[Primary care and medical education: a live-in learning experience through the Ruralito. Colombia].
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Colombia↗
Biomedical subjects
Y Arango de Bedoya
Publications and source records attributed to Y Arango de Bedoya.
[Reflections on primary care: a proposal for a conceptual framework].
The article begins with a general analysis of the salient health problems of most Latin American countries. It correlates the situation with changes that have come about in the various socioeconomic structures and take an historical approach to the different ways in which the health/disease phenomenon has been viewed, ways which are regarded as determined by the kind of care provided during particular eras. The author emphasizes the need to study the various theoretical framework of health and disease in order to be able to discern from the overall picture just where medicine is headed today and how medicine and nursing are practiced. She reflects on some factors that have limited the implementation of several of the more desirable aspects of health services delivery such as teamwork, reallocation of functions, and institutional regionalization. Lastly, she proposes a conceptual framework for primary care as a strategy for addressing the problems outlined.
Latin America↗
[Program of research on models of delivery of health services. New methodology for the training of midwives health promoters and nursing auxiliares].
A Program of Research on Models for the Delivery of Health Services (PRIMOPS) is being conducted jointly by the Cauca Valley University and the Colombian Ministry of Public Health through the Municipal Health Department of Cali, Colombia. Designed for the maternal and child health area, the program is being carried out initially in a low-income district of Cali which has a population of 100,000. Health services are furnished under a regionalized system using a team consisting of a midwife, a health promoter, a nursing auxiliary, a nurse, and a physician. These workers provide care specifically related to mothers and children drawing on the resources of the home, the local health station, and the university hospital. Since the program involves the testing of a new methodology of health services delivery which includes the use of nonprofessional personnel, community-organized information systems have been set up and tried on an experimental basis, as have methods for health services evaluation and personnel training. PRIMOPS' experience with its methods for training nonprofessional program staff (nursing auxiliares, health promoters, and midwives) is reviewed, and the results achieved by a team of nurses applying the training model to nine nursing auxiliares, 54 health promotors, and 33 midwives are described.
Colombia↗