<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342019000200082</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Brechas en el manejo del paciente diabético tipo 2 en un área metropolitana de La Habana]]></article-title>
<article-title xml:lang="en"><![CDATA[Gaps in the Management of Type 2 Diabetic Patients in a Metropolitan Area of Havana]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Salvá]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes Hernández]]></surname>
<given-names><![CDATA[Linet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Piñera]]></surname>
<given-names><![CDATA[Addys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Roche]]></surname>
<given-names><![CDATA[René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balcindes Acosta]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Higiene, Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Docente Lawton  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>82</fpage>
<lpage>96</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342019000200082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342019000200082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342019000200082&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  existen fallas en el manejo del paciente diabético, situación que dificulta la elaboración de estrategias de intervención para mejorar la calidad de la atención médica de las personas afectadas.  Objetivo:  identificar las principales brechas que afectan el manejo integral de las personas diabéticas en un área metropolitana de La Habana durante el año 2016.  Métodos:  se realizó una investigación descriptiva transversal. La selección de la muestra se hizo mediante muestreo por conglomerado biétapico, por lo que quedó conformada por 580 personas, a las que se les aplicó un instrumento confeccionado al efecto. Las variables numéricas se presentaron con medidas de tendencia central y dispersión. Las variables categóricas se mostraron como frecuencias y porcentajes.  Resultados:  el 96,4 % de los entrevistados tuvo necesidad de atención médica en el último año, de estos, el 90,5 % accedió a la atención primaria de salud. Existieron dificultades con la atención por problemas organizativos y escasez de recursos, no obstante el 85 % de los pacientes estuvieron satisfechos con el cuidado recibido. La principal brecha fue el seguimiento, con solo el 69,7 % de los pacientes consultados en el último año. El 68,3 % tenía indicado tratamiento farmacológico y de estos el 77,5 % está adherido según el test de Morinsky. El 83,4 % tenía controlada sus cifras de glucemia.  Conclusiones:  las brechas relacionadas con el acceso a los servicios de salud son consecuencia directa de la inestabilidad del personal sanitario. Esto repercute en el control del paciente por el incumplimiento en la programación y periodicidad de consultas médicas de seguimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  there are flaws in diabetic patient management this makes it difficult to develop intervention strategies to improve the quality of their medical care.  Objective:  to identify the main gaps which affected the comprehensive management of diabetic people, in a metropolitan area of Havana during 2016.  Methods:  a cross-sectional descriptive investigation was carried out. Sample selection was made by bi periodic conglomerate sampling, it consisted of 580 people, to whom an instrument made for this purpose was applied. Number variables were presented with central tendency and dispersion measures. Categorical variables were shown as frequencies and percentages.  Results:  96.4 % of the interviewees needed medical attention in the last year. Out of them, 90.5 % attended primary health care. There were difficulties with attention due to organizational problems and lack of resources, although 85 % of the patients were satisfied with the received care. The main gap was follow-up, with only 69.7 % of the patients consulted in the last year. 68.3 % have indicated pharmacological treatment, and of these 77.5 % is adhered to according to the Morinsky test 83.4 % had their blood glucose levels checked.  Conclusions:  gaps related to health services access are a direct consequence of the instability of health personnel. This affects the patient control due to noncompliance in the schedule and periodicity of follow-up medical consultations.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención de salud]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus type 2]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[quality of health care]]></kwd>
</kwd-group>
</article-meta>
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