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Calidad en los servicios de salud desde los marcos de sentido de diferentes actores sociales en Colombia y Brasil / Quality of health-care according to social actors' frameworks of meaning in Colombia and Brazil
Delgado-Gallego, María E; Vázquez-Navarrete, María L; de Moraes-Vanderlei, Lygia.
Affiliation
  • Delgado-Gallego, María E; Universidad del Valle. Instituto de Psicología. Cali. CO
  • Vázquez-Navarrete, María L; Grup de Recerca en Polítiques sanità ries i serveis de salut (GRPSS). Servei d'Estudis i Prospectives en en Polítiques de Consorci de Salut i Social de Catalunya. Barcelona. ES
  • de Moraes-Vanderlei, Lygia; Revista Brasileira de Saúde Materno Infantil. BR
Rev. salud pública ; 12(4): 533-545, ago. 2010. ilus, tab
Article in Spanish | LILACS | ID: lil-574941
Responsible library: BR1.1
RESUMEN
Objetivo Analizar los marcos de sentido en la definición de la calidad de un servicio de salud de los diversos actores sociales en Colombia y Brasil. Método Estudio cualitativo, descriptivo-interpretativo, mediante grupos focales y entrevistas individuales en dos municipios de Colombia y Brasil. Muestra teórica de agentes sociales, buscando variedad del discurso a. Usuarios y líderes; b. Personal de salud y; c. Formuladores de políticas. Análisis de contenido, con generación mixta de categorías y segmentación de los datos por país, informantes y temas. Resultados Los marcos de sentido desde los cuales construyen la calidad de la atención, usuarios y personal de salud en ambos países, mostraron convergencias en torno a tres grandes ejes adecuación de la estructura, nivel técnico y humanización de la atención. Presentaron, no obstante, matices diferenciadores los usuarios de ambos países profundizan en aspectos estructurales y organizativos como disponibilidad y accesibilidad de recursos, y en aspectos técnicos, como resolutividad y calidad técnica. El personal de salud de Colombia y Brasil mostró similitudes, pero mientras los primeros destacaban más una administración ágil y tiempo de consulta mayor; los segundos, más disposición de personal especializado, materiales e insumos suficientes. Por su parte, el marco de sentido de los formuladores emergió del conjunto de normas legales. Conclusiones Los matices aportados por los distintos marcos de sentido de calidad de los actores sociales, indican la necesidad de tenerlos en cuenta en su totalidad, ya que apuntan a diferentes debilidades del sistema. Además, muestran que los usuarios profundizan más en aspectos técnicos del servicio de lo considerado habitualmente.
ABSTRACT
Objective To analyse social actors' frameworks of meaning regarding the definition of health-care quality in Colombia and Brazil. Method This was a descriptive, interpretative, qualitative study which used focus-groups and individual indepth interviews in two municipalities in Colombia and Brazil. The following social actors were theoretical sampled to represent the variety of views users and leaders, health-care personnel and policy-makers. Content was analysed with mixed generation of categories and segmentation by country, actors and themes. Results The frameworks of meaning regarding health-care quality for users and health personnel in both countries revealed coincidences concerning three main topics structural suitability, technical level and humanisation of care. However, they had differentiated meanings; users from both countries highlighted structural and organisational aspects, together with technical aspects such as resolution level and quality of care. Colombian and Brazilian health-care personnel shared some views but whilst the former highlighted non-bureaucratic and consultation time, the latter singled out the availability of specialised personnel, materials and equipment. Policy-makers' framework of meanings emerge from the legal framework. Conclusions Features provided by the social actors' frameworks of meaning indicated the need to take them all into consideration as they all pointed out different system weaknesses. They also showed that users valued technical quality more than is generally considered.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Governance Arrangements / Target 3.8 Achieve universal access to health Database: LILACS Main subject: Patients / Quality of Health Care / Administrative Personnel / Health Personnel / Health Services Research Type of study: Controlled clinical trial / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil / Colombia Language: Spanish Journal: Rev. salud pública Journal subject: Public Health Year: 2010 Document type: Article Affiliation country: Brazil / Colombia / Spain Institution/Affiliation country: Grup de Recerca en Polítiques sanità ries i serveis de salut (GRPSS)/ES / Revista Brasileira de Saúde Materno Infantil/BR / Universidad del Valle/CO

Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Governance Arrangements / Target 3.8 Achieve universal access to health Database: LILACS Main subject: Patients / Quality of Health Care / Administrative Personnel / Health Personnel / Health Services Research Type of study: Controlled clinical trial / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil / Colombia Language: Spanish Journal: Rev. salud pública Journal subject: Public Health Year: 2010 Document type: Article Affiliation country: Brazil / Colombia / Spain Institution/Affiliation country: Grup de Recerca en Polítiques sanità ries i serveis de salut (GRPSS)/ES / Revista Brasileira de Saúde Materno Infantil/BR / Universidad del Valle/CO
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