CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Peru.
Gerencia Central de Promoción y Gestión de Contratos, Seguro Social de Salud - EsSalud, Lima, Peru.
PLoS One. 2018 Sep 12;13(9):e0203778. doi: 10.1371/journal.pone.0203778. eCollection 2018.
To assess the prevalence of recently graduated physicians who perceived themselves as adequately competent to perform Papanicolaou (PAP), Visual Inspection with Acetic Acid (VIA), and Visual Inspection with Lugol´s Iodine (VILI); and study its associated factors, in Lima, Peru.
This cross-sectional study evaluated recently graduated physicians from Lima, Peru. Physicians were considered to perceive themselves as adequately competent if they had answered, "agree" or "strongly agree" when asked if they were competent enough to perform these screening tests. To evaluate the associated factors, prevalence ratios (PR) were calculated using Poisson regressions with robust variance.
Only 367/432 (86.2%) physicians perceived themselves as adequately competent to perform PAP, 257 (60.5%) to perform VIA, and 247 (58.1%) to perform VILI. Physicians who performed their gynecology/obstetric clerkship at hospitals from the police or armed forces had a higher proportion of perceiving themselves as adequately competent to perform VIA and VILI.
Nine out of ten physicians perceived themselves as adequately competent to perform PAP, while six out of ten to perform VIA or VILI. The health care system in which the physicians performed their clerkship was associated with the prevalence of adequate self-perceived competence for performing VIA and VILI.
评估秘鲁利马最近毕业的医生中，认为自己有足够能力进行巴氏涂片（Pap）、醋酸视觉检查（VIA）和卢戈氏碘液视觉检查（VILI）的比例；并研究其相关因素。
本横断面研究评估了来自秘鲁利马的最近毕业的医生。如果医生在被问及是否有足够能力进行这些筛查测试时回答“同意”或“强烈同意”，则认为他们认为自己有足够的能力。为了评估相关因素，使用泊松回归和稳健方差计算了患病率比（PR）。
只有 367/432（86.2%）名医生认为自己有足够的能力进行 Pap 检查，257（60.5%）名医生认为自己有足够的能力进行 VIA 检查，247（58.1%）名医生认为自己有足够的能力进行 VILI 检查。在警察或武装部队医院完成妇产科实习的医生，认为自己有足够能力进行 VIA 和 VILI 检查的比例更高。
十分之九的医生认为自己有足够的能力进行 Pap 检查，而十分之六的医生认为自己有足够的能力进行 VIA 或 VILI 检查。医生完成实习的医疗保健系统与 VIA 和 VILI 检查的适当自我感知能力的流行率相关。
