Revista de salud pública (Bogotá, Colombia)
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Rev Salud Publica (Bogota) · Oct 2012
[Colombian healthcare reform: a proposal for adjusting healthcare-related insurance and financing].
Colombian healthcare system reform (incorporated over fifteen years ago) has been the frequent object of analysis and the system currently seems to be facing one of its most serious crises. This has led to large-scale change being suggested from many social, professional and academic spaces, ranging from varied adjustments to the healthcare-related insurance model's total elimination. Research over the last ten years has suggested a balance of what may have been central to the current problem and has suggested that, although adjustment must be made from a wide national consensus, it is reasonable to maintain a healthcare-related insurance model as long as this reflects the learning achieved to date. Precautions and the necessary control measures must be taken to impede a fresh wave of frustration regarding the aim of ensuring a healthcare system which would be more equitable for all.
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Rev Salud Publica (Bogota) · Jun 2012
[Competency-based training and work world: from grading to employability].
Considered as an element of business discourse, the competence-based education emerges associated with processes of productive restructuring influencing the economy since 1970. These processes arise as a consequence of the crisis of the accumulation model based on mass production and consumption following the principles of taylorism and fordism. In the last decades, the State has been unable to solve the periodic crisis that afflicts late capitalism. ⋯ This educational formation must consider (at the same time) the management capacity, learning capacity, teamwork capacity and self-training. Based on this situation, there is a direct relationship between technologic advances, the structural crisis of capitalism and work organization. Besides, the "qualification" term is replaced with "competency-based education".
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Rev Salud Publica (Bogota) · Jan 2012
[Terminally-ill patients' end of life problems and related decisions].
Describing terminally-ill patients and their relatives' preferences regarding end of life decisions, the underlying problems and reasons leading to them requesting support. ⋯ End of life decisions are motivated by a perception of undignified conditions for patients due to progressive deterioration, poorly controlled pain, abandoning of chronic patients, therapeutic obstinacy and unnecessary measures that postpone death. They are taken within a complex context concerning religious dilemmas and ethical or legal concerns.
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Rev Salud Publica (Bogota) · Jan 2012
[Gerontological profile of an elderly population in Tabasco, México].
Defining the gerontological profile of an elderly population in Tabasco, Mexico. ⋯ The aforementioned features formed the gerontological profile for elderly adults in Tabasco; and the results of this series partially differed from that reported by other Mexican institutions.
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Rev Salud Publica (Bogota) · Aug 2010
Multicenter Study[Quality of health-care according to social actors' frameworks of meaning in Colombia and Brazil].
To analyse social actors' frameworks of meaning regarding the definition of health-care quality in Colombia and Brazil. ⋯ Features provided by the social actors' frameworks of meaning indicated the need to take them all into consideration as they all pointed out different system weaknesses. They also showed that users valued technical quality more than is generally considered.