Real-Delor Raúl Emilio, Guevara Tirado Alberto, Chibas Muñoz Eduardo Enrique, Benítez Penayo Ruth Stephany, Caje Román Bárbara Girhfietl, De Oliveira Borba Jonatas, Duarte Irala Lucio Fabián, Fleitas Armoa Mirtha Sofía, Franco Cáceres Elena Cecilia, Martins Junior Alberto, Peralta Echagüe Hugo Javier, Vega Tande María Selva
Universidad Privada del Este. Facultad de Ciencias Médicas. Asunción. Paraguay..
Universidad Científica del Sur. Facultad de Medicina Humana. Lima. Perú.
An Sist Sanit Navar. 2025 Apr 25;48(1):e1112. doi: 10.23938/ASSN.1112.
Medical professionalism encompasses the values, attitudes, and behaviors that prioritize the service of patients and society. This study aimed to evaluate the perception of professionalism among Latin American physicians in 2024.
We conducted an observational, cross-sectional study involving Latin American physicians from various specialties. A telematic survey was administered, which included sociodemographic variables (age, sex, country, specialty) and the modified Kwon et al. professionalism questionnaire, comprising 43 questions across seven dimensions.
Four hundred and twenty-four physicians participated (median age of 40 years, 57.6% female, and 69.8% from clinical specialties) from Paraguay (72.9%), Peru (24.3%), and Cuba (2.8%). A threshold score of 1.223 out of 4 identified the lowest 40% in perceived professionalism. The lowest scoring indicators - reflecting less frequents behavior - were: I recommend illegal drugs for recreational use and I maintain inappropriate body contact during the physical examination. In contrast, the highest scoring (more frequent) were: I am late for work and I overlook colleagues' medical errors. Male physicians demonstrated significantly lower professionalism in three areas: Inappropriate body contact during physical examination, abusive treatment of other healthcare professionals, and discriminatory behavior toward colleagues or patients (adjusted effect).
Sixteen indicators show a significant association with professionalism self-perceived professionalism, with four showing notable differences by sex. Ongoing implementation of such assessment at different professional stages is recommended, along with educational strategies at the university level to reinforce the core values of medical professionalism.
医学职业精神涵盖了以患者和社会服务为优先的价值观、态度和行为。本研究旨在评估2024年拉丁美洲医生对职业精神的认知。
我们进行了一项观察性横断面研究，涉及来自不同专业的拉丁美洲医生。采用了一项远程调查，其中包括社会人口统计学变量（年龄、性别、国家、专业）以及经修改的权等人的职业精神问卷，该问卷由七个维度的43个问题组成。
424名医生参与了研究（中位年龄为40岁，女性占57.6%，69.8%来自临床专业），分别来自巴拉圭（72.9%）、秘鲁（24.3%）和古巴（2.8%）。在4分制中，阈值分数1.223确定了职业精神认知得分最低的40%。得分最低的指标——反映行为频率较低的指标——为：我推荐非法药物用于娱乐用途以及我在体格检查时保持不适当的身体接触。相比之下，得分最高（频率更高）的指标为：我上班迟到以及我忽视同事的医疗错误。男性医生在三个方面表现出明显较低的职业精神：体格检查时的不适当身体接触、对其他医护人员的辱骂性对待以及对同事或患者的歧视行为（调整后的效应）。
16个指标与自我认知的职业精神有显著关联，其中4个指标在性别上存在显著差异。建议在不同职业阶段持续开展此类评估，并在大学层面实施教育策略以强化医学职业精神的核心价值观。
