2015 life tables of population user of Jalisco's Instituto Mexicano del Seguro Social services / Tablas de vida 2015 de la población usuaria del Instituto Mexicano del Seguro Social de Jalisco

Background: The life table is a useful instrument to measure the impact of health care in a population. In this case we report the situation of the population that use the medical services of the Instituto Mexicano del Seguro Social in the state of Jalisco. Methods: We used the abridged Reed-Merrell method, which shows the life expectancy in five-year age groups. Results: In 2015 life expectancy for people with hospital insurance was 80.51 for women and 77.93 for men. For the total of insured women and men, life expectancy was 77.65 and 73.73 years, respectively. Conclusion: Compared with previous calculations, we observed a deceleration of the gain of life expectancy in both sexes, even though women keep more life expectancy than men.

Introducción: La tabla de vida es un valioso instrumento para medir el impacto de la atención médica en una población. En este caso reportamos la situación de la población usuaria de los servicios de salud del Instituto Mexicano del Seguro Social en el estado de Jalisco, México. Métodos: Se utilizó el método abreviado de Reed-Merrell, que muestra la esperanza de vida en grupos quinquenales de edad. Resultados: En 2015 la esperanza de vida en asegurados hospitalizados hombres fue de 77.93 años y en mujeres, de 80.51 años. Para el total de asegurados mujeres y hombres fue de 77.65 y 73.73, respectivamente. Conclusiones: Si se compara con cálculos previos, se observa una desaceleración en la ganancia de expectativa de vida en pacientes hospitalizados de ambos sexos, aunque se conserva una mayor esperanza para las mujeres.

[Considerations concerning medical knowledge inherited in Mexico from 19th century: the diabetes mellitus case]. / Consideraciones sobre el saber médico heredado en México del siglo XIX: el caso de la diabetes mellitus.

In Mexico, as in the entire Western world, during the 19th century and the beginnings of the 20th century, medical knowledge developed in a remarkable way and the case of diabetes mellitus was not the exception. This situation, which arose on the basis of the antique paradigm, and which in turn was overthrown by the positivism as the emergent paradigm (with its clinical and anatomical, as well as physiopathological and etiopathological viewpoints), was reflected during the 19th the century through its actors and the communications that opened the access of Mexican medicine to the modernity.

En México, como en el mundo occidental, durante el siglo XIX y principios del XX, el conocimiento médico presentó un desarrollo notable y el caso de la diabetes mellitus no es la excepción. Esta situación, originada desde el paradigma antiguo, superado por el paradigma moderno emergente, con sus miradas anatomoclínica, fisiopatológica y etiopatogénica, se refleja en el México decimonónico a través de sus actores y de las comunicaciones que inauguran la entrada de la medicina mexicana a la modernidad.

[Assessment of the ability of first contact physicians in the treatment of rheumatoid arthritis]. / Evaluación de la competencia para el tratamiento de la artritis reumatoide por médicos de primer contacto.

Rheumatic Diseases (RD) are part of the 20 most frequent reasons for consultation in family medicine, therefore, it is mandatory that family physicians perform an opportune recognizement and therapeutic approach of RD. The aim of this study was to measure the clinical competence for identification and therapeutic approach of rheumatoid arthritis (RA) of 144 from 450 family physicians by using a structured and validated instrument. The FP Sample was obtain from 5 randomly selected from 23 Family Medicine Units of the Instituto Mexicano del Seguro Social in the city of Guadalajara, Mexico. Main outcome measure was the clinical competence of FP, defined as the capacity to interpretate, to evaluate and proposals realized in its clinical practice. Competence levels were expressed in an ordinal scale and its association with other variables was assessed by using Kruskal-Wallis test or Chi square test. Clinical competence median value was 47.3, ranking from -6 to 90, and no statistical difference was found when comparing by Family Medicine Unit, neither when comparing by other variables. We conclude that 15.3 % of FP met clinical competence for identification and therapeutic approach of rheumatoid arthritis (RA).

Competencia clínica del médico de familia en la atención a la mujer en etapa de climaterio en unidades de primer contacto / No disponible

No disponible

Development and validation of an instrument to measure family physicians' clinical aptitude in metabolic syndrome in Mexico / Desarrollo y validación de un instrumento para medir la aptitud clínica de médicos familiares en síndrome metabólico en México

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.

OBJETIVO: El propósito de este estudio fue medir la aptitud clínica de los médicos familiares de una muestra representativa de seis Unidades de Medicina Familiar (UMF) del Instituto Mexicano del Seguro Social (IMSS), en Guadalajara, Jalisco, México, en el diagnóstico y tratamiento del síndrome metabólico. MATERIAL Y MÉTODOS: Es un estudio observacional, prospectivo y comparativo. Se diseñó y validó un instrumento estructurado con un coeficiente de confianza (Kuder-Richardson) de 0.95, aplicado a una muestra representativa de 90 médicos familiares de seis UMF en Guadalajara, entre 2003 y 2004. Se utilizaron los tests de Mann-Whitney U y Kruskal-Wallis para comparar dos o más grupos, y el test de Pérez-Viniegra se utilizó para definir los niveles de desarrollo de aptitud. RESULTADOS: No se observaron diferencias significativas en el desarrollo de aptitud entre las seis UMF. CONCLUSIONES: El bajo nivel general de aptitud clínica refleja las limitaciones para identificar y manejar el síndrome metabólico por parte de los médicos familiares.

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

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.