RESUMO
Up to now, community participation in local health systems has been rather limited. To increase this participation, the authors propose organizational and management approaches based on the administrative principle that the primary aims served by health institutions need to be established. These aims should be defined in a way that meets the basic needs of individuals, and main actions should focus on improving the relationship between people and services. The proposed approaches include decentralization and microregionalization of health services. Both these processes, which are complex and subject to conflict, should be implemented in tandem. Their use will allow attainment of greater efficiency, transparency, and debureaucratization of health systems and services and, at the same time, facilitate the direct participation of users in the management of these services.
Assuntos
Atenção à Saúde/organização & administração , ArgentinaRESUMO
Se presentan 9 pacientes operados de feocromocitoma durante un periodo de 26 anos.Se analizan aspectos clinicos y los metodos actuales de diagnostico, atribuyendose la mayor importancia a la tomografia computada y a la introduccion del agente radiofarmacologico: la 131 metaiodobencilguanicina (131-IMBG). Se expone el adecuado manejo de los pacientes y las maniobras intraoperatorias que aseguran una extirpacion completa del tumor
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Feocromocitoma , Procedimentos Cirúrgicos OperatóriosRESUMO
Se presentan 9 pacientes operados de feocromocitoma durante un periodo de 26 anos.Se analizan aspectos clinicos y los metodos actuales de diagnostico, atribuyendose la mayor importancia a la tomografia computada y a la introduccion del agente radiofarmacologico: la 131 metaiodobencilguanicina (131-IMBG). Se expone el adecuado manejo de los pacientes y las maniobras intraoperatorias que aseguran una extirpacion completa del tumor