Satisfaction and perception of physicians working in primary health care on the implementation of continuing education in endocrinology
DOI:
https://doi.org/10.34019/1982-8047.2021.v47.34087Keywords:
Education, Medical, Continuing, Primary Health Care, Endocrine System DiseasesAbstract
Introduction: Primary health care (PHC) is responsible for the integral and longitudinal care of the user within the context of their family and community, in addition to organizing the flow of patients through the health system, so it is important to constantly update the scientific team. health. Furthermore, the monitoring of individuals with endocrinological diseases is a frequent demand in basic health units. Objective: To assess the satisfaction and perception of professionals with this educational strategy. Material and Methods: A virtual continuing education project in endocrinology was carried out during 6 months of weekly meetings with 128 physicians. After this period, a semi-open on-line questionnaire was carried out. Quantitative analysis was performed through frequency distribution of tabulated data and qualitative data were analyzed through thematic content analysis proposed by Bardin. Results: 44 answers were obtained from the on-line questionnaire by the PHC physicians. The class format that resulted in the best use was the "presentation and discussion" model. On the other hand, the "slideshow only" format had the worst evaluation. In the evaluation of the various topics presented, there was greater positive repercussion topics such as insulin therapy and drug treatment in diabetes mellitus 2, chronic kidney disease and cardiovascular risk staging to clinical practice. Others reported challenges regarding the time of the meetings and the form of presentation of the class. Twelve discursive responses were obtained: seven (58.3%) reported satisfaction and benefits, two (16.7%) reported criticism and three (25%) suggestions regarding the project. Conclusion: The results showed that virtual continuing education in endocrinology presented itself as an adequate and satisfactory tool for PHC physicians.
Downloads
References
Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde [homepage na internet]. O que é atenção primária [acesso em 2021 mar 24]. Disponível em: https://aps.saude.gov.br/smp/smpoquee.
Mendes EV. A construção social da atenção primária à saúde. 1. ed. Brasília: Conselho Nacional de Secretários de Saúde; 2015.
International Diabetes Federation. IDF diabetes atlas [Internet]. 9. ed. Brussels: 2019. [citado em 2019 nov 14]. Acesso em: https://www.diabetesatlas.org.
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Brasília: Ministério da Saúde; 2020.
Vanelli CP, Miranda LSP, Colugnati FAB, de Paula RB, Costa MB. Determinação do estado nutricional: qual o valor de peso e altura autorreferidos? HU Rev. 2019; 44(2):157-63. doi: 10.34019/1982-8047.2018.v44.13933.
Ray KK, Seshasai SR, Wijesuriya S, Sivakumaran R, Nethercott S, Preiss D et al. Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomised controlled trials. Lancet. 2009; 373(9677):1765-72. doi:10.1016/S0140-6736(09)60697-8.
Zoungas S, Arima H, Gerstein HC, Holman RR, Woodward M, Reaven P et al. Effects of intensive glucose control on microvascular outcomes in patients with type 2 diabetes: a meta-analysis of individual participant data from randomised controlled trials. Lancet Diabetes Endocrinol. 2017; 5(6):431-7. doi:10.1016/S2213-8587(17)30104-3.
Goldstein DJ. Beneficial health effects of modest weight loss. International journal of obesity and related metabolic disorders: journal of the International Association for the Study of Obesity. 1992; 16(6):397-415.
Schelb JE, de Paula RB, Ezequiel DGA, Costa MB. Obesidade e doença renal: aspectos fisiopatológicos. HU Rev. 2019; 44(2):231-9.
Bardin L. A análise de conteúdo. São Paulo: Edições 70; 2011.
Wei MH, Chen XZ, Zhan XX, Zhang ZX, Yu SJ, Yan WR. The effect of a web-based training for improving primary health care providers’ knowledge about diabetes mellitus management in rural China: A pre-post intervention study. PLoS ONE. 2019; 14(9):e0222930. doi: https://doi.org/10.1371/journal.pone.0222930.
Sperl-Hillen J, O'Connor PJ, Ekstrom HL, Rush WA, Asche SE, Fernandes OD et al. Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial. Academic medicine: journal of the Association of American Medical Colleges. 2014; 89(12):1664-73. doi: 10.1097/ACM.0000000000000406.
Brandão, JRDM. A atenção primária à saúde no Canadá: realidade e desafios atuais. Cadernos de Saúde Pública. 2019; 35(1):e00178217. doi: https://doi.org/10.1590/0102-311X00178217.
Canadian Institute for Health Information. Canada's doctor supply has grown faster than the population for the past decade [Internet]. [citado em 2020 dez 3]. Acesso em: https://www.cihi.ca/en/access-data-reports/results?fs3%5B0%5D=content_format%3A806&fs3%5B1%5D=published_date%3A2020&query=.
Newell F. Framework for patient and public participation in primary care commissioning [Internet]. Leeds: NHS England; 2016. [citado em 2016 mar 31]. Acesso em: https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2016/03/framwrk-public-partcptn-prim-care.pdf.
NHS Survey Coordination Centre. Staff Survey 2019: detailed spreadsheets [Internet]. [citado em 2020 fev]. Acesso em: https://www.nhsstaffsurveys.com/Page/1106/Past-Results/Staff-Survey-2019-Detailed-Spreadsheets/.
Maahs DM, West NA, Lawrence JM, & Mayer-Davis EJ. Epidemiology of type 1 diabetes. Endocrinology and Metabolism Clinics. 2010; 39(3):481-97. doi:10.1016/j.ecl.2010.05.011.
Stratton IM, Adler AI, Neil HAW, Matthews DR, Manley SE, Cull CA et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ. 2000; 321(7258):405-12. doi:https://doi.org/10.1136/bmj.321.7258.405
Reach G, Pechtner V, Gentilella R, Corcos A, & Ceriello A. Clinical inertia and its impact on treatment intensification in people with type 2 diabetes mellitus. Diabetes & metabolism. 2017; 43(6):501-11. doi: https://doi.org/10.1016/j.diabet.2017.06.003
Diabetes Control and Complications Trial. Intensive diabetes treatment and cardiovascular outcomes in type 1 diabetes: the DCCT/EDIC study 30-year follow-up. Diabetes care. 2016; 39(5):686-93. doi: https://doi.org/10.2337/dc15-1990.
Hutchinson L. Evaluating and researching the effectiveness of educational interventions. BMJ. 1999; 318(7193):1267-9. doi: 10.1136/bmj.318.7193.1267.
Vigersky, RA, & McMahon C. The relationship of hemoglobin A1C to time-in-range in patients with diabetes. Diabetes technology & therapeutics. 2019; 21(2):81-5. doi: 10.1089/dia.2018.0310.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Rafael Reis Baruqui, Lize Vargas Ferreira, Gabriel Feres Gomes Chamon Assú, Camila Rocha Firmo, Danielle Guedes Ezequiel Andrade, Christianne de Souza Tolêdo Leal
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.