ABSTRACT
Los recursos humanos en salud son un elemento clave, estrategias que mejoren su distribución y rendimiento, podrían incidir sobre la condición de salud de la población. El objetivo de este artículo es comparar las estrategias financieras que se emplean en Atención Primaria para las categorías A y B de 20 comunas de la Región Metropolitana. Estudio descriptivo transversal, con una muestra por conveniencia de 20 comunas agrupadas en cinco sectores. Se obtuvieron escalas de sueldo y asignaciones para ambas categorías. En términos generales existen escalas de sueldos bajo y sobre el promedio de las comunas analizadas. Se pueden distinguir tres tipos de escalas de sueldo: i. Las que se mantienen sobre o bajo el promedio de manera constante, ii. Comunas que inician sobre el promedio pero al avanzar en la carrera, quedan bajo el promedio; y iii. Comunas bajo el promedio, que al progresar en la escala de sueldos, quedan sobre el promedio. Existen notorias diferencias entre las comunas sobre los mecanismos para establecer las remuneraciones del recurso humano en salud. Podemos concluir que algunas de las estrategias aplicadas buscan reclutar al mejor personal posible, otras solo mantener su propio personal.
Human resources in health are a key element, therefore strategies to improve their distribution and performance, may influence the health status of the population. The aim of this paper is to compare the financial strategies that are used for setting the salaries of primary health care staff categories A and B in 20 communes of the Metropolitan Region. Pay scales and allowances prescribed for both categories were obtained. We identified three types of salary scales: i. Those that remain on or below average, ii. Communes that begin at the average level but then stay below average, and iii. Communes that start below average, then progress in the salary scale and stay above average. We conclude that some of the strategies being applied are aimed at the recruitment of the best quality of personnel whereas others are aimed at their retention. There are remarkable differences that warrant further investigation of the mechanisms used to establish the remuneration of health human resources.
Subject(s)
Primary Health Care , Remuneration , /economics , Socioeconomic Factors , Chile , Cross-Sectional StudiesABSTRACT
Background: Mild to moderate osteoarthritis of the knee in people over 55 years of age is one of the diseases whose management is covered by the explicit guaranties in health system (GES) in Chile. All beneficiaries with the disease should be informed about their rights to receive free treatment. Aim: To assess the degree of awareness about their rights among patients with knee osteoarthritis, admitted to GES. Material and Methods: Two hundred forty one patients aged 55 to 93 years (180 women) with knee osteoarthritis admitted to GES, answered at their homes a survey about their rights to receive health care, included in the GES system and about their disease. Results: Fifty percent of patients did not know what GES system was, 26% admitted to have a limited knowledge and 24%, a full knowledge. Sixty two percent were not informed about the nature of their disease and 42% perceived their health as less than optimal. There was a significant association between the level of knowledge about GES and osteoarthritis and their self-perception of health. Conclusions: Half of the patients with knee osteoarthritis surveyed, were not aware of their health care rights included in GES and received scanty information about their disease.