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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Violencia contra médicos en establecimientos de salud hospitalarios, en Lima Metropolitana

Tuya Figueroa, Ximena Lais 30 January 2015 (has links)
Objetivo: Estimar la frecuencia y los factores asociados a la violencia laboral externa tipo amenaza (VLETA) contra médicos en servicios de salud hospitalarios de Lima Metropolitana, Perú. Materiales y Métodos: Se desarrolló un estudio de corte transversal analítico que incluyó médicos de servicios de salud hospitalarios del Ministerio de Salud (MINSA), la Seguridad Social (EsSalud) y el sector privado. Se midió la frecuencia de VLETA durante toda la práctica profesional, en los últimos doce meses y en el último mes. Se midieron variables relacionadas al médico, al agresor y el servicio de salud. Para evaluar la asociación entre los factores y VLETA en los últimos doce meses, se calculó la Razones de Prevalencia (RPs) cruda y ajustada con IC95% mediante un modelo lineal generalizado de Poisson con bootstrap no paramétrico. Resultados: Se incluyó 406 médicos. El 31,5% fueron víctimas de VLETA al menos una vez durante su práctica profesional, 19,9% en los últimos doces meses y 7,6% en el último mes. La probabilidad de ser amenazado en los últimos doce meses aumentó si el médico era varón (RPa: 1,7;IC95% 1,1-2,8), egresado de una universidad peruana fuera de Lima Metropolitana (RPa 1,5; IC95% 1,1-2,4), laboraba en el MINSA (RPa 7,9; IC95% 2,24-50,73) o en EsSalud (RPa 8,68; IC95% 2,26-56,17), y atendía en emergencia (RPa 1,9; IC95% 1,2-3,6) o en sala de operaciones (RPa 1,6 IC95% 1,1-2,3). La edad, los años de práctica profesional o ser médico residente no se asociaron a VLETA. Conclusión: Una alta proporción de médicos ha sido víctima de VLETA. Laborar en servicios públicos aumentó la probabilidad de serlo. Se sugiere implementar estrategias de prevención primaria, identificación y soporte en los establecimientos hospitalarios. / Objective: To estimate the frequency and associated factors with external workplace violence external type threat (VLETA) against doctors in hospital health services of Lima, Peru. Materials and Methods: A crosscut and analytical study that included medical hospital health services of Health Ministry, Social Security and the private sub-sector through a survey. VLETA frequency was measured throughout the practice, in the last twelve months and in the last month. Variables related to doctor, the aggressor and the health service were measured too. The crude and adjusted prevalence ratios (PRs) with CI 95% to evaluate the association between factors and VLETA in the last twelve months, were calculated using a generalized linear model with nonparametric bootstrap. Results: 406 physicians were included. 31.5% were victims of VLETA at least once during his practice, 19.9% in the last twelve months and 7.6% in the last month. The probability of being threatened in the last twelve months increased if the doctor was male (aPR: 1.7; 95% CI 1.1 to 2.8), graduated from a Peruvian university outside Lima Metropolitana (aPR 1.5, 95 % 1.1-2.4), worked in MINSA (aPR 7.9; 95% CI 2.24 to 50.73) or EsSalud (aPR 8.68, 95% CI 2.26 to 56.17), and attending emergency (aPR 1.9; 95% CI 1.2 to 3.6) or operating room (95% CI 1.1-2.3 aPR 1.6). Age, years of professional practice or a resident doctor, not associated with VLETA. Conclusion: A high proportion of doctors has been the victim of VLETA. Physicians who worked in public services were more likely to be victims. It is suggested to implement strategies for primary prevention, identification and support in hospitals. / Tesis

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