Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services
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Purpose
A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.
| Condition |
|---|
|
Non-communicable Diseases |
| Study Type: | Observational |
| Study Design: | Time Perspective: Cross-Sectional |
| Official Title: | Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals |
- Recommendations of clinical preventive services for non-communicable diseases. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]
Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering:
- Whether they recommended them or not
- Appropriate frequency and starting age
- Preferred screening method
- Availability of the service(s) at their hospital
- Barriers faced in providing adequate services. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]Self-perceived barriers to provide clinical preventive services adequately.
- Opinion on who should implement changes in clinical preventive services provision. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]
Participant's opinion on who should be responsible to implement changes in:
- Chronic disease prevention in national health care
- Medical education in this field.
| Enrollment: | 394 |
| Study Start Date: | April 2011 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Internal Medicine Staff
All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital.
|
Detailed Description:
A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.
The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education.
The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines.
Analysis compared recommendation practices within and between hospitals.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.
Inclusion Criteria:
- All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala.
Exclusion Criteria:
- Staff that is on vacations, on sick leave or suspended by any reason.
Contacts and Locations| Guatemala | |
| Hospital Nacional Pedro Bethancourt | |
| Antigua Guatemala, Sacatepequez, Guatemala | |
| Hospital Nacional de Escuintla | |
| Escuintla, Guatemala | |
| Hospital Roosevelt | |
| Guatemala, Guatemala, 01011 | |
| Hospital General San Juan de Dios | |
| Guatemala, Guatemala, 0101 | |
| Hospital Hermano Pedro | |
| Guatemala, Guatemala, 01011 | |
| Unidad de Cirugía Cardiovascular | |
| Guatemala, Guatemala, 01011 | |
| Hospital Centro Médico Militar | |
| Guatemala, Guatemala, 01016 | |
| Hospital General de Enfermedad Común - IGSS | |
| Guatemala, Guatemala, 0109 | |
| Hospital Universitario Esperanza | |
| Guatemala, Guatemala, 01010 | |
| Hospital Regional de Occidente, San Juan de Dios | |
| Quetzaltenango, Guatemala | |
| Study Chair: | Joaquin Barnoya, M.D. MPH. | Unidad de Cirugía Cardiovascular |
More Information
No publications provided by Unidad de Cirugía Cardiovascular
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Juan Enrique Corral, Research Fellow, Unidad de Cirugía Cardiovascular |
| ClinicalTrials.gov Identifier: | NCT01515111 History of Changes |
| Other Study ID Numbers: | IDRC-006, RITC of IDRC |
| Study First Received: | January 13, 2012 |
| Last Updated: | January 18, 2012 |
| Health Authority: | Guatemala: Ministerio de Salud Pública y Asistencia Social |
Keywords provided by Unidad de Cirugía Cardiovascular:
|
Non-communicable diseases Preventive services Medical education Guatemala |
ClinicalTrials.gov processed this record on May 23, 2013