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3 results on '"Salinas-Martínez AM"'

1. [Technical efficiency in primary care for patients with diabetes].

Author

Salinas-Martínez AM, Amaya-Alemán MA, Arteaga-García JC, Núñez-Rocha GM, and Garza-Elizondo ME

Subjects
Aged, Blood Glucose analysis, Body Weight, Cholesterol blood, Diabetes Mellitus blood, Diabetes Mellitus epidemiology, Diabetic Foot diagnosis, Diabetic Foot prevention & control, Diabetic Retinopathy diagnosis, Diabetic Retinopathy prevention & control, Female, Goals, Humans, Hypertension diagnosis, Male, Mexico epidemiology, Middle Aged, Outcome and Process Assessment, Health Care, Patient Satisfaction, Physical Examination standards, Physical Examination statistics & numerical data, Physicians, Family statistics & numerical data, Primary Health Care organization & administration, Primary Health Care standards, Urban Health, Diabetes Mellitus therapy, Efficiency, Organizational, Primary Health Care statistics & numerical data
Abstract

Objective: To quantify the technical efficiency of diabetes care in family practice settings, characterize the provision of services and health results, and recognize potential sources of variation., Material and Methods: We used data envelopment analysis with inputs and outputs for diabetes care from 47 family units within a social security agency in Nuevo Leon. Tobit regression models were also used., Results: Seven units were technically efficient in providing services and nine in achieving health goals. Only two achieved both outcomes. The metropolitan location and the total number of consultations favored efficiency in the provision of services regardless of patient attributes; and the age of the doctor, the efficiency of health results., Conclusions: Performance varied within and among family units; some were efficient at providing services while others at accomplishing health goals. Sources of variation also differed. It is necessary to include both outputs in the study of efficiency of diabetes care in family practice settings.

Published
2009
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2. [Discrepancy in attitudes toward diabetes between physicians and diabetic patients attending the private, social security or state medical services].

Author

Salinas-Martínez AM, Mathiew-Quiros A, Núñez-Rocha GM, and Garza-Elizondo ME

Subjects
Adult, Attitude of Health Personnel, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Physicians, Private Sector, Public Sector, Attitude, Diabetes Mellitus psychology
Abstract

Objective: One of the biggest challenges of the Mexican Health System is to get results of the treatment goals in diabetic patients, which can be frustrated by physician and patient's attitudes. The present study evaluates divergence of attitude of health providers and diabetic patients according to health sectors: private, social security or State medical services., Material and Methods: They contributed 255 physicians and 255 diabetic patients in ambulatory care from three health sectors: private, social security and welfare (employees and patients were exclusive providers and patients of corresponding institutions). The Diabetes Attitude Scale 3 (DAS-3) was applied, a self-administered instrument used to compare attitudes between health care professionals and patients. Discrepancies were analyzed with t-tests, chi2, one-way ANOVA and post hoc multiple comparisons for observed means based on the Tukey test., Results: Physician and patient's attitudes differed in all scales except for psychosocial impact of diabetes, which was independent of the health sector. Attitudes were not alike with respect to severity of the disease, value of tight control of glucose levels and patient autonomy, with no distinction of health sector. Discrepancy of need for special training was the only attitude that varied by health sector (F = 4.1; p = 0.02); it was similar for the private and social security sector but different for the welfare sector., Conclusions: All health sectors should recognize attitude discrepancies between doctors and patients to favor collaborative strategies that benefit a better control of the disease.

Published
2004

3. Prácticas preventivas de los habitantes mayores de 25 años en Monterrey y su zona metropolitana (México)

Author

Garza-Elizondo, ME, Villarreal-Ríos, E, Salinas-Martínez, AM, and Núñez-Rocha, GM

Subjects
Prevención, Diabetes mellitus, Neoplasmas de la mama, Prevention, Inmunización, Hipertensión, Hypertension, Cervix neoplasms, Immunization, Breast neoplasms, Neoplasmas del cuello uterino
Abstract

Fundamento: Los padecimientos crónicos y degenerativos son las primeras causas de morbi-mortalidad en México, por lo que el Sector Salud ha implementado acciones de prevención y detección oportuna. El uso de los servicios de salud es una conducta dinámica de la población. Para que la gente utilice estas acciones de prevención es necesario que se reduzcan barreras de acceso. Así, el objetivo del estudio fue determinar la utilización de los servicios de detección de diabetes mellitus, hipertensión arterial, cáncer cérvicouterino y mamario y aplicación del toxoide tetánico diftérico. Métodos: El tamaño de la muestra fue de 254 personas de 25 años y más, que habitaban en Monterrey y su zona metropolitana. En el uso de acciones preventivas se consideró a las personas que las habían usado el año anterior. El análisis consistió en estadística descriptiva y análisis bivariado. Resultados: Más del 60% de la población correspondió al sexo femenino, la edad promedio fue de 42,3 años±14 años y tres cuartas partes de la población contó con seguridad social. Un 37% mencionó haberse realizado la detección de diabetes y un 44,5% de hipertensión, mientras que le aplicaron el toxoide tetánico diftérico a un 31,1%. En las detecciones propias de la mujer, a un 34,3% de la población femenina le practicaron la correspondiente a cáncer cérvicouterino en tanto que a un 29,5%, la de cáncer mamario. No hubo relación entre uso de acciones con antecedentes familiares y percepción de importancia de la detección. Conclusiones: El uso de las acciones preventivas está por debajo de algunos estándares internacionales. Es necesaria la búsqueda de personas expuestas al riesgo para detectar oportunamente cualquier padecimiento crónico. Background: Chronic and degenerative disorders are the leading causes of morbidity-mortality in Mexico, as a result of which the Health Sector has implemented preventive and suitable detection measures. The use of the health services is a dynamic behavior on the part of the population. In order for people to use these preventive measures, the barriers to accessing these services must be lessened. Hence, the objective of this study was that of ascertaining the use of the services for the detection of diabetes mellitus, high blood pressure, cervical-uterine and breast cancer and tetanus and diphtheria toxoide vaccinations. Methods: The sample size was that of 254 individuals age 25 and over living in Monterrey or in the greater Monterrey metropolitan area. Those having employed preventive measures during the year immediately prior to the study were taken into account with regard to the use of preventive measures. The analysis consisted of descriptive statistics and bivariate analysis. Results: Over 60% of the population was female, the average age being 42,3 + 14 years of age, three fourths of the population being on the social security rolls. A total 37% mentioned having undergone the diabetes test, and 44,5 the test for high blood pressure, while 31,1% had been vaccinated with the tetanus and diphtheria toxoide. Regarding specifically female checkups, 34,3% of all females had undergone the corresponding cervical-uterine cancer test, 29,5% having been screened for breast cancer. No relationship was found to exist between the use of measures and family histories and the perception of the importance of the checks. Conclusions: The use of preventive measures fall below some international standards. Individuals exposed to the risk must be sought in order to fittingly detect any chronic disorder.

Published
2004

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