Becerril Angeles Martín, León Alvarado F, Angeles Garay U
Departamento de Alergia e Inmunologia Clinica, , Centro Medico Nacional La Raza, IMSS.
Rev Alerg Mex. 2007 Mar-Apr;54(2):29-33.
Asthma has a growing prevalence all over the world. GINA guidelines had improved diagnostic and therapeutic asthma approach, but it is not enough.
To evaluate the knowledge about GINA in physicians of first, second and third care level.
Physicians working in first, second and third care level, from medical units related to the Centro Medico Nacional La Raza answered a 19 items questionnaire about GINA. Results were analyzed with Kruskal-Wallis, Pearson's correlation and U of Mann-Whitney tests.
We included 179 physicians with an age average of 43 years; 99 or them were 99 females and 80 males. According to medical specialty, Allergy and Immunology had 145 points; Pneumology, 136; Pediatrics, 122; Family Medicine, 81 and Internal Medicine, 78. We found a statistical difference between these specialties (p < 0.0001). Doctors from third and second care level had a higher and significative scoring than first care level colleagues (p < 0.005). We did not find differences between labor years, working schedule and gender with GINA knowledge scoring.
There are differences in GINA knowledge between medical specialties and care level.
哮喘在全球的患病率呈上升趋势。全球哮喘防治创议（GINA）指南改善了哮喘的诊断和治疗方法，但仍不够完善。
评估一级、二级和三级医疗水平的医生对GINA的了解情况。
来自墨西哥国家拉扎医疗中心相关医疗单位的一级、二级和三级医疗水平的医生回答了一份关于GINA的19项问卷。结果采用克鲁斯卡尔-沃利斯检验、皮尔逊相关性检验和曼-惠特尼U检验进行分析。
我们纳入了179名医生，平均年龄43岁；其中99名女性，80名男性。根据医学专业，过敏与免疫学专业得145分；肺病学专业得136分；儿科学专业得122分；家庭医学专业得81分；内科学专业得78分。我们发现这些专业之间存在统计学差异（p < 0.0001）。三级和二级医疗水平的医生得分高于一级医疗水平的同行，且具有显著差异（p < 0.005）。我们未发现工作年限、工作安排和性别与GINA知识得分之间存在差异。
医学专业和医疗水平在GINA知识方面存在差异。
