title: [Clinical aptitude of family doctors in the management of patients with diabetes type two with initial nephropathy].
abstract: The diabetic nephropathy in initial phase requires an opportune identification by family physicians. Indeed, they should be qualified to interpret the data that suggesting that a patient be going through that phase of the illness, in order to orientate the management and processing of the same one, from an integrative perspective. The purpose of this work was to measure the aptitude of the family doctors to interpret, to judge and to propose in front of sick patients with diabetes type two with initial nephropathy. We made this with a representative sample of family physicians in five Family Medicine Units of the Instituto Mexicano del Seguro Social in the city of Guadalajara, Jalisco, Mexico. The main variable of the study was the clinical aptitude of the doctors: interpretation, judgment and proposals carried out in the practice of their profession; and through an ordinal scale, levels of aptitude' were defined, which related to the remainder of variables using the medium, Kruskal Wallis stadiometer and chi2.
authors.affiliation: Unidad de Investigación en Epidemiología Clínica, Hospital de Especialidades, Centro Médico Nacional de Occidente, IMSS. carlose@megared.net.mx
authors.forename: Carlos Enrique
authors.initials: CE
authors.lastname: Cabrera-Pivaral
authors.forename: Sandra Angélica
authors.initials: SA
authors.lastname: Chávez
authors.forename: Héctor Fernando
authors.initials: HF
authors.lastname: González-Reyes
authors.forename: Laura
authors.initials: L
authors.lastname: Cortés-Sanabria
mesh_terms: D000328:Adult; D000368:Aged; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis*; D003928:Diabetic Nephropathies / Q000175:diagnosis*; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged