{"id":72646,"date":"2005-09-02T00:00:00","date_gmt":"2005-09-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-multicentrico-de-evaluacion-de-la-asistencia-prestada-a-diabeticos-tipo-2-en-atencion-primaria-de-salud\/"},"modified":"2005-09-02T00:00:00","modified_gmt":"2005-09-02T00:00:00","slug":"estudio-multicentrico-de-evaluacion-de-la-asistencia-prestada-a-diabeticos-tipo-2-en-atencion-primaria-de-salud","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-multicentrico-de-evaluacion-de-la-asistencia-prestada-a-diabeticos-tipo-2-en-atencion-primaria-de-salud\/","title":{"rendered":"Estudio multic\u00e9ntrico de evaluaci\u00f3n de la asistencia prestada a diab\u00e9ticos tipo 2 en atenci\u00f3n primaria de salud"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel Pedregal Gonz\u00e1lez <\/strong><\/h2>\n<p>Estudio multic\u00e9ntrico de evaluaci\u00f3n de la asistencia prestada a pacientes diab\u00e9ticos tipo 2 en atenci\u00f3n primaria de salud la diabetes mellitus tipo 2 (dm2) es la enfermedad metab\u00f3lica cr\u00f3nica m\u00e1s frecuente y constituye el 90-95% de todos los casos de dm. Los cuidados de las personas con dm2 distan mucho de alcanzar niveles aceptables de control, por lo que las complicaciones siguen siendo un tema preocupante. ante esta situaci\u00f3n se plantean los siguientes objetivos: \u00bb establecer un protocolo m\u00ednimo de evidencia cient\u00edfica consensuado para todos los centros de salud de la unidad docente de medicina familiar y comunitaria (mfyc) de huelva. \u00bb detectar los aspectos mejorables de la atenci\u00f3n y proponer medidas correctoras. \u00bb evaluar los cambios producidos. \u00bb analizar los posibles factores asociados a un d\u00e9ficit de control o a la presentaci\u00f3n de complicaciones de la dm2.          material y m\u00e9todo  dise\u00f1o: estudio de seguimiento (1998-2001).  poblaci\u00f3n y muestra: todos los pacientes diagnosticados de dm2 mayores de 35 a\u00f1os, de los ocho centros de salud docentes. Se obtuvo una muestra aleatoria simple,  a la que se aplicaron criterios de calidad asistencial referida a detecci\u00f3n precoz, diagn\u00f3stico, valoraci\u00f3n inicial, seguimiento, objetivos terap\u00e9uticos y complicaciones previamente acordados.  la muestra se calcul\u00f3 seg\u00fan  la situaci\u00f3n m\u00e1s desfavorable del 50% de alcance de criterios, una confianza del 95% y precisi\u00f3n  de 5.5%: 316. La muestra definitiva fue de 325 pacientes repartidos entre los ocho centros de salud.   resultados  en la tabla  se presentan los resultados a lo largo del seguimiento, seg\u00fan variables que mejoran, no se producen cambios o empeoran.  no cambios  mejoran  empeoran  visitas m\u00e9dicas   tabaquismo  visitas de educaci\u00f3n  visitas de enfermer\u00eda  realizar hemograma  cumplimiento f\u00e1rmaco  autoan\u00e1lisis  cumplimiento ejercicio  realizar hba1c  realizaci\u00f3n ecg  control de colesterol   controles de peso  me<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio multic\u00e9ntrico de evaluaci\u00f3n de la asistencia prestada a diab\u00e9ticos tipo 2 en atenci\u00f3n primaria de salud<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio multic\u00e9ntrico de evaluaci\u00f3n de la asistencia prestada a diab\u00e9ticos tipo 2 en atenci\u00f3n primaria de salud <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel Pedregal Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/02\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Luis S\u00e1nchez Ramos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Zaragoza rubira Jos\u00e9 ram\u00f3n <\/li>\n<li>Manuel P\u00e9rez-barraquero (vocal)<\/li>\n<li>Francisco Martos crespo (vocal)<\/li>\n<li>Antonio Pereira vega (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Pedregal Gonz\u00e1lez Estudio multic\u00e9ntrico de evaluaci\u00f3n de la asistencia prestada a pacientes diab\u00e9ticos tipo 2 en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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