Manejo de factores de riesgo cardiovascular en Venezuela mediante educación de los médicos que trabajan en atención primaria de salud
Bibliographic record
Abstract
espanolEstudios recientes en America Latina corroboraron la prevalencia de la hipertension arterial, el colesterol elevado en plasma, los trastornos metabolicos y otros factores de riesgo cardiovascular (FRCV), todo esto sumado a la falta de control de la enfermedad, la escasa adhesion al tratamiento y el uso de pocas medidas preventivas, lo que derivo en la necesidad de educar tanto al medico como al paciente. Se han realizado estudios limitados para demostrar la efi cacia del desarrollo profesional continuo y su capacidad de infl uir positivamente en los indicadores de salud del paciente. En Venezuela se llevo a cabo un estudio para tratar de medir la efectividad de un curso combinado basado en actividades online y presenciales sobre el manejo de los FRCV, dirigido a medicos que trabajan en atencion primaria. Un grupo piloto de 37 medicos de atencion primaria del area metropolitana de Caracas completo una intervencion educativa de 12 semanas, la cual consistio en sesiones semanales en linea, utilizando la estrategia educativa basada en problemas sobre el manejo de los FRCV, asi como talleres presenciales relacionados con los cambios de comportamiento del medico y del paciente, utilizando los prin- cipios de la educacion terapeutica. Se trabajo con una cohorte de 303 pacientes con hipertension arterial de grado I-II no controlada y/o colesterol plasmatico elevado, y se llevo a cabo un seguimiento durante seis meses. Los resultados evidenciaron cambios signifi cativos en los medicos respecto a los aspectos cognitivos y al estilo de su practica profesional en el manejo de los FRCV. Los participantes se mostraron muy satisfechos con el contenido y el formato de la intervencion educativa. De igual manera, encontramos un resultado positivo en la induccion de cambios en toda la cohorte de pacientes, sobre todo en el perfi l lipidico, la presion arterial y la modifi cacion del estilo de vida. Seria interesante su aplicacion a mayor escala para medir su efectividad a largo plazo. EnglishRecent studies in Latin-America corroborated the prevalence of hypertension, elevated plasma cholesterol, metabolic disorders and other cardiovascular risk factors (CVRF) along with lack of disease awareness. Treatment and preventive measures indicated the urgent need for patient and physician education. Limited studies have been conducted to demonstrate the effectiveness of continual professional development (CPD) and its ability to positively improve health care outcomes. A study was done in Venezuela to measure the effectiveness of a blended web-based education in the management of CVRF by primary health care physicians (PCP), working in primary care services. A pilot group of 37 PCP, from the Caracas metropolitan area, completed a 12-week educational intervention consisting of weekly online problem- based sessions on CVRF management and face-to-face workshops on physician and patient behavioral changes, using principles of therapeutic education. A cohort of 303 of their patients with uncontrolled grade I-II arterial hypertension and/or elevated plasma cholesterol were included and followed up for a 6-month period. Signifi cant changes in the cognitive aspects and attitudes about the management of CVRF occurred among the PCP, who were highly satisfi ed with the content and format of the educational intervention. We also found a positive role in inducing changes in the entire patient cohort, particularly on the plasma lipid profi le, blood pressure, and lifestyle changes. Results of this pilot study refl ect the effective use of CPD on patient care and PCP interactions in creating synergy and understanding with participating institutions. There is a need of large scale implementation and more extensive comparison with other educational approaches.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".