Objective: To determine the level of preventive activities carried out by Family and Community Medicine medical residents during their stay in the Health Centre, as well as to estimate the time involved in carrying them out.
Design: Cross-sectional, descriptive, observational study.
Setting: Teaching Health Centres in the Central- Cordoba and Guadalquivir Primary Care Districts.
Participants: Forty medical residents and 384 clinical interviews with patients who were seen at the clinic.
Main measurements: The consultations were video recorded and looked at by three medical residents who recorded the preventive activities carried out according to the 2005 PAPPS (Health Promotion and Disease Prevention Activities) recommendations, as well as the time employed in performing these activities.
Results: No preventive activities were performed in 72.1% (95% CI: 67.6 to 76.5%) of the consultations. The most frequent activities were secondary prevention (70.1%), mainly the taking of blood pressure (8.1%). The mean consultation time when there were no preventive activities carried out was 5.6 min (SD=3.1), whilst in those that did perform them it was 7.04 min (SD=3.05) (P<0.0001).
Conclusions: The performing of preventive activities by medical residents in Primary Care clinics is very limited. A consultation that includes preventive activities requires a significantly longer time than in those that do not include them.
Objetivo: Determinar el grado en que los médicos residentes de medicina familiar y comunitaria realizan actividades preventivas durante su estancia en el centro de salud, así como estimar el tiempo empleado en llevarlas a cabo.
Diseño: Estudio observacional, descriptivo y transversal.
Emplazamiento: Centros de salud docentes de los distritos de atención primaria de Córdoba (centro) y Guadalquivir.
Participantes: Cuarenta médicos residentes y 384 entrevistas clínicas realizadas con pacientes que acuden a la consulta.
Mediciones principales: Tres médicos residentes videograban y visualizan las consultas que registran las actividades preventivas efectuadas según las recomendaciones del Programa de Actividades Preventivas y de Promoción de la Salud del año 2005 y el tiempo empleado en cada entrevista en llevar a cabo estas actividades.
Resultados: En el 72,1% de las consultas (IC del 95%: de 67,6 a 76,5) no se realiza ninguna actividad preventiva. Las actividades más frecuentes son las de prevención secundaria (70,1%), destaca en primer lugar la toma de la presión arterial (8,1%). El tiempo medio por consulta en aquéllas en las que no se realizan actividades preventivas es de 5,6min (DE=3,1), mientras que en las que sí se realizan es de 7,04 (DE=3,05) (p<0,0001).
Conclusiones: La realización de actividades preventivas por parte de los médicos residentes en las consultas de atención primaria es muy escasa. Una consulta que incluya actividades preventivas requiere de un tiempo significativamente mayor que una que no las incluya.
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