RESUMO
The governmental and health sector reforms that are being carried out in the countries of the Region demand the rapid training of health personnel to face the challenges posed by the process of change. This report explores the many possibilities of the Internet to serve as a mode of communication and updating of health professionals and technicians and as a vehicle for the dissemination of information on subjects of interest to scientists and researchers.
Assuntos
Redes de Comunicação de Computadores , Saúde , Serviços de Informação , Países em Desenvolvimento , América LatinaRESUMO
PIP: The economic and social crises affecting Latin America have had a profound social and political effect on its structures. This paper analyzes this impact from 2 perspectives: 1) the impact on the apparatus of the state, in particular on its health infra-structures; and 2) the direction of the democratic process in the continent and the participatory processes of civil societies. The institutionalization of the Local Health Systems (SILOS) is an effort to analyze the problem from within the health sector and propose solutions. This paper discusses the issues of human resource development in health systems; training in human resource development and human resource development in local health care systems. There are 3 strategies used to change health systems: 1) The judicial-political system: The state's apparatus 2) The political-administrative system: the national health care system; and 3) the political-operative system: local health care systems. To assure implementation of SILOS there are 4 steps to be followed: 1) create political conditions that allow the transformation and development of local health systems; 2) development of high-level institutional and political initiatives to develop health care networks; 3) offer key players institutional space and social action to develop the SILOS process; 4) rapidly develop SILOS in regions to assure its integration with other development efforts. The labor force in the health sector and organized communities play critical roles in proposing and institutionalizing health programs.^ieng
Assuntos
Serviços de Saúde Comunitária , Mão de Obra em Saúde/provisão & distribuição , América Central , Serviços de Saúde Comunitária/organização & administração , Países em Desenvolvimento , Ocupações em Saúde/educação , Planejamento em Saúde , Política de SaúdeRESUMO
Numa serie de tres artigos, os autores buscam analisar a interconsulta em seus aspectos teoricos e praticos, propondo sua reconceitualizacao. Neste artigo inicial, com base em estudo de caso, e abordada a tematica da transferencia/contratransferencia na relacao instituicao-equipe de saude-paciente. A proposta ultima e a de se ler a pratica assistencial, da qual a interconsulta e uma faceta, dentro do contexto da instituicao de saude