Análisis de las dudas de los médicos de atención primaria

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Objective: To determine the doubts, their number and type that doctors have during routine clinics in primary care, as well as establishing methods that may be used to resolve them. Design: Prevalence study. Setting: Health centres in the provinces of A Coruña and Lugo. Participants: A total of 81 primary care doctors, selected by simple random sampling. The sample size was calculated to obtain a total of 500 doubts. Only 2 doctors refused to take part. Measurements: Number and types of doubts. Systems used to resolve them and when they were carried out. Results: A mean of 1.7 doubts were detected (95% confidence interval; 1.59-1.82) for every 10 patients, of which 92% were seen as clinical problems. The 12 most frequent doubts made up 75% of all those that arose, with the interpretation of a clinical sign and treatment indications being the most common. In 51.6% of cases an attempt was made to resolve the doubt either during the consultation or during that day. A total of 35.7% of the doubts led to new appointments, either in the clinic itself or as a referral (23%). A total of 81.5% of those surveyed never used the Internet during the consultation and only 6.2% did this daily or often. Conclusions: The number of doubts that primary care doctor has is relatively small (1.7 for every 10 patients). The most common way to try to resolve them is by referral to a specialist. © 2009 Elsevier España, S.L. All rights reserved.




Louro González, A., Fernández Obanza, E., Fernández López, E., Vázquez Millán, P., Villegas González, L., & Casariego Vales, E. (2009). Análisis de las dudas de los médicos de atención primaria. Atencion Primaria, 41(11), 592–597.

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