Objective To assess outpatients’ perceptions of medical care. Methodology A telephone survey was administered to patients treated in two different months in 2012 with a focus on socio-demographic variables, access to care, physician-patient relationships, and on the process of medical care. Results 804 patients were surveyed. The average time of access to care was 9.6 days. 78 % reported having been able to tell the doctor everything that they felt, 60 % reported that the doctor explained what they had, and one in four patients said that the doctor asked about their families. 30 % felt complete relief after medical care. The average rating of care was 7.9 (SD ±1.7). Variables related to the highest ratings were: having been able to tell that doctor everything that they felt (OR 7.5 CI 95 % 1.8-31), having been examined (OR 7.5 CI95 % 1.5-38.5), that the doctor explained what they had (OR 5.2 CI 95 % 1.8-15), that the doctor asked about the family (OR 5.8 CI95 % 2.1-16.1), and if doctor had treated them formerly (OR 3.5 CI95 % 1.4-8.6). Conclusions Extensive communication with the patient is as important as dealing with the disease in the medical act.

Objetivo Estimar la percepción de los pacientes sobre la atención médica en el primer nivel de atención. Metodología Se aplicó una encuesta telefónica a pacientes atendidos en dos meses diferentes del 2012, indagando por variables sociodemográficas, relaciones médico-paciente y acerca del proceso de atención médica. Resultados Se encuestaron 804 pacientes. El tiempo promedio de acceso a la atención fue de 9,6 días. El 78% refiere haber podido contar todo lo que sentía al médico, el 60% que el médico le explicó lo que tenía y, uno de cuatro,que indagó por su familia. El 30% sintió alivio completo luego de la atención médica. La calificación promedio de la atención médica fue de 7,9 (DE ±1,7). Las variables relacionadas con las calificaciones más altas fueron: Poder contarle todo al médico (OR 7,5IC 95% 1,8-31), ser examinado (OR7,5 IC 95% 1,5-38,5, explicarle quétiene (OR 5,2IC 95% 1,8-15), preguntar por la familia (OR 5,8 IC 95% 2,1-16,1)y haberlo atendido antes (OR 3,5 IC 95% 1,4-8,6). Conclusiones La comunicación extensa con el paciente es tan importante como el enfrentar la enfermedad en el acto médico.

Objetivo Estimar la percepción de los pacientes sobre la atención médica en el primer nivel de atención. Metodología Se aplicó una encuesta telefónica a pacientes atendidos en dos meses diferentes del 2012, indagando por variables sociodemográficas, relaciones médico-paciente y acerca del proceso de atención médica. Resultados Se encuestaron 804 pacientes. El tiempo promedio de acceso a la atención fue de 9,6 días. El 78% refiere haber podido contar todo lo que sentía al médico, el 60% que el médico le explicó lo que tenía y, uno de cuatro,que indagó por su familia. El 30% sintió alivio completo luego de la atención médica. La calificación promedio de la atención médica fue de 7,9 (DE ±1,7). Las variables relacionadas con las calificaciones más altas fueron: Poder contarle todo al médico (OR 7,5IC 95% 1,8-31), ser examinado (OR7,5 IC 95% 1,5-38,5, explicarle quétiene (OR 5,2IC 95% 1,8-15), preguntar por la familia (OR 5,8 IC 95% 2,1-16,1)y haberlo atendido antes (OR 3,5 IC 95% 1,4-8,6). Conclusiones La comunicación extensa con el paciente es tan importante como el enfrentar la enfermedad en el acto médico.

Objective To assess outpatients’ perceptions of medical care. Methodology A telephone survey was administered to patients treated in two different months in 2012 with a focus on socio-demographic variables, access to care, physician-patient relationships, and on the process of medical care. Results 804 patients were surveyed. The average time of access to care was 9.6 days. 78 % reported having been able to tell the doctor everything that they felt, 60 % reported that the doctor explained what they had, and one in four patients said that the doctor asked about their families. 30 % felt complete relief after medical care. The average rating of care was 7.9 (SD ±1.7). Variables related to the highest ratings were: having been able to tell that doctor everything that they felt (OR 7.5 CI 95 % 1.8-31), having been examined (OR 7.5 CI95 % 1.5-38.5), that the doctor explained what they had (OR 5.2 CI 95 % 1.8-15), that the doctor asked about the family (OR 5.8 CI95 % 2.1-16.1), and if doctor had treated them formerly (OR 3.5 CI95 % 1.4-8.6). Conclusions Extensive communication with the patient is as important as dealing with the disease in the medical act.

ObjetivoEstimar los factores intervinientes para el embarazo en población adolescente escolarizada. MetodologíaEstudio observacional de corte transversal con 7 068 jóvenes escolarizados entre 11 y 20 años de edad de 14 colegios públicos de Bogotá y municipios aledaños. Se aplicó encuesta auto diligenciada que indaga factores socio-demográficos, familiares, sentimentales y conocimientos, actitudes y prácticas de sexualidad. Resultados: Edad media de encuestados 15,3 años. Haber recibido información sobre planificación 80 %. Reconocer ciclo menstrual: 32 %. Prevalencia de haber tenido relaciones sexuales 40 %. Vida sexual activa 20 %. Prevalencia de embarazo 4 % y de aborto de 1 %. Factores de riesgo: No haber recibido información sobre planificación vs. (Versus) entender con dudas sobre planificación (OR 0,1 con IC 95 % de 0,03-0,4). Haber tenido aborto previo (OR 7,8 IC 95 % 2,3-25,8). No planificó en primera relación (OR de 3,9 IC 95 % de 2,2–7). No se encontraron como factores de riesgo la autoestima, la relación con padres y la percepción de futuro. ConclusionesEl embarazo en adolescentes parece más una situación accidental propiciada por desconocimiento, que propia de adolescentes con problemas.

ObjectiveAssessing risk factors for pregnancy in an adolescent school population. MethodologyA cross-sectional observational study was carried out on 7,068 ado-lescents whose ages ranged from 11 to 20 years who were attending 14 public schools in Bogotá and the surrounding municipalities. A self-questionnaire was ad-ministered focusing on socio-demographic, family and sentimental factors and the adolescents' knowledge, attitudes and practices regarding sexuality. ResultsThe average age was 15.3 years. 80 % had received family-planning in-formation; 32 % recognised the menstrual cycle. The prevalence of sexual activity was 40 % and 20 % were leading a sexually-active life. The prevalence of preg-nancy was 4 % and the declared abortion rate was 1%. The risk factors involved not having received information about family-planning compared to understanding family-planning but with some doubts (OR 0.1: 0.03 to 0.4 95 % CI), previous abor-tion (OR 7.8: 2.3 to 25.8 95 % CI), not having planned against pregnancy during the first sexual relationship (OR 3.9: 2.2-7 95 % CI). Self-esteem, relationship with parents and perception of the future were not identified as being risk factors. ConclusionsTeenage pregnancy seemed to be an accidental situation due to lack of knowledge rather than occurring because some teenagers were having trouble.

Objective: Assessing risk factors for pregnancy in an adolescent school population. Methodology: A cross-sectional observational study was carried out on 7,068 ado-lescents whose ages ranged from 11 to 20 years who were attending 14 public schools in Bogotá and the surrounding municipalities. A self-questionnaire was ad-ministered focusing on socio-demographic, family and sentimental factors and the adolescents' knowledge, attitudes and practices regarding sexuality. Results: The average age was 15.3 years. 80 % had received family-planning in-formation; 32 % recognised the menstrual cycle. The prevalence of sexual activity was 40 % and 20 % were leading a sexually-active life. The prevalence of preg-nancy was 4 % and the declared abortion rate was 1%. The risk factors involved not having received information about family-planning compared to understanding family-planning but with some doubts (OR 0.1: 0.03 to 0.4 95 % CI), previous abor-tion (OR 7.8: 2.3 to 25.8 95 % CI), not having planned against pregnancy during the first sexual relationship (OR 3.9: 2.2-7 95 % CI). Self-esteem, relationship with parents and perception of the future were not identified as being risk factors. Conclusions: Teenage pregnancy seemed to be an accidental situation due to lack of knowledge rather than occurring because some teenagers were having trouble.

Objetivo: Estimar los factores intervinientes para el embarazo en población adolescente escolarizada. Metodología: Estudio observacional de corte transversal con 7 068 jóvenes escolarizados entre 11 y 20 años de edad de 14 colegios públicos de Bogotá y municipios aledaños. Se aplicó encuesta auto diligenciada que indaga factores socio-demográficos, familiares, sentimentales y conocimientos, actitudes y prácticas de sexualidad. Resultados: Edad media de encuestados 15,3 años. Haber recibido información sobre planificación 80 %. Reconocer ciclo menstrual: 32 %. Prevalencia de haber tenido relaciones sexuales 40 %. Vida sexual activa 20 %. Prevalencia de embarazo 4 % y de aborto de 1 %. Factores de riesgo: No haber recibido información sobre planificación vs. (Versus) entender con dudas sobre planificación (OR 0,1 con IC 95 % de 0,03-0,4). Haber tenido aborto previo (OR 7,8 IC 95 % 2,3-25,8). No planificó en primera relación (OR de 3,9 IC 95 % de 2,2–7). No se encontraron como factores de riesgo la autoestima, la relación con padres y la percepción de futuro. Conclusiones: El embarazo en adolescentes parece más una situación accidental propiciada por desconocimiento, que propia de adolescentes con problemas.