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Análisis cualitativo del abasto de medicamentos en México. Evaluación en los servicios a población no asegurada.

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Title: Análisis cualitativo del abasto de medicamentos en México. Evaluación en los servicios a población no asegurada.
Authors: Granados-Cosme, José Arturo1 cosme@correo.xoc.uam.mx, Tetelboin-Henrion, Carolina1, Garduño-Andrade, María De los Ángeles1, Rivera-Márquez, José Alberto1, Martínez-Ojeda, Rosa Haydeé2
Source: Salud Pública de México. nov/dic2011 supplement 4, Vol. 53, pS458-S469. 12p.
Subjects: DRUG accessibility, MEDICAL centers, QUALITATIVE research, INTERVIEWING, PHENOMENOLOGY, SUPPLY chain management
Geographic Terms: MEXICO
Abstract (English): Objective. To identify the main problems that the drug supply chain (DSCh) faces in the state health systems (SHS); establishing how they relate to the degree of outsourcing. Material and Methods. Officials of the SHS hospitals and health centers were interviewed in a sample of 12 entities during the first half of 2008. Transcripts of the interviews were processed through the qualitative analysis program Atlas.ti 5.0; the analysis was aimed at reconstructing the phases of DSCh for identifying problems narrated by informants using the phenomenological approach to discourse analysis. Results. There is a marked tendency to replace the conventional model by one that is characterized by greater involvement of private providers; all the models show specific problems that might be derived from the degree of outsourcing. Conclusion. The supply of drugs in the studied SHS differ from the pattern implemented according to the modality adopted; outsourcing is not exempt of problems and does not seem to fully resolve the difficulties encountered in conventional ways. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Identificar las principales problemáticas que muestra la cadena de abasto de medicamentos (CAM) en los Sistemas Estatales de Salud (SESA), estableciendo la relación que guardan con la tercerización. Material y métodos. Se entrevistó a funcionarios de los SESA y de hospitales y centros de salud de una muestra de 12 entidades durante la primera mitad de 2008. Las transcripciones de las entrevistas se procesaron en el programa de análisis cualitativo Atlas.ti 5.0; el análisis se orientó a reconstruir las fases de la CAM e identificar las problemáticas narradas por los informantes mediante el enfoque fenomenológico de análisis del discurso. Resultados. Existe una marcada tendencia a sustituir el modelo convencional por otro caracterizado por una mayor participación de proveedores privados; los modelos muestran problemáticas particulares que no parecen derivarse del grado de tercerización. Conclusión. El abasto de medicamentos en los SESA estudiados difiere según la modalidad adoptada; la tercerización no está exenta de problemáticas y no parece resolver totalmente las dificultades identificadas en las formas convencionales. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Objective. To identify the main problems that the drug supply chain (DSCh) faces in the state health systems (SHS); establishing how they relate to the degree of outsourcing. Material and Methods. Officials of the SHS hospitals and health centers were interviewed in a sample of 12 entities during the first half of 2008. Transcripts of the interviews were processed through the qualitative analysis program Atlas.ti 5.0; the analysis was aimed at reconstructing the phases of DSCh for identifying problems narrated by informants using the phenomenological approach to discourse analysis. Results. There is a marked tendency to replace the conventional model by one that is characterized by greater involvement of private providers; all the models show specific problems that might be derived from the degree of outsourcing. Conclusion. The supply of drugs in the studied SHS differ from the pattern implemented according to the modality adopted; outsourcing is not exempt of problems and does not seem to fully resolve the difficulties encountered in conventional ways. [ABSTRACT FROM AUTHOR]
ISSN:00363634