Competencia clínica de médicos mexicanos de atención primaria para manejar osteoporosis


Competencia clínica de médicos mexicanos de atención primaria para manejar osteoporosis
Carlos Enrique Cabrera-Pivarala , María de Jesús Orozco-Valerioa, María Guadalupe Laura Báez-Báeza, Ana Cecilia Méndez-Magaña a, María de los Ángeles Covarrubias-Bermúdez a, Marco Antonio Zavala-Gonzáleza*

a Departamento de Salud Pública, División de Disciplinas para el Desarrollo, Promoción y Preservación de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México.

Recibido: 13-febrero-2017. Aceptado: 8-agosto-2017.

* Autor para correspondencia: Marco Antonio Zavala González.
Sierra Mojada 950, Puerta 1, Edificio N, Planta Alta, Colonia Lomas
de Independencia, Guadalajara, Jalisco, México, C.P. 44240.

Palabras Clave

Osteoporosis; Educación basada en competencias; Atención primaria; Evaluación educacional.

Keywords

Osteoporosis; Competency-based education; Primary healthcare; Educational measurement.


Abstract

Introduction: In Mexico, at least 21 million people have osteoporosis, where it been demonstrated unknowledge of this disease in primary healthcare’ physicians, but not has been evaluated clinical competencies for your treatment by mean of adequate instruments.

Objective: Evaluate clinical competence of a primary healthcare’ mexican physicians sample for diagnosis and treatment of osteoporosis.

Method: Cross-sectional study in 5 cluster sample of 23 family medical units of the Mexican Institute of Social Security from Guadalajara’s metropolitan zone, Jalisco, Mexico. An instrument was designed and validated for to evaluate clinical competence in five dimensions: risk factors identification, clinical data identification, diagnostic test interpretation, diagnosis integration and therapeutic resources utilization; that classified competence level in five strata: random defined, very low, low, regular and high; with 91% of reliability accord to Kuder-Richardson test. Descriptive and no parametric inferential statistics was obtained.

Results: 144 physicians, 53.5% (n = 76) males and 46.5% (n = 68) females. Random defined clinical competence 16.7% (n = 24), very low 20.8% (n = 30), low 28.5% (n = 41), regular 20.8% (n = 30) and high 13.2% (n = 19). Statistically significant differences don’t find to compare medians between medical units (p = 0.53).

Conclusions: Improve clinical competence of primary healthcare’ physicians for osteoporosis diagnosis and treatment is necessary. Intervention studies are required.