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Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies

Published online by Cambridge University Press:  02 October 2018

José Antonio Cernuda Martínez Open the ORCID record for José Antonio Cernuda Martínez [Opens in a new window] ,
Rafael Castro Delgado ,
Elena Ferrero Fernández  and
Pedro Arcos González
José Antonio Cernuda Martínez*
Affiliation:
Emergency and Disaster Research Unit, Medicine and Health Science School, University of Oviedo, Oviedo, Spain
Rafael Castro Delgado
Affiliation:
Emergency and Disaster Research Unit, Medicine and Health Science School, University of Oviedo, Oviedo, Spain
Elena Ferrero Fernández
Affiliation:
Emergency and Disaster Research Unit, Medicine and Health Science School, University of Oviedo, Oviedo, Spain
Pedro Arcos González
Affiliation:
Emergency and Disaster Research Unit, Medicine and Health Science School, University of Oviedo, Oviedo, Spain
*
Correspondence: José Antonio Cernuda Martínez, PhD Unidad de Investigación en Emergencia y Desastre Facultad de Medicina Universidad de Oviedo Campus del Cristo 33006 Oviedo, Spain E-mail: jacernudam@gmail.com
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Abstract

Objectives

The goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emergencies (LTEs), and also to analyze the differences according to the geographical area of their work.

Methods

This was a cross-sectional survey of PHC physicians using an ad hoc survey of a sample of 213 physicians in Asturias regarding their self-perception of theoretical knowledge and practical skills in techniques used in LTEs by areas of work (rural, suburban, and urban). The interview was conducted by mail from April through May 2017. The data processing has used absolute and relative frequencies, as well as central tendency parameters and dispersion parameters. The estimates for the entire population have been made using confidence intervals for the mean of 95%. In the comparison of parameters, the differences between parameters with a probability of error less than five percent (P<.05) have been considered significant. For the comparison of means between the different techniques in the different areas of work, ANOVA was used.

Results

With respect to the training of physicians, in general, for managing emergencies, both at the regional level and by areas of work (rural, suburban, and urban), none of the sets analyzed attained five points. By areas of work, it was the suburban region where there was a greater average general level of knowledge. There were significant differences in the average theoretical knowledge and the average practical skills in the procedures studied according to the different areas of work. The greater number of significant differences was between the urban and suburban regions and within the urban area.

Conclusions:

It’s necessary to ensure an adequate homogeneity of the levels of theoretical knowledge and practical skills of PHC physicians in order to guarantee the equity of provision of health care in emergencies in different geographical areas.

Cernuda MartínezJA, Castro DelgadoR, Ferrero FernándezE, Arcos GonzálezP. Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies. Prehosp Disaster Med. 2018;33(5):508–518.

Keywords

emergencypractical skilltheoretical knowledge
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 5 , October 2018 , pp. 508 - 518
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

References

1. Moya-Mir, MS. Normas de Actuación en Urgencias. 4th ed. Madrid, Spain: Editorial Médica; 2011.Google Scholar
2. Van Damme, W, Van Lerberghe, W, Boelaert, M. Primary health care vs. emergency medical assistance: a conceptual framework. Health Policy Plann. 2002;17(1):49-60.Google Scholar
3. Martín Zurro, A, Ledesma Castelltort, A, Sans Miret, A. El modelo de Atención Primaria de salud: balance y perspectivas. Aten Prim. 2000;25:48-58.Google Scholar
4. Canals, M, Riesgo, A. La formación en urgencias extrahospitalarias y su adecuación al nuevo programa de la especialidad de Medicina Familiar y Comunitaria. ¿Hemos avanzado? Rev Clin Med Fam. 2013;6(3):131-137.Google Scholar
5. Castro Villamor, MA. Medicina de urgencias y emergencias y medicina de familia. ¿De dónde partimos y hacia dónde vamos? Aten Prim 2005;36(S1):17-19.Google Scholar
6. Gobierno del Principado de Asturias: Geografía y Población. https://www.asturias.es/portal/site/webasturias/menuitem.4b280f8214549ead3e2d617f77f2300030/?vgnextoid=07198b2db5f4e010VgnVCM100000b0030a0aRCRD&vgnextc18 hannel=a3fa71044d89d210VgnVCM1000002f030003RCRD&i18n.http.lang=es (2006). Accessed August 31, 2017.Google Scholar
7. Servicio de Salud del Principado de Asturias: Memoria 2015. https://www.asturias.es/Astursalud/Ficheros/AS_SESPA/As_Organizacion/MEMORIA%220SESPA%202015/Memoria%20SESPA%202015.pdf (2006). Accessed August 31, 2017.Google Scholar
8. SEMES: Sociedad Española de Medicina de Urgencias y Emergencias. https://semes.org/sites/default/files/Cuerpo_Doctrinal.pdf (2016). Accessed August 14, 2017.Google Scholar
9. Instituto Nacional de Estadística. Padrón de habitantes. https://www.ine.es/dyngs/INEbase/es/categoria.htm?c=Estadistica_P&cid=12594734710990 (2017). Accessed August 31, 2017.Google Scholar
10. Wheatley, LL, Pérez, ET, Macías, AS. Estado actual de la reanimación cardiopulmonar en Monterrey, Nuevo León, México. Arch Inst Cardiol Méx. 1988;58(3):237-241.Google Scholar
11. Montes, AV, Martín, A, Ordiz, I, Piedra, JM. Auto-evaluation of doctors and nurses I cardiopulmonary resuscitation in our hospital. Resuscitation. 2010;81(2):96.Google Scholar
12. Yorganci, M, Yaman, H. Preparedness of primary health care for critical emergency situations in Southwest Turkey. Prehosp Disaster Med. 2008;23(4):342-345.Google Scholar
13. Mercenier, P. Pour une politique de santé publique. Intermédiare. 1971;1-9.Google Scholar
14. Kanji, N, Manji, F. From development to sustained crisis: structural adjustment, equity and health. Social Science and Medicine. 1991;33:985-993.Google Scholar
15. Sen, A. “Development as capability expansion.” In: Griffin K, Knight J, (editors). Human Development and the International Development Strategy for the 1990s. London, United Kingdom: Macmillan; 1989: 41-58.Google Scholar
16. Van Lerberghe, W. Les politiques de santé africaines: continuités et ruptures. Bull Seances Acad R Sci Outre Mer. 1993;39:205-230.Google Scholar
17. Evans, RG, Stoddart, GL. Producing health, consuming health care. Soc Sci Med. 1990;31:1347-1363.Google Scholar
18. Escobar, F. La pluripotencialidad de la Especialidad de Medicina de Familia y Comunitaria. Rev Clin Med Fam. 2010;3(1):61-62.Google Scholar
19. World Health Organization. Declaration of Alma-Ata. Lancet. 1978;2:1040-1041.Google Scholar
20. Passmore, R. The declaration of Alma-Ata and the future of primary care. Lancet. 1979;2:1005-1008.Google Scholar
21. Van Balen, H. The Kasongo Project: a case study in community participation. Trop Doc. 1993;24:13-16.Google Scholar
22. World Health Organization. The World Health Report 2000. Health Systems: Improving Performance. Geneva, Switzerland: WHO; 2001: 1-215.Google Scholar
23. Hernández Aguado, I, Santaolaya Cesteros, M, Campos Esteban, P. Las desigualdades sociales en salud y la atención primaria. Informe SESPAS 2012. Gac Sanit. 2012;26(S1):6-13.Google Scholar