Desarrollo de un Modelo de Interlocución para el Sistema de Salud basado en el Caso de la Guajira Colombiana.
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| Title: | Desarrollo de un Modelo de Interlocución para el Sistema de Salud basado en el Caso de la Guajira Colombiana. |
|---|---|
| Alternate Title: | Developing an interlocution model for the health system based on studying the Colombian Guajira. |
| Authors: | Puerta-Silva, Claudia1 cpuerta@iner.udea.edu.co, Dover, Robert V. H.1 rdover@une.net.co |
| Source: | Revista de Salud Pública. 2007, Vol. 9 Issue 3, p353-368. 16p. 1 Diagram, 1 Chart. |
| Subjects: | EVALUATION of medical care, MEDICAL quality control, SOCIAL participation, SOCIAL planning |
| Geographic Terms: | LA Guajira (Colombia : Dept.), COLOMBIA |
| Abstract (English): | Objectives This article shows the development of an interlocution model regarding the health system's local performance in La Guajira from 2005 to 2007. It was aimed at producing conditions for social participation and improving the system's performance according to local conditions, needs and expectations. Methods Such model was developed by using ethnographic techniques during the investigation's first and second phases and participative techniques during its third phase. The methodology sought to collect information leading to choosing intervention strategies for improving user-participation ability and capacity and creating spaces of trust for interlocution between the actors and negotiating action for improving the system. Intervention-strategies were based on system and user ethnography, including printed pedagogical material and three modules in the form of participative workshops. The model was tested in four localities in the Guajira, leading to working tables for health being created, encouraging participation by users and institutional decision-makers. Results It was noted that users could participate as informed citizens and critical consumers, strengthening their interlocution abilities, broadening their knowledge, producing vocabulary and meaning shared with the institutional actors and using local mechanisms and social participation networks. Conclusion Effective strategies must be found for motivating greater participation by institutions, especially health promoting entities and subsidised regime insurers. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivos Este artículo busca mostrar el desarrollo de un Modelo de Interlocución sobre el desempeño local del sistema de salud en La Guajira, entre 2005 y 2007, con el fin de generar condiciones para la participación social y el mejor desempeño del sistema conforme a las condiciones, necesidades y expectativas locales. Métodos El desarrollo del Modelo se hizo mediante técnicas etnográficas, en la primera y segunda fase de la investigación, y técnicas participativas, en la tercera. La metodología buscaba recoger la información que permitiera escoger las estrategias de intervención para mejorar las habilidades y capacidades para la participación de los usuarios y que sugiriera la creación de espacios de confianza para la interlocución entre los actores y la negociación de acciones de mejoramiento para el sistema. Con base en la etnografía del sistema y del usuario, se diseñaron estrategias de intervención que incluyen materiales impresos pedagógicos y tres módulos en forma de talleres participativos. Se probó el Modelo en cuatro localidades de La Guajira, en donde al final se crearon Mesas de Trabajo en Salud con participación de usuarios y decisores institucionales. Resultados Se constató que se puede lograr que los usuarios participen como ciudadanos informados y consumidores críticos, fortaleciendo sus habilidades de interlocución, ampliando sus conocimientos, generando léxicos y significados compartidos con los actores institucionales, y utilizando los dispositivos locales y redes sociales de participación. Conclusión Es indispensable encontrar estrategias efectivas para motivar una mayor participación de las instituciones, especialmente de las Entidades Promotoras de Salud y Aseguradoras del Régimen Subsidiado. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 28123479 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Desarrollo de un Modelo de Interlocución para el Sistema de Salud basado en el Caso de la Guajira Colombiana. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Developing an interlocution model for the health system based on studying the Colombian Guajira. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Puerta-Silva%2C+Claudia%22">Puerta-Silva, Claudia</searchLink><relatesTo>1</relatesTo><i> cpuerta@iner.udea.edu.co</i><br /><searchLink fieldCode="AR" term="%22Dover%2C+Robert+V%2E+H%2E%22">Dover, Robert V. H.</searchLink><relatesTo>1</relatesTo><i> rdover@une.net.co</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+de+Salud+Pública%22">Revista de Salud Pública</searchLink>. 2007, Vol. 9 Issue 3, p353-368. 16p. 1 Diagram, 1 Chart. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22EVALUATION+of+medical+care%22">EVALUATION of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+quality+control%22">MEDICAL quality control</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+participation%22">SOCIAL participation</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+planning%22">SOCIAL planning</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22LA+Guajira+%28Colombia+%3A+Dept%2E%29%22">LA Guajira (Colombia : Dept.)</searchLink><br /><searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objectives This article shows the development of an interlocution model regarding the health system's local performance in La Guajira from 2005 to 2007. It was aimed at producing conditions for social participation and improving the system's performance according to local conditions, needs and expectations. Methods Such model was developed by using ethnographic techniques during the investigation's first and second phases and participative techniques during its third phase. The methodology sought to collect information leading to choosing intervention strategies for improving user-participation ability and capacity and creating spaces of trust for interlocution between the actors and negotiating action for improving the system. Intervention-strategies were based on system and user ethnography, including printed pedagogical material and three modules in the form of participative workshops. The model was tested in four localities in the Guajira, leading to working tables for health being created, encouraging participation by users and institutional decision-makers. Results It was noted that users could participate as informed citizens and critical consumers, strengthening their interlocution abilities, broadening their knowledge, producing vocabulary and meaning shared with the institutional actors and using local mechanisms and social participation networks. Conclusion Effective strategies must be found for motivating greater participation by institutions, especially health promoting entities and subsidised regime insurers. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivos Este artículo busca mostrar el desarrollo de un Modelo de Interlocución sobre el desempeño local del sistema de salud en La Guajira, entre 2005 y 2007, con el fin de generar condiciones para la participación social y el mejor desempeño del sistema conforme a las condiciones, necesidades y expectativas locales. Métodos El desarrollo del Modelo se hizo mediante técnicas etnográficas, en la primera y segunda fase de la investigación, y técnicas participativas, en la tercera. La metodología buscaba recoger la información que permitiera escoger las estrategias de intervención para mejorar las habilidades y capacidades para la participación de los usuarios y que sugiriera la creación de espacios de confianza para la interlocución entre los actores y la negociación de acciones de mejoramiento para el sistema. Con base en la etnografía del sistema y del usuario, se diseñaron estrategias de intervención que incluyen materiales impresos pedagógicos y tres módulos en forma de talleres participativos. Se probó el Modelo en cuatro localidades de La Guajira, en donde al final se crearon Mesas de Trabajo en Salud con participación de usuarios y decisores institucionales. Resultados Se constató que se puede lograr que los usuarios participen como ciudadanos informados y consumidores críticos, fortaleciendo sus habilidades de interlocución, ampliando sus conocimientos, generando léxicos y significados compartidos con los actores institucionales, y utilizando los dispositivos locales y redes sociales de participación. Conclusión Es indispensable encontrar estrategias efectivas para motivar una mayor participación de las instituciones, especialmente de las Entidades Promotoras de Salud y Aseguradoras del Régimen Subsidiado. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1590/S0124-00642007000300004 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 16 StartPage: 353 Subjects: – SubjectFull: EVALUATION of medical care Type: general – SubjectFull: MEDICAL quality control Type: general – SubjectFull: SOCIAL participation Type: general – SubjectFull: SOCIAL planning Type: general – SubjectFull: LA Guajira (Colombia : Dept.) Type: general – SubjectFull: COLOMBIA Type: general Titles: – TitleFull: Desarrollo de un Modelo de Interlocución para el Sistema de Salud basado en el Caso de la Guajira Colombiana. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Puerta-Silva, Claudia – PersonEntity: Name: NameFull: Dover, Robert V. H. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: 2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 01240064 Numbering: – Type: volume Value: 9 – Type: issue Value: 3 Titles: – TitleFull: Revista de Salud Pública Type: main |
| ResultId | 1 |
