RESUMEN
Se desarrolla un esquema que debe ser parte de una estrategia mas amplia, su objetivo es definir el significado de SPT en cada pais de la region y establecer estrategias de APS para alcanzarla. Se presenta una metodologia para apoyar a los gobiernos de la region en la identificacion de sus propios caminos para lograr las metas de SPT/2000
Asunto(s)
Atención Primaria de SaludRESUMEN
The health manpower situation in Argentina is characterized by a lack of proportion among categories of personnel, an unbalanced geographic distribution, the incorporation of health activities in certain categories of personnel, and a lack of coordination among personnel-training institutions. The different categories of personnel have evolved without any coherent or sustained policy (the number of nonmedical professional personnel increased by more than 100% between 1969 and 1980). The most recent data reveal a persistent trend toward clustering in capital cities and major commercial centers, although the large number of physicians in these places has compelled professionals to practice in small rural localities as well. While this maldistribution is widespread in the country, Buenos Aires province is a classic example of an imbalance between the proportions of physicians and nurses (in 1983 there were reportedly 27,307 physicians and 11,722 nurses). Moreover, there is no coordination whatever between the demand for physicians and the numbers of physicians graduating, not is there any planning for the posts of other health professionals. The authors note that, while women account for 60% of the personnel, they are clustered mainly in the categories of auxiliaries and aides (in 1980, 80% of the professional and directorial positions were held by men). Rectification of this system-wide manpower imbalance is part of the National Health Insurance plan proposed in 1985 and based on five principles: universal coverage, the national will, pluralism, community participation, and federalism.
Asunto(s)
Fuerza Laboral en Salud/provisión & distribución , Argentina , Empleos en Salud/educación , Política de Salud , Fuerza Laboral en Salud/tendencias , Humanos , Área sin Atención Médica , Factores SexualesRESUMEN
One of the problems that have traditionally plagued the teachers and researchers of Latin America in their day-to-day work is a lack of adequate bibliographical information. In an attempt to remedy this situation, in 1968 the Pan American Health Organization set up the Regional Library of Medicine and Health Sciences (BIREME) in the Paulista Medical School in São Paulo under an agreement with the Government of Brazil. In this article the Director of BIREME discusses the present state of an outlook for biomedical information in the Region and summarizes the work done by the Library in recent years. BIREME is doing an outstanding job not only of searching for and disseminating scientific information and training specialized staff, but also of promoting the establishment of national biomedical information subcenters (there are already eighteen in Brazil). It is also the hub of the Latin American network of biomedical and health information. With the help of the National Library of Medicine of the United States, BIREME has succeeded in developing into a center of high prestige in its field. Its most notable accomplishments include the compilation of the Index Medicus Latinoamericano, which is published semiannually since 1979 and embraces the output of 250 scientific publications, thereby filling the major gap that had existed in this field.