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

LENZ, RONY; Ramirez, Jorge; GAC, RAYÉN; Lorca, Eduardo

Abstract

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 supervisi

Más información

Título según SCIELO: Dificultades en la prescripción racional de insulina: La percepción de los médicos tratantes de enfermos diabético de atención primaria de salud
Título de la Revista: Revista Medica de Chile
Volumen: 138
Asunto: 3
Editorial: Sociedad Médica de Santiago
Fecha de publicación: 2010-03-01
Página de inicio: 281
Página final: 288
Idioma: es
DOI/URL:

10.4067/S0034-98872010000300004

Identificador: 10.4067/S0034-98872010000300004
Notas: SCIELO