Revista médica de Chile
-
Revista médica de Chile · Jan 2014
Review[Equity in health and health technology assessment in Chile].
Equity has been recognized as one of the driving principles of many health systems in the world. In Latin America, Chile has led the explicit inclusion of equity in their health policies, which is reflected in its recent health reform. On the other hand, Chile faces the challenge of defining and implementing a policy for health technology assessment (HTA), which should be consistent with the equity principles that underlie the Chilean national health system. ⋯ Finally, it examines the methods that have been developed aiming to make explicit consideration of equity in HTA. It concludes that the methodological development to incorporate equity elements with empirical basis is recent and limited. The consideration of equity is, in most of the cases, left to the instances of deliberative participation.
-
Revista médica de Chile · Jan 2014
Observational Study[Monitoring medication errors in an internal medicine service].
Patients admitted to internal medicine services receive multiple drugs and thus are at risk of medication errors. ⋯ At least one ME occurred in approximately one third of patients studied, especially during the administration stage. These errors could affect the medication safety and avoid achieving therapeutic goals. Strategies to improve the quality and safe use of medications can be implemented using this information.
-
Revista médica de Chile · Dec 2013
Biography Historical Article[The portrait of medicine and Gustav Klimt (1862-1918)].
Gustav Klimt was an Austrian Symbolist painter and one of the most important representatives of the modernist movement of the Viennese Secession. The most notable works carried out at his golden age were the "Portrait of Adele Bloch-Bauer I" and "The kiss". In 1901 he paints "Medicine" where he returns to the entanglement of floating bodies -the lifetime- among which appears the skeleton of death; a female figure stands out from the column to represent freedom from pain. ⋯ During the advance of enemy troops, and fearing that these works would become spoils of war, it was decided to burn the castle where they remained confiscated. Therefore, countless artworks were lost. The progressive development of symbolic or abstract motifs already emphasized the freedom of spirit that permeated all the avant-garde of early twentieth century.
-
Diabetic microangiopathy is one of the main causes of erectile dysfunction. ⋯ Erectile dysfunction is common among diabetic patients and closely associated with an inadequate metabolic control.
-
Revista médica de Chile · Dec 2013
[The obligation to inform the patient: issues on the right to be informed].
This article aims to analyze, from a legal perspective, the boundaries of the obligation imposed on health care providers to inform the patient. This requirement originated and was developed as an ethical issue. ⋯ With this purpose, we will focus on the comparative experience, which will allow us to evaluate the responsibility of health care providers when this duty is breached. We will try to answer the following questions: Which medical information must be informed to the patient? When should the doctor inform the patient? In which form should this information be provided?.