medigraphic.com
Instituto Nacional de Salud Pública

2008, Number 6

<< Back Next >>

salud publica mex 2008; 50 (6)

Development and validation of an instrument to measure family physicians’ clinical aptitude in metabolic syndrome in Mexico

Cabrera-Pivaral CE, Gutiérrez-Ruvalcaba CL, Peralta-Heredia IC, Alonso-Reynoso C

Language: English
References: 22
Page: 457-462
PDF size: 539.36 Kb.


ABSTRACT

Objective. The purpose of this work was to measure family physicians’ clinical aptitude for the diagnosis and treatment of metabolic syndrome in a representative sample from six Family Medicine Units (UMF) at the Mexican Institute for Social Security (IMSS), in Guadalajara, Jalisco, México. Material and Methods. This is a cross-sectional study. A validated and structured instrument was used, with a confidence coefficient (Kuder Richardson) of 0.95, that was applied to a representative sample of 90 family physicians throughout six UMFs in Guadalajara, between 2003 and 2004. Mann-Whitney’s U and Kruskal-Wallis’ tests were used to compare two or more groups, and the Perez-Viniegra Test was used to define aptitude development levels. Results. No statistically significant differences were found in aptitude development between the six family medicine units groups and other comparative groups. Conclusions. The generally low level of clinical aptitude, and its indicators, reflects limitations on the part of family physicians at the IMSS in Jalisco to identify and manage metabolic syndrome.


REFERENCES

  1. Lara E, Carrillo T, Carrasco M. Nutrición en el Síndrome Metabólico. In: Annual Review del Colegio de Medicina Interna de México; Mexico: Intersistemas; 2005.

  2. Alberti KG, Zimmet P, Shaw J. Metabolic syndrome—a new worldwide definition. A Consensus Statement from the International Diabetes Federation. Diabetic Medicine 2006;23(5):469-480.

  3. Lorenzo C, Williams K, Hunt KJ, Haffner SM. The National Cholesterol Education Program - Adult Treatment Panel III, International Diabetes Federation, and World Health Organization definitions of the metabolic syndrome as predictors of incident cardiovascular disease and diabetes. Diabetes Care 2007;30(1):8-13.

  4. Lerman G, Aguilar-Salinas C, Gómez-Pérez F, Reza A, Hernández J, Vázquez CC. El síndrome metabólico, posición de la sociedad Mexicana de nutrición y endocrinología, sobre la definición, fisiopatología y diagnóstico. Características del síndrome metabólico en México. Revista de Endocrinología y Nutrición 2004;12(3): 109-122.

  5. Gonzalez C, Sánchez Z, Elizondo A, Malanco H. Inflamación y resistencia a la insulina, su papel en el desarrollo del síndrome metabólico. In: Annual Review del Colegio de Medicina Interna de México. Mexico: Intersistemas, 2005.

  6. Skilton P, Moulin A, Sérusclat A, Nony P, Bonnet F. A comparison of the NCEP-ATPIII, IDF and AHA/NHLBI metabolic syndrome definitions with relation to early carotid atherosclerosis in subjects with hypercholesterolemia or at risk of CVD: Evidence for sex-specific differences. Atherosclerosis 2007; 190(2):416-422.

  7. Rodríguez P, Sánchez L, Martínez V. Síndrome metabólico. Rev Cub Endocrinol 2002;13(3):238-252.

  8. Dekker J, Girmain C, Rhodes T, Nipjels G, Stehouwer CD, Bouter LM. Metabolic Syndrome and 10 year cardiovascular disease risk in the Hoorn study. Circulation 2005;112:666-673.

  9. Chavez V, Aguilar M. Aptitud clínica en el manejo de la familia, en residentes de Medicina Familiar. Rev Med IMSS 2002;40(6):477-481.

  10. Garfias G, Aguilar M, Viniegra V. Cómo explorar las aptitudes de los médicos residentes de traumatología y ortopedia en traumatismo cráneoencefálico. Rev Med IMSS 1997;(35):233-237.

  11. Cobos AH, Insfrán SMD, Pérez CP, Elizaldi LNE, Hernández DE, Barerra MJ. Aptitud clínica durante el internado de pregrado en hospitales generales. Rev Med IMSS 2004;42(6):469-476.

  12. Sabido S, Viniegra V. Competencia y desempeño en la evaluación del médico: estudio con pacientes diabéticos en el primer nivel de atención. In: Viniegra L. La investigación en la educación: papel de la teoría y la observación. Mexico: IMSS, 2000.

  13. Gutiérrez G, Aguilar M, Viniegra V. Validación de un instrumento para evaluar la competencia clínica del médico familiar. Rev Med IMSS 2001;37:201-210.

  14. Secretaria de Salud: Reglamento de la Ley General de Salud en materia de investigación para la salud. Mexico DF: SSA, 1990.

  15. Rothman A, Blackmore D, Cohen R, Reznic R. The consistency and uncertainty in examiners’ definitions of pass/fail performance on OSCE stations. Ev Health Prof 1996;16:322-332.

  16. Searle J. Defining competency-the role of standard setting. Med Educ 2000; 34:363-366.

  17. Satir V. Psicoterapia familiar conjunta. Mexico City: Prensa Medica, 1986: 86-88.

  18. Minuchin S. Familias y terapia familiar. Madrid: Gedisa, 1977.

  19. Larios M, Trejo M, Cortés G. Evaluación de la competencia clínica. Rev Med IMSS 1998;(36):77-82

  20. Gardner W, Nutting PA, Kelleher KJ, Does the family Apgar effectively measure family functioning? Aten Primaria 1996;17:338-341.

  21. Sánchez T, Pérez C, Navarro L, Kumazagua I, Vásquez Garibay E. Dinámica Familiar: metodología para su evaluación. Am J Dis 1994;7:48-52.

  22. Vazquez E, Sánchez T, Navarro L, Romero V, Pérez C, Kumazagua I. Instrumento de Medición de la dinámica de la familia nuclear mexicana. Un enfoque cuantitativo. Bol Med Hosp Infant Mex 2003;60:33-52.




2020     |     www.medigraphic.com