Gestión de la Atención Primaria de la Salud en un contexto de mercado: análisis de caso en un hospital público de Bogotá, Colombia, 2008-2011
ABSTRACT: The health policy of Bogotá (2004 – 2011) proposed a management which aimed to guarantee the right to health through a primary health care strategy. This policy was implemented under open controversy with the national policy, which was based on assurance and focalization mechanisms. Some p...
- Autores:
-
Otálvaro Castro, Gabriel Jaime
Zuluaga Salazar, Sandra Milena
Blanco Santamaría, Daniel
Restrepo Pérez, Luis Fernando
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2016
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/11083
- Acceso en línea:
- http://hdl.handle.net/10495/11083
- Palabra clave:
- Atención primaria de salud
Hospitales públicos
Modelos de atención en salud
Gestión en salud
- Rights
- openAccess
- License
- Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
| Summary: | ABSTRACT: The health policy of Bogotá (2004 – 2011) proposed a management which aimed to guarantee the right to health through a primary health care strategy. This policy was implemented under open controversy with the national policy, which was based on assurance and focalization mechanisms. Some public hospitals of Bogotá underwent institutional transformation processes in order to adopt the new sectoral policy. A case study was thus conducted to show the particular experience of one of these hospitals. This project made it possible to identify the processes involved in the management of the Primary Health Care Model of the Hospital del Sur Hospital in Bogotá between 2008 and 2011. The study showed the factors that made it feasible as well as the hindrances, tensions and contradictions that arose during the process. The methodology included a literature review, the creation of narratives and semi-structured interviews with key actors. This paper describes the model’s construction process, the devices that facilitated its development and the contradictions that emerged during the attempt to transform the management of a public hospital from the perspective of the right to health. Key words: Health management, primary health care, right to health, public hospitals, health care models, Colombia. |
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