ABSTRACT
La forma en que se selecciona, desarrolla y utiliza la tecnología médica en cualquier país tiene obligatoriamente un efecto importante en la salud pública. En la actualidad se realizan relativamente pocos esfuerzos para evaluar la tecnología médica en la mayor parte de los países de América Latina; no obstante, en muchos casos parece posible poner en práctica un programa que identifique las tecnologías que es preciso evaluar, recopile información de diversas fuentes y elabore pautas o recomendaciones, basadas en dicha información. No hay razón para que sea un proceso costoso y puede resultar de gran utilidad (AU)
Subject(s)
Biomedical Technology/trends , Developing Countries , Diffusion of Innovation , Latin AmericaABSTRACT
La forma en que se selecciona, desarrolla y utiliza la tecnologia médica en cualquier pais tiene obligatoriamente un efecto importante en la salud pública. En la actualidad se realizan relativamente pocos esfuerzos para evaluar la tecnologia médica en la mayor parte de los países de América Latina; no obstante, en muchos casos parece posible poner en practica un programa que identifique las tecnologias que es preciso evaluar, recopile informacion de diversas fuentes y elabore pautas o recomendaciones, basadas en dicha informacion. No hay razon para que sea un proceso costoso y puede resultar de gran utilidad
Subject(s)
Medical Laboratory Science , Developing Countries , Diffusion of Innovation , Latin AmericaABSTRACT
En muchos países de este Hemisferio y otros lugares del mundo se exige a los recién graduados de las escuelas de medicina un período de servicio rural. Este artículo examina el caso de Colombia, a la par que presenta un modelo preparado conforme a la experiencia obtenida en dicho país y en Kenia, y sugiere las maneras en que se podría mejorar la contribución de los internos rurales en Colombia (AU)
Subject(s)
National Health Programs/trends , ColombiaABSTRACT
Sending new medical school graduates into rural areas does give underserved populations access to modern medical care, perhaps for the first time. However, these young physicians usually spend most of their time providing strictly clinical services and are generally eager to leave at the end of their assignment. Some have referred to this practice as «parachuting» a doctor into an underserved area. An alternative is to focus first on building up permanent health service facilities in rural areas that are staffed by appropriate paraprofessionals. The young physician can then play a much more important role, serving as an administrator, researcher, evaluator, and teacher of the local staff; his clinical activities would generally be confined to the more complicated medical problems that arise. Such a model has been implemented in Kenya and Tanzania. An informal field assessment in Colombia has indicated that this model could be effectively applied there as well; indeed, it has been the hope of Colombian policymakers that the rural intern would function in such a way. However, this would require developing the nation's system of health services, as well as providing specific training aimed at preparing the medical student to perform his assigned role (Au)
Subject(s)
Internship and Residency , Rural Health , Colombia , KenyaABSTRACT
Sending new medical school graduates into rural areas does give underserved populations access to modern medical care, perhaps for the first time. However, these young physicians usually spend most of their time providing strictly clinical services and are generally eager to leave at the end of their assignment. Some have referred to this practice as «parachuting» a doctor into an underserved area. An alternative is to focus first on building up permanent health service facilities in rural areas that are staffed by appropriate paraprofessionals. The young physician can then play a much more important role, serving as an administrator, researcher, evaluator, and teacher of the local staff; his clinical activities would generally be confined to the more complicated medical problems that arise. Such a model has been implemented in Kenya and Tanzania. An informal field assessment in Colombia has indicated that this model could be effectively applied there as well; indeed, it has been the hope of Colombian policymakers that the rural intern would function in such a way. However, this would require developing the nation's system of health services, as well as providing specific training aimed at preparing the medical student to perform his assigned role (Au)
Subject(s)
Internship and Residency , Rural Health , Colombia , KenyaABSTRACT
En muchos países de este Hemisferio y otros lugares del mundo se exige a los recién graduados de las escuelas de medicina un período de servicio rural. Este artículo examina el caso de Colombia, a la par que presenta un modelo preparado conforme a la experiencia obtenida en dicho país y en Kenia, y sugiere las maneras en que se podría mejorar la contribución de los internos rurales en Colombia (AU)
