COMO HACER UN FAMILIOGRAMA PDF

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Universidad Industrial de Santander. Bucaramanga, Colombia. Conclusiones Se identifican dificultades tanto en el nivel nacional, departamental y municipal, que pueden ser aprovechados en otros contextos de orden nacional e internacional. Objective Identifying barriers and dynamic factors in setting up a primary health care PHC model in the Santander department during the last decade. Methods This was a qualitative study, focusing on pluralism and triangulating sources and actors, with a critical analysis of limits and judgments values boundary critique.

The theoretical model design was in fact not developed in practice. The PHC strategy is selective and state-led at department level , focusing on rural interventions developed by nursing assistants and orientated towards fulfilling public health goals in the first healthcare level. Conclusion Difficulties at national, state and local level were identified which could be useful in other national and international contexts. Structural healthcare system market barriers were the most important constraints since the model operates through the contractual logic of institutional segmentation and operational fragmentation.

Human resource management focusing on skills, suitable local health management and systematic evaluation studies would thus be suggested as essential operational elements for facing the aforementioned problems and encourage an integral PHC model in Colombia.

Hacer concurrencia financiera y complementariedad en el recurso humano como un incentivo para que los municipios adopten el MAPIS en sus planes territoriales de salud. En general, en los discursos de los actores institucionales se identifica que estos no hicieron ajustes para reorganizar los servicios acorde con los atributos de MAPIS. Algunas expresiones como "ellas colaboran" "ellas ayudan" se encontraron de manera recurrente en los discursos. Los hallazgos permiten identificar dificultades en diversos niveles para el desarrollo de la APS.

Informe sobre la salud en el mundo Ginebra: OMS, Milbank Q. Ministerio de Salud. Revista medicina social ; 3 2 Experiencia en Santander. Starfield B. Barcelona: Masson, Midgley G. Systemic Intervention: Philosophy, Methodology, and Practice. Strauss A, Corbin J. Barriers of access to care in a managed competition model: lessons from Colombia.

Gold M. Beyond coverage and supply: measuring access to healthcare in today's market. Health Serv Res , Guerrero R. Organizational elements of health service related to a reduction in maternal mortality: the cases of Chile and Colombia. Health Policy ; 90 2 Measuring the Performance of Primary Health Care.

University of British Columbia, A rapid assessment methodology for the evaluation of primary care organization and performance in Brazil. Health Policy Plan. Hsiao WC. Health Economics ; 3 6 :

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Sanchez, L. (2001). 2. Familiograma-genograma-convertido.docx

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