disease included among the orofacial granulomatoses. It is characterized by a idiopathic chronic inflammation of the labial mucosa (macrochelia), which takes the form of episodic and progressive outbreaks. In 10% of patients, it is associated with Crohn’s disease. We report the presentation, evaluation and treatment of a case of granulomatous cheilitis which appearted two years after the onset of Crohn’s disease. We conclude that granulomatous cheilitis is rare in children, with few reported cases, although probably underdiagnosed because of lack of awareness. The diagnosis of granulomatous cheilitis is clinical, although the histological evaluation is a determining factor. After making the diagnosis a comprehensive assessment of the patient is recommended, to rule out the other associated syndromes described in the literature (AU)


Asunto(s)
Humanos , Masculino , Adolescente , Síndrome de Melkersson-Rosenthal/complicaciones , Síndrome de Melkersson-Rosenthal/diagnóstico , Enfermedad de Crohn/complicaciones , Enfermedad de Crohn/diagnóstico , Mastitis Granulomatosa/tratamiento farmacológico , Síndrome de Melkersson-Rosenthal/fisiopatología , Mucosa Bucal/patología , Membrana Mucosa/patología , Atención Primaria de Salud/métodos , Atención Primaria de Salud/normas , Atención Primaria de Salud , Astenia/complicaciones , Dolor Abdominal/complicaciones
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