Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud

Background: Type 2 Diabetes Mellitus is not always treated successfully, in part due to the difficulties perceived by the medical community about the use of insulin. Aim: To identify the constraints perceived by primary care physicians (PCPs) in the prescription and use of insulin. Material and Meth...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	LENZ,RONY, RAMÍREZ,JORGE, GAC,RAYÉN, LORCA,EDUARDO
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Diabetes mellitus Insulin Primary health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000300004
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872010000300004
record_format	dspace
spelling	oai:scielo:S0034-988720100003000042010-05-19Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de saludLENZ,RONYRAMÍREZ,JORGEGAC,RAYÉNLORCA,EDUARDO Diabetes mellitus Insulin Primary health care Background: Type 2 Diabetes Mellitus is not always treated successfully, in part due to the difficulties perceived by the medical community about the use of insulin. Aim: To identify the constraints perceived by primary care physicians (PCPs) in the prescription and use of insulin. Material and Methods: Six PCPs were subjected to a semi-structured interview about self-perceived management difficulties, behaviors and beliefs on the use of insulin among diabetics. According to their responses a questionnaire about the subject was devised and PCPs were invited by e-mail to answer it. Results: There were 88 replies and 48% of respondents recognized to have management deficiencies in at least one aspect of insulin prescription. The most common deficiencies were determining the type of insulin and treatment of complications. The perceived difficulties were lack of training (58.0%), lack of medical hours (46.6%), lack of communication with specialists (46.6%), lack of reactive strips for capillary blood glucose determination (43.2%) and rotation of doctors (40.9%). The most common behaviors towards patients reluctant to use insulin were persuasion (83.0%), education and supervisión (63.6%) and signature ofan ad-hoc document (38.6%). Ninety percent considered that timely use of insulin is more beneficial than its prescription as a last resort and 94.3% did not consider that insulin should be prescribed by a specialist. Conclusions: A significant percentage of physicians do not trust their own knowledge about insulin prescription. These professionals should receive training in not only technical aspects of prescribing insulin, but also in the psychological and persuasión strategies. There is willingness among PCPs to prescribe insulin.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.3 20102010-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000300004es10.4067/S0034-98872010000300004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes mellitus Insulin Primary health care
spellingShingle	Diabetes mellitus Insulin Primary health care LENZ,RONY RAMÍREZ,JORGE GAC,RAYÉN LORCA,EDUARDO Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
description	Background: Type 2 Diabetes Mellitus is not always treated successfully, in part due to the difficulties perceived by the medical community about the use of insulin. Aim: To identify the constraints perceived by primary care physicians (PCPs) in the prescription and use of insulin. Material and Methods: Six PCPs were subjected to a semi-structured interview about self-perceived management difficulties, behaviors and beliefs on the use of insulin among diabetics. According to their responses a questionnaire about the subject was devised and PCPs were invited by e-mail to answer it. Results: There were 88 replies and 48% of respondents recognized to have management deficiencies in at least one aspect of insulin prescription. The most common deficiencies were determining the type of insulin and treatment of complications. The perceived difficulties were lack of training (58.0%), lack of medical hours (46.6%), lack of communication with specialists (46.6%), lack of reactive strips for capillary blood glucose determination (43.2%) and rotation of doctors (40.9%). The most common behaviors towards patients reluctant to use insulin were persuasion (83.0%), education and supervisión (63.6%) and signature ofan ad-hoc document (38.6%). Ninety percent considered that timely use of insulin is more beneficial than its prescription as a last resort and 94.3% did not consider that insulin should be prescribed by a specialist. Conclusions: A significant percentage of physicians do not trust their own knowledge about insulin prescription. These professionals should receive training in not only technical aspects of prescribing insulin, but also in the psychological and persuasión strategies. There is willingness among PCPs to prescribe insulin.
author	LENZ,RONY RAMÍREZ,JORGE GAC,RAYÉN LORCA,EDUARDO
author_facet	LENZ,RONY RAMÍREZ,JORGE GAC,RAYÉN LORCA,EDUARDO
author_sort	LENZ,RONY
title	Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
title_short	Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
title_full	Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
title_fullStr	Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
title_full_unstemmed	Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
title_sort	dificultades en la prescripción racional de insulina: la percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000300004
work_keys_str_mv	AT lenzrony dificultadesenlaprescripcionracionaldeinsulinalapercepciondelosmedicostratantesdeenfermosdiabeticodeatencionprimariadesalud AT ramirezjorge dificultadesenlaprescripcionracionaldeinsulinalapercepciondelosmedicostratantesdeenfermosdiabeticodeatencionprimariadesalud AT gacrayen dificultadesenlaprescripcionracionaldeinsulinalapercepciondelosmedicostratantesdeenfermosdiabeticodeatencionprimariadesalud AT lorcaeduardo dificultadesenlaprescripcionracionaldeinsulinalapercepciondelosmedicostratantesdeenfermosdiabeticodeatencionprimariadesalud
_version_	1718436492987072512

Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud

Ejemplares similares