Offer of a Program of General Doctors for the Primary Care of Health ofChile

C. Bass
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Abstract

In spite of the intentions declared in last reform of health of Chile, implemented for more than ten years, of placing to the Primary care of Health as the backbone of the System of Health and of that they have increased progressively the resources destined for this level of attention, in the practice, there exist not approached problems that threaten the success of this process, as well as the result of the National Strategy of Health 2011-2020. A relevant example is the absence of an integral politics of development of the medical resource of the Primary care of Health, which produces that at present there persists a significant deficit of medical hours in this level of attention, consisting of a range brought near between 3.000 to 7.500 Medical Equivalent Days. Inside the offers to diminish this doctors’ important gap of Primary care of Health, there appears the Program of General Doctors for the Primary care of Health. This strategy considers to integrate the doctors newly gone away to the Public System of Health, in order that they initiate his professional exercise, which allows in a nearby future to implement a standard of 1 doctor medical equivalent day every 2.000 persons (maximum) in the Primary care of Health, with the aim to improve the quality of the attention that is offered to the community, strengthening the permanency of the doctors in the first level of attention, in addition to the resoluteness which must provide the Primary care of Health of our country.
提供智利初级保健普通医生方案
尽管在智利实施了十多年的上一次卫生改革中宣布了将初级卫生保健作为卫生系统支柱的意图,并逐步增加了用于这一关注水平的资源,但在实践中,存在着威胁这一进程的成功以及2011-2020年国家卫生战略结果的尚未解决的问题。一个相关的例子是,缺乏发展初级保健医疗资源的整体政策,这导致目前在这一级的关注中仍然存在严重的医疗时间短缺,包括接近3,000至7,500医疗等效日的范围。为了缩小这一医生在初级卫生保健方面的重要差距,《普通医生初级卫生保健规划》应运而生。该战略考虑将新近离职的医生纳入公共卫生系统,以便他们开始其专业活动,从而在不久的将来在初级卫生保健中实施每2 000人(最多)有1名医生医疗当量日的标准,目的是提高向社区提供的护理质量,加强医生在第一级护理中的持久性。除了必须提供我国初级卫生保健的决心。
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