Cargando…

La atención primaria de salud como fundamento de la reforma de salud salvadoreña

The Declaration of Alma-Ata on primary health care (PHC), issued 40 years ago, has become one of the foundations of El Salvador's health system reform, launched in 2010. The values, principles, and elements of PHC have been an essential piece in the design and implementation of the reform, aime...

Descripción completa

Detalles Bibliográficos
Autor principal: Reyes, Antonio Hernández
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385648/
https://www.ncbi.nlm.nih.gov/pubmed/31093158
http://dx.doi.org/10.26633/RPSP.2018.130
_version_ 1783397247391629312
author Reyes, Antonio Hernández
author_facet Reyes, Antonio Hernández
author_sort Reyes, Antonio Hernández
collection PubMed
description The Declaration of Alma-Ata on primary health care (PHC), issued 40 years ago, has become one of the foundations of El Salvador's health system reform, launched in 2010. The values, principles, and elements of PHC have been an essential piece in the design and implementation of the reform, aimed at achieving significant advances in health. Free services and the expansion of coverage, the organization of the levels of care, the encouragement of health promotion, and political will are identified as facilitating factors in the improvement of health indicators, a phenomenon that has not occurred in isolation but, rather, as part of a process of change involving other social programs that has helped to reduce poverty and inequality; this, in turn, has contributed to the improvement of health indicators. Health system reform must overcome its current challenges, such as its lack of legitimacy in the eyes of the public and the biologistical concept of “good medicine,” as well as negative aspects of management, such as an inadequate and unequal health budget, poor working conditions for health personnel, impersonal care, and poor-quality services. The progress of the reform will be determined by its capacity for reinvention and its ability to overcome the conflicts it has generated and identify the needs of health workers and citizens alike.
format Online
Article
Text
id pubmed-6385648
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Organización Panamericana de la Salud
record_format MEDLINE/PubMed
spelling pubmed-63856482019-05-15 La atención primaria de salud como fundamento de la reforma de salud salvadoreña Reyes, Antonio Hernández Rev Panam Salud Publica Opinión y Análisis The Declaration of Alma-Ata on primary health care (PHC), issued 40 years ago, has become one of the foundations of El Salvador's health system reform, launched in 2010. The values, principles, and elements of PHC have been an essential piece in the design and implementation of the reform, aimed at achieving significant advances in health. Free services and the expansion of coverage, the organization of the levels of care, the encouragement of health promotion, and political will are identified as facilitating factors in the improvement of health indicators, a phenomenon that has not occurred in isolation but, rather, as part of a process of change involving other social programs that has helped to reduce poverty and inequality; this, in turn, has contributed to the improvement of health indicators. Health system reform must overcome its current challenges, such as its lack of legitimacy in the eyes of the public and the biologistical concept of “good medicine,” as well as negative aspects of management, such as an inadequate and unequal health budget, poor working conditions for health personnel, impersonal care, and poor-quality services. The progress of the reform will be determined by its capacity for reinvention and its ability to overcome the conflicts it has generated and identify the needs of health workers and citizens alike. Organización Panamericana de la Salud 2018-09-24 /pmc/articles/PMC6385648/ /pubmed/31093158 http://dx.doi.org/10.26633/RPSP.2018.130 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article's original URL.
spellingShingle Opinión y Análisis
Reyes, Antonio Hernández
La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title_full La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title_fullStr La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title_full_unstemmed La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title_short La atención primaria de salud como fundamento de la reforma de salud salvadoreña
title_sort la atención primaria de salud como fundamento de la reforma de salud salvadoreña
topic Opinión y Análisis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385648/
https://www.ncbi.nlm.nih.gov/pubmed/31093158
http://dx.doi.org/10.26633/RPSP.2018.130
work_keys_str_mv AT reyesantoniohernandez laatencionprimariadesaludcomofundamentodelareformadesaludsalvadorena