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Implementación y aplicación de la 'Guía de práctica clínica para el diagnóstico, tratamiento y control de la diabetes mellitus tipo 2 en el primer nivel de atención' en una red de establecimientos de salud públicos de Lima / Implementation and application of the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level', in a network of public healthcare facilities in Lima
Bellido-Zapata, Adriana; Ruiz-Muggi, Juan Elias; Neira-Sánchez, Elsa Rosa; Málaga, Germán.
Affiliation
  • Bellido-Zapata, Adriana; Universidad Peruana Cayetano Heredia. Escuela de Medicina. Lima. PE
  • Ruiz-Muggi, Juan Elias; Universidad Peruana Cayetano Heredia. Escuela de Medicina. Lima. PE
  • Neira-Sánchez, Elsa Rosa; Universidad Peruana Cayetano Heredia. Escuela de Medicina. Lima. PE
  • Málaga, Germán; Universidad Peruana Cayetano Heredia. Escuela de Medicina. Lima. PE
Acta méd. peru ; 35(1): 14-19, ene. 2018. tab
Article in Spanish | LILACS | ID: biblio-1010880
Responsible library: PE18.1
RESUMEN

Objetivo:

La diabetes es una enfermedad no transmisible con prevalencia creciente que provoca alta carga de enfermedad por su tardío diagnóstico, complicaciones discapacitantes y elevada mortalidad. Para homogeneizar la atención el Ministerio de Salud peruano publicó la 'Guía de práctica clínica para el diagnóstico, tratamiento y control de la diabetes mellitus tipo 2 en el primer nivel de atención' (GPC). Materiales y

métodos:

Se elaboró una encuesta para evaluar el equipamiento, así como el conocimiento y uso de GPC en los 32 establecimientos de salud de los 3 distritos de la Dirección de Redes Integrales de Salud de Lima Norte.

Resultados:

Se evaluó la aplicación de la GPC, el conocimiento de los médicos y el equipamiento en 32 centros de los distritos del Rímac, San Martín de Porres y Los Olivos. Veintisiete médicos (84%) conocían la GPC, diez (28%) han recibido capacitación, 21 (71%) refirieron usarla, 17 (53%) manejaban los conceptos contenidos en la GPC. Solo 4/30 centros disponían de metfomina, ninguno de los centros realizaba hemoglobina glicosilada ni albuminuria y en solo 9 había disponibilidad de glucómetros de manera permanente.

Conclusiones:

La GPC no ha sido implementada y sólo parcialmente difundida, lo que limita su aplicación, afecta de manera significativa la calidad de atención de pacientes portadores de diabetes mellitus tipo 2 y hace que el esfuerzo y costos invertidos en su elaboración constituyan un dispendio de recursos
ABSTRACT

Background:

Diabetes is a non-communicable disease with increasing prevalence that causes high burden of disease due to its late diagnosis, disabling complications, and high mortality. Aiming to standardize care, the Peruvian Ministry of Health published the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level' (CPG). Materials and

methods:

A survey was prepared, aiming to assess the equipment as well as knowledge and use of CPG by physicians in 32 healthcare facilities in three districts from the Northern Lima Health Region.

Results:

The use of CPG, as well as knowledge from physicians and the equipment in 32 healthcare facilities in Rimac, San Martin de Porres, and Los Olivos districts were assessed. Twenty-seven physicians (84%) knew the CPG, 10 (28%) had received training, 21 (71%) declared they use the CPG, and 17 (53%) were familiarized with the concepts delivered by the CPG. Only 4/30 of the facilities had metformin available. None of them had the capability for measuring glycated hemoglobin or albuminuria, and only 9 have permanent availability of blood glucose meters.

Conclusions:

The GPC has not been implemented and it has been only partially disseminated, which limits its application, this significantly affects the quality of care of patients with type 2 diabetes mellitus; therefore, all effort and costs spent in its elaboration constitute resource waste
Subject(s)

Full text: Available Collection: International databases Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Goal 9: Noncommunicable diseases and mental health / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Diabetes Mellitus / Endocrine System Diseases Database: LILACS Main subject: Primary Health Care / Practice Guideline / Diabetes Mellitus Type of study: Diagnostic study / Practice guideline / Qualitative research / Risk factors Aspects: Implementation research Language: Spanish Journal: Acta méd. peru Journal subject: Medicine Year: 2018 Document type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Peruana Cayetano Heredia/PE
Full text: Available Collection: International databases Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Goal 9: Noncommunicable diseases and mental health / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Diabetes Mellitus / Endocrine System Diseases Database: LILACS Main subject: Primary Health Care / Practice Guideline / Diabetes Mellitus Type of study: Diagnostic study / Practice guideline / Qualitative research / Risk factors Aspects: Implementation research Language: Spanish Journal: Acta méd. peru Journal subject: Medicine Year: 2018 Document type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Peruana Cayetano Heredia/PE
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