ABSTRACT
The health care has evolved over the centuries from a theocentric model to a model centered on man, environment and society. The process of neoliberal globalization has changed the relationship between the components of the health system and population. The active participation of organizations such as the World Trade Organization, the International Monetary Fund and the World Bank by the techno-medical industrial complex tends to make the health care in a model focused on economy. This, impacts negatively on all components in the process of health care and have an adverse effect on the humanized care. The analysis of each sector in particular and their interactions shows the effects of this change. Alternatives are proposed for each sector to contribute to a model of care focused on the patient, their family and the social environment.
Subject(s)
Child , Humans , Marketing of Health Services , Patient-Centered Care , Marketing of Health Services/organization & administration , Patient-Centered Care/organization & administrationABSTRACT
En la Argentina, la falta de neonatólogos es un problema que va en aumento. La ausencia de un sistema de salud coordinado y organizado por un lado y la falta de adaptación del rol del neonatólogo a la realidad actual de la atención materno-infantil impiden una adecuada cobertura asistencial. Las inadecuadas condiciones de trabajo, los riesgos profesionales, el prolongado tiempo de formación y la falta de reconocimiento de las necesidades y dificultades de los profesionales repercuten negativamente al tiempo de incorporar nuevos especialistas. Resulta imprescindible un abordaje global del problema para obtener respuestas que perduren en el tiempo.
In Argentina, the difficulty in covering neonatologist's positions represent an increasing problem. The absence of a coordinated and organized health system on one hand, and the lack of adaptation of the neonatologist´s role to the current situation of the maternal and child care on the other, prevent the correct assistential coverage. The inadequate work conditions, the professional risks, the wide amount of time devoted to formation and studying, and the lack of knowledge of the professionals necessities and difficulties have a negative impact when it comes to incorporate new specialists. A global approach of the problem is essential to reach enduring answers.