New model for diabetes primary health care based on patient empowerment and the right to preventive health: the MIDE program.

Objective: Manejo Integral de la Diabetes por Etapas, .

Methods: (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, .

Results: .

[Complaints for treatment of uterine myomatosis].

Complaints related to uterine myomatosis treatments received by the National Commission of Medical Arbitration (Conamed) between 2001 and 2005 were analyzed. Complaints were from patients affiliated to social security institutions (51.7 %), private providers (34.

[Adverse events identified in medical complaints].

Background: "To err is human" (Institute of Medicine, 1999) begun the Patients' Safety movement worldwide. We undertook this study to determine the frequency of patient complaints related to adverse events in the National Health Services.

Methods: The National Commission of Medical Arbitration and the Vice-Ministry for Innovation and Quality has the aim of determining the frequency of real adverse events as a reason for complaints by patients and relatives against healthcare professionals and health services.

[Exploratory study of ethics, norms and communication skills in medical residents].

Medical schools teach technical-scientific knowledge more than social abilities. Confidence in the doctor-patient relationship is obtained through appropriate communication. The predominant medical education model assumes that communication abilities are acquired by the experienced physician in clinical practice.

[Medical attitude regarding the negative of receiving blood transfusions by Jehovah's Witness patients].

Background: Hemoderivative and blood transfusions without proper medical indication bring uncertain benefits, increase health risks and adverse effects. It is necessary to also consider the patient's values and preferences and the denial to receive transfusions. A deficient medical evaluation and an unnecessary transfusion can generate untoward effects regarding patients' health and safety.

[Assertive medicine: a proposal against defensive medicine].

More than ever the physician-patient relationship is deteriorated by diverse factors, among these liability complaints stand out, and have propitiated the practice of defensive medicine, an attitude considered in many countries as inappropriate, expensive and unethical. Defensive medicine widens the distance between a physician and his patient. To revert this vice and its noxious effects which corrupt the patient-physician relationship in our country, we propose that physicians put to practice actions which permit the renewal of the essence of humanistic medicine in their daily practice and the restoration of the relationship.

Malpractice in Mexico: arbitration not litigation.

Accusations of malpractice often end in the courts, damaging the doctor-patient relationship and encouraging defensive practice. In Mexico, an alternative system based on arbitration and conciliation has been effective

[Defensive medicine in Mexico: an explorative survey of its characteristics].

Introduction: defensive medicine, has been recognized as a problem for health services in several countries of the world. It is defined as the application of treatments, tests and procedures with the main intention to defend the doctor of critic's and to avoid controversies, regarding diagnosis or patient's treatment. There are multiple causes of the defensive medicine: the fundamental is patient doctor relationship without the necessary trust.

[Clinical guides in Mexico, emission of the Academia Mexicana de Cirugia].

Today, these exist worldwide organizations related with the practice of medicine that are interested in marking recommendations and in formulating guidelines for better performance of physicians and health professionals. These organizations are headed by universities, associations, colleges, research center, and work groups and are made up of well-known physicians with academic prestige from the private and public sectors. This report presents a brief overview concerning the development of three clinical guides related with illnesses frequently observed in the physician's office: rhinosinusitis gastroesophageal reflux diseases (GERD), and prostate benign hyperplasia.

[Recommendations to improve quality of obstetrics care].

The maternal care represents 50 percent of surgical and medical interventions in México. Around 80% of the maternal deaths are foreseeable with actions as risk-managed prenatal care. Prevention of these complications are difficult and require of a competent obstetrician to handle them appropriate.

[An exploratory approach on teaching for prevention of medical error].

Introduction: Medical error is prevalent in the contemporary practice of medicine. Prevention and solution of the majority of medical errors can be focused upon from the early stages of physician formation by improving knowledge and abilities with regard to human communication. Despite its importance, information systematized with empirical bases on the teaching of human communication in Mexico is non-existent.