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AnnyKZ [126]
3 years ago
14

¿Qué procedimientos utilizan los médicos para construir el conocimiento de su disciplina?

Medicine
1 answer:
Katarina [22]3 years ago
6 0

Answer:

Abstracto

Explanation:

Antecedentes Se ha prestado una atención creciente a la seguridad del paciente. Sin embargo, la atención se ha centrado en las mejoras del sistema más que en los problemas de desempeño de cada médico. El propósito de este estudio fue determinar si existe una asociación entre ciertas características médicas y la probabilidad de disciplina impuesta por la junta médica.

Métodos Estudio de casos y controles incomparable de 890 médicos disciplinados por la Junta Médica de California entre el 1 de julio de 1998 y el 30 de junio de 2001, en comparación con 2981 controles no disciplinados seleccionados al azar. Se calcularon las odds ratios (OR) para la disciplina del médico con respecto a la edad, el sexo, la certificación de la junta, la educación de la escuela de medicina internacional y la especialidad.

Resultados Sexo masculino (OR, 2,76; P <0,001), falta de certificación de la junta (OR, 2,22; P <0,001), edad creciente (OR, 1,64; P <0,001) y educación en la escuela de medicina internacional (OR, 1,36; P <0,001) se asociaron con un riesgo elevado de acción disciplinaria que incluyó la revocación de la licencia, suspensión de prácticas, libertad condicional y reprimenda pública. Las siguientes especialidades tenían un mayor riesgo de disciplina en comparación con la medicina interna: medicina familiar (OR, 1,68; p = 0,002); práctica general (OR, 1,97, p = 0,001); obstetricia y ginecología (OR, 2,25; P <0,001); y psiquiatría (OR, 1,87; p <0,001). Los médicos de pediatría (OR, 0,62; P = 0,001) y radiología (OR, 0,36; P <0,001) tenían menos probabilidades de recibir disciplina en comparación con los de medicina interna.

Conclusión Ciertas características y especialidades médicas están asociadas con una mayor probabilidad de disciplina.

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