ABSTRACT
Objetivo: caracterizar y evaluar los sistemas de información del sector salud en Colombia. Metodología: Se desarrolló un marco conceptual que incluyó contexto legal del país y conformaciónde sistemas de información en otros países. Posteriormente se caracterizó el sistema de información de salud colombiano, a partir de entrevistas con actores relevantes y literatura pertinente. Finalmente, se analizó la conformación del sistema, el flujo de información y las fortalezas y debilidades de éste, para la posterior formulación de recomendaciones. Resultados y conclusiones: el sistema de información en salud colombiano se encuentra fragmentado y presenta problemas de calidad, situación similar a la de otros países. Es esencial el desarrollo de una cultura de producción, difusión y utilización de la información. Se debe aprovechar el momento de cambio que sufre el sistema de salud para buscar la mejoría de la información. Los mecanismos de captura de la información requieren una simplificación y estandarización...
Objective: Characterizing and evaluating information systems on the health sector in Colombia. Methodology: A conceptual frame that included the legal context of the country and organization of information systems in other countries was developed. Later on, Colombian health informationsystem was characterized starting on interviews with important actors and papers. Finally, the organization of the system, information flows and its strengths and weaknesses were analyzed in order to propose some recommendations. Results and conclusions: information system ofthe Colombian health sector is divided and evidencing quality issues, as in other countries. The development of a production, diffusion and use of information culture is essential. We must take advantage of the change that is occurring in the health system for improving the information. Capture mechanisms for information require a simplification and standardization...
Objetivo: caracterizar e avaliar os sistemas de informação do sector da saúde na Colômbia. Metodologia: Quadro conceptual que incluiu contexto legal do país e conformação dos sistemasde informação em outros países foi desenvolvido. Seguidamente, o sistema colombiano de informacao da saúde foi caracterizado, a partir de entrevistas com os atores relevantes e consulta da literatura pertinente. No final, a conformação do sistema, fluxo de informações e pontos fortes e fracos do mesmo foram analisados para a posterior formulação de recomendações. Resultados e conclusões: O sistema colombiano de informação da saúde é fragmentado e apresenta problemasde qualidade, uma situação semelhante à de outros países. Resulta essencial o desenvolvimento de uma cultura de produção, difusão e uso da informação. Deve se explorar o ponto de viragemexperimentado atualmente pelo sistema de saúde para procurar a melhora na informação. Os mecanismos de captura das informações precisam de simplificação e padronização...
Subject(s)
Health Systems , Public Health Administration , Health Policy , ColombiaABSTRACT
La enfermedad vascular hepática (EVH)constituye un amplio espectro de entidades de baja prevalencia, pero con manifestaciones clínicas diversas que pueden llevar a la muerte. Una detección temprana y un tratamiento oportuno cambian el pronóstico. De ahí que las imágenes diagnósticas desempeñen un papel fundamental; sin embargo, hay que tener en cuenta el amplio diagnóstico diferencial. La tomografía computarizada de abdomen es una de las herramientas más útiles para el diagnóstico, sin olvidar otros métodos de imagen, como el ultrasonido Doppler y la resonancia magnética. La EVH puede clasificarse según la repercusión que se pueda derivar de ella, por lo que en términos prácticos puede dividirse en alteraciones venosas, portales, arteriales, sinusoidales y otras. El objetivo de esta revisión es describir la presentación más frecuente de la EVH y sus principales hallazgos y diagnósticos diferenciales, al tiempo que se reconoce su correlación con los mecanismos fisiopatológicos.
Hepatic vascular diseases (HVD) are a broad spectrum of entities of low prevalence but with different clinical manifestations that may even lead to death. Its early detection and timely treatment may change the prognosis. Diagnostic imaging plays a key role and imaging findings may be typical.However, in most cases, radiologists must take into account a wide range of differential diagnosis. Computed tomography (CT) of the abdomen is one of the most useful tools for the diagnosis of HVD taking also into account the value of other imaging methods such as Doppler Ultrasound andMagnetic Resonance Imaging (MRI).HVD can be classified according to the compromised vascular structure and can be divided into venous, portal, arterial, sinusoidal and others disorders. The objective of this review is to describe the most common presentation HVD . The major imaging findings and differential diagnosis recognizingits correlation with the pathophysiological mechanisms.
Subject(s)
Liver , Liver Circulation , Vascular DiseasesABSTRACT
In July 2007 in Medellín, Colombia, 1 200 health care professionals were asked to complete a questionnaire: of the 493 who participated, the mean age was 31.2 years; 58.8 percent were physicians; and 97.6 percent had Internet access, 60.5 percent on a daily basis and 27.7 percent, weekly. The preferred place to access the Internet was from home (58 percent) or from the work place (12.5 percent); 98 percent reported having a cell phone, and of those, 80 percent were interested in using health education tools via cell phone. These are the first data published regarding Internet and cellular phone penetration among health care workers in Colombia. Acceptance of the Internet and mobile systems as health information tools is gaining, and as such, creating a new opportunity for training and harnessing of these new technologies.