Factores asociados a la percepción de competencias gerenciales en médicos peruanos recién egresados / Factors associated with the perception of managerial competencies in recently graduated Peruvian doctors

Introducción: Las competencias gerenciales le permiten al médico en formación prepararse para la inserción en el sistema de salud. Objetivo: Identificar factores asociados a la percepción de competencias gerenciales en médicos egresados de los Establecimientos de Salud del Perú que participaron en el proceso SERUMS 2018-I. Material y Métodos: Estudio observacional, analítico de corte transversal. Se aplicó el cuestionario "How Dutch medical specialists perceive the competencies and training needs of medical residents in healthcare management" a los médicos postulantes al SERUMS 2018-I. Se midió el grado de asociación entre variables con la razón de prevalencia (RP). Resultados: De los 289 médicos encuestados, el 13,8% reportó haber realizado entrenamiento previo que potencialmente contribuye a su desempeño como gestor. El 35.5% se encontraba en el nivel bajo de la percepción de competencias gerenciales, el 74,8% reportó tener interés en desarrollar actividades de gerencia y un 97,2% tiene necesidad de formación en gerencia médica. El sexo y la capacitación previa que contribuye al desempeño como gerente está asociado significativamente con la percepción del desempeño de funciones gerenciales efectivas con una RP=1,66. Conclusiones: La percepción de desarrollar funciones gerenciales efectivas está asociada al sexo y a la capacitación previa.

Background: The managerial competences allow the doctor in training to prepare for the insertion in the health system. Objetive: To identify factors associated with the perception of managerial competencies in doctors graduated from the undergraduate medical programs in who participated in the SERUMS 2018-1 process. Material and Methods: Observational analytical cross-sectional study. The questionnaire "How Dutch medical specialists perceive the competencies and training needs of medical residents in healthcare management" was applied to the doctors applying for SERUMS 2018-1. The prevalence ratio (PR) to measure the degree of association between variables was used. Results: Of the 289 doctors surveyed, 13.8% reported having undergone previous training that potentially contributes to their performance as a manager. 35.5% were at the Iow level of the perception of managerial competencies, 74.8% reported having an interest in developing management activities and 97.2% need training in medical management. Sex and previous training that contributes to performance as a manager is significantly associated with the perception of performance of effective managerial functions with a PR 1.66. Conclusions: The perception of developing effective managerial functions associated with sex and previous training.

Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean.

Objectives and importance of study: The importance of health policy and systems research (HPSR) has been acknowledged since 2004 and was recognised by the United Nations World Health Assembly in 2005. However, many factors influence its development. This paper aims to analyse the impact of politics and political determinants on HPSR funding in selected countries of Latin America and the Caribbean. METHODS: Using a standardised protocol, we performed an analysis of available data and financing structures for health research and HPSR, based on research in eight countries, including interviews with key stakeholders (n = 42). RESULTS: Dollar depreciation and gross national product growth in the region may play a role in how governments fund research. There have been shifts in the political spectrum in governments, which have affected research coordination and funding in positive and negative ways. HPSR funding in some countries was dependent on budget decisions and although some have improved funding, others have regressed by decreasing funding or have completely cancelled financing mechanisms. Caribbean countries rely mainly on institutional funding. HPSR is recognised as important but remains underfunded; stakeholders believed it should be used more in decision making. CONCLUSION: Although HPSR is recognised as valuable for decision making and policy development, it does not have the financial support required to flourish in Latin America and the Carribean. Data on health research financing were not easy to access. There was little or no evidence of published reports or papers about research financing, health research funding, and HPSR funding in particular in the studied countries. Because of the fragility of health systems highlighted by the coronavirus disease 2019 (COVID-19) pandemic, HPSR should be of great relevance and value to both policy makers and funders.

Reformas de sector salud en el camino de la integración: aprendizaje y perspectivas

Documento presentado Seminario Internacional Reformas del Sector Salud en el Camino de la Integración que contiene informes de representantes de la salud de cada país de la región andina abordando las cuestiones del sistema de salud como su contexto histórico, político y económico. Documento en formato PDF, requer Acrobat Reader.

Memoria 2003-2006 / Report 2003-2006

Esta publicación pretende recoger los pasos significativos que los países han ido dando con el objetivo de consolidar el papel vitalizador que la salud tiene frente al proceso de integración subregional andina. En ella se recogen también los principales momentos de la actividad de la Secretaría Ejecutiva para auspiciar ese proceso en el período 2003 - 2006, conservándose así una memoria complementaria a la ya publicada que abarca el 2001 2002. Como resultado de un trabajo consensuado entre los Ministerios de Salud, los países se han visto beneficiados con acciones conjuntas tales como: las negociaciones de Medicamentos Antirretrovirales y compra conjunta de Medicamentos Antimaláricos, y otros. Por otro lado, hechos como el Proyecto "Control de la Malaria en las Zonas Fronterizas en la Región Andina: Un Enfoque Comunitario" representan desde el punto de vista sanitario, la implementación de una "estrategia compartida" para intervenir una enfermedad que representa un problema común de salud pública para nuestros países.