Pesquisa sobre vacunación y oportunidades de prevención y educación para la salud: Experiencia en una residencia pediátrica mediante el Mini-Clinical Evaluation Exercise / Vaccination status inquiry and hierarchy of prevention and health education opportunities: Experience in a Pediatric Residency using the Mini-Clinical Evaluation Exercise
Arch. argent. pediatr
;
116(4): 291-297, ago. 2018. tab, graf
Article
in Spanish
| LILACS, BINACIS
| ID: biblio-1038434
RESUMEN
Introducción. El Mini-Clinical Evaluation Exercise (Mini-CEX) es una herramienta formativa. Dentro de sus ítems, evalúa la pesquisa del estado de vacunación y la jerarquización de oportunidades de prevención. Objetivos. Determinar porcentaje de pesquisa de dichos ítems en controles de salud y demanda. Comparar desempeño entre primer y tercer año. Materiales y métodos. Análisis retrospectivo de las planillas del Mini-CEX de residentes. Resultados. Se evaluaron 119 residentes. La prevalencia de pesquisa de vacunación en controles fue 94,9% (intervalo de confianza -IC- 91,09-98,91); en demanda, 73,1% (IC 65,2-81; OR 5,33; IC 2,23-12,75; p= 0,00004). La prevalencia de aprovechamiento de oportunidades en controles fue 69,8% (IC 61,6-78); en demanda, 62,2% (IC 53,5-70,9; OR 1,034; IC 0,46382,306; p= 0,4673). En 32 residentes se comparó su desempeño entre primer y tercer año en demandas, sin diferencia significativa. Conclusiones. Se detectó alta prevalencia de pesquisa de vacunación y menor prevalencia de aprovechamiento de oportunidades en controles, con menor pesquisa de ambos ítems en demandas.
ABSTRACT
Introduction. The Mini-Clinical Evaluation Exercise (Mini-CEX) is a formative tool with two descriptors assessing the inquiry of vaccination status and the hierarchy of prevention opportunities. Objectives. Determine the prevalence of both items in pediatric controls and spontaneous demands. Compare the performance between first and third year of their training. Material and methods. Retrospective analysis based on trainees Mini-CEX charts. Results. There were 119 residents evaluated during their first year. The prevalence of vaccination status screening in controls was 94.9% (confidence interval -CI- 91.09-98.91); in demands 73.1% (CI 65.2-81; OR 5.33; CI 2.2312.75; p 0.00004). The prevalence of prevention opportunities in controls was 69.8% (CI 61.678); in demands 62.2% (CI 53.5-70.9; OR 1.034; CI 0.4638-2.306; p= 0.4673). There were 32 trainees compared between their first and third year performance in demands, without significant difference. Conclusions. We found high prevalence of vaccination inquiry and lower prevalence of hierarchization of prevention opportunities in controls, with less inquiry in demands.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Vaccination
/
Competency-Based Education
/
Internship and Residency
Type of study:
Evaluation studies
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Arch. argent. pediatr
Journal subject:
Pediatrics
Year:
2018
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital de Niños Dr. Ricardo Gutiérrez/AR
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