Autoevaluación de fortalezas, debilidades y confianza de los médicos de atención primaria en el abordaje de enfermedades reumatológicas / Self assessment of strengths, weaknesses and self confidence¿ of primary care physicians taking care of rheumatic diseases
Rev. méd. Chile
;
134(7): 813-820, jul. 2006. ilus, tab
Article
Dans Espagnol
| LILACS
| ID: lil-434580
ABSTRACT
Background:
Rheumatologic diseases are common and frequently managed by primary care physicians.Aim:
To assess strengths, weaknesses and self confidence of primary care physicians in the management of rheumatic diseases. Material andmethods:
A self assessment and anonymous questionnaire was mailed to primary care physicians of two Chilean regions. Using a 10 points Likert scale, they were asked about personal interest, undergraduate training, continuous medical education, availability of medical literature, complementary laboratory tests and consultation with a rheumatologist. Medical skills, knowledge, therapeutic approach and performance of rheumatologic procedures were evaluated under the item confidence.Results:
Three hundred forty seven out of 763 physicians (45%) answered the questionnaire. Their age range extended from 25 to 75 years, 59% were male, 58% were Chilean and 74% worked in the Metropolitan region. The worst evaluated parameters were availability of literature with a score of 2.2±2, access to consultation with a rheumatologist (3.8±2.2) and to continuous medical education (4.3±2.7). Physicians had a better confidence in their knowledge (6.7±1.5) and in their therapeutic approach (6.1±1.5). The worst confidence score was for shoulder injection therapy (3.4±2.6). Continuous medical education correlated with knowledge but not with clinical skills.Conclusions:
Primary care physicians perform a bad assessment of their skills in rheumatology. They have a low level of confidence in their clinical skills to perform rheumatologic procedures. Continuous medical education improves confidence in knowledge but not in skills.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Médecins de famille
/
Soins de santé primaires
/
Auto-évaluation (psychologie)
/
Rhumatismes
/
Compétence clinique
Type d'étude:
Etude diagnostique
/
Études d'évaluation
/
Recherche qualitative
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2006
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
/
Universidad de la Frontera/CL
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