Rodríguez-Moctezuma R, Magdaleno-Tobías ME, Munguía-Miranda C, Hernández-Santiago JL, Casas-De la Torre E

Language: Spanish
References: 13
Page: 112-17
PDF size: 44.01 Kb.

ABSTRACT

Introduction: Metabolic control of patients with diabetes is determined by several factors, among others competence level, performance, and attitudes of primary-care physicians. Objective: On objective was to determinate family physician factors associated with glycemic control in subjects with diabetes in two Family Medicine Units (FMU). Design: Cross-sectional comparative study. Setting: Two Family Medicine Units of the Mexican Institute Social Security. Interventions: Family physician demographic factors were measured (age, sex, job seniority, time of university graduation, and had to have studied a specialty residence studied). Two validated instruments were applied to measure attitude level and handling competence of DM 2, and we determined glycemic level in the previous months of five diabetic patients by consulting room. Results: Forty family physicians were evaluated, mean age 43.9 years, 57.5% with a residence in Family Medicine. Better glycemic control was associated with job seniority, OR 2.49 (CI 0.96–6.6), time of university graduation > 10 years with OR 2.11 (CI 1.4–2.9), to have at least one course related with diabetes in the previons year with OR 4.8 (IC 0.39–22), and competence level OR 2.02 (CI 0.36–11.3) Conclusions: There association between better glycemic control and more professional experience and training on diabetes in the previous year.

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