Modelos Integrados y dispensarizados en el adulto mayor en la ciudad de córdoba

• Autores: Luis Eduardo Peñaloza
• Directores de la Tesis: Rodolfo Avila (dir. tes.)
• Lectura: En la Universidad Nacional de Córdoba (UNC) ( Argentina ) en 2008
• Idioma: español
• Enlaces
  • Tesis en acceso abierto en: hdl.handle.net
• Resumen
  • español

    Desde lo sociopolíticoinstitucional, económico y biomédico, tal como esta planteada hoy la Atención Primaria de la Salud (APS) no hospitalaria, pública con modelo de programa dispensarizado en la Ciudad de Córdoba; implica que esta municipalizada (ley 7850/89, decretos reglamentarios y concordantes), que requiere de incremento permanente y exponencial de recursos materiales y humanos (el 73 de las erogaciones del presupuesto es en sueldos), que dificulta la continuidad de la información y la asistencia, que duplica registros (porque parte de un modelo no integrado), con grandes posibilidades de repetir exploraciones ya efectuadas, es subespecializada (en relación a los adultos mayores), mecánica, despersonalizada y no contempla en forma abarcativa, integral y holística, aspectos médicos preventivos y asistenciales, demográficos y psicosociales del grupo etario de más de 60 años, de capital importancia y trascendencia, como son las inmunizaciones sistemáticas, el diagnóstico precoz, el tratamiento oportuno de una variada gama de patologías prevenibles, la rehabilitación o limitación de incapacidades, las características de la vivienda, la convivencia (con quiénes viven, si están solos, cuáles son las redes de soporte social, etc.), que nivel cultural y económico poseen, e incluso la posibilidad de valorar una atención domiciliaria versus un ingreso a un hogar de ancianos. Además desde lo organizacional es de diseño sencillo, burocrático tradicional y carece de programa específico para la tercera edad. Nuestro aporte es determinar déficit en necesidades y requerimientos, satisfacción general de los usuarios en APS dispensarizada, asociar variables de importancia estratégica y proponer e impulsar a través de recomendaciones específicas un modelo de programa integrado multi-inter-trans-disciplinario donde el adulto mayor este contenido con una visión amplia, que en base a un adecuado conocimiento, busca prever y proveer para el futuro(AU)

  • English

    Taking into account the social, political, economic, biomedical, and institutional point of view, in the way that today the Primary Health Care (PHC) not hospitable and public is provided together with a model of a dispensaries program in Córdoba city. It implies that this Primary Health Care is municipalized (law 7850/89, regulation and concordant decrees), and that it also needs of permanent and exponential increase of the material and human resources (73% of the expenditures of the budget is in salaries), it also impedes the continuity in the information and the assistance, it also duplicates records (because it is part of a model not integrated), with big possibilities of repeating explorations already carried out, it is sub specialized (in relation to the major adults), mechanical, depersonalized and it does not meditate in a covering, integrating and holistic forms the medical preventive and welfare, demographic and psychosocial aspects of the group over 60 years old, which is of vital importance and transcendence, since they are the systematical immunizations, the precocious diagnosis, the opportune treatment of a varied scale of preventive pathologies, the rehabilitation or limitation of disabilities, the characteristics of the housing, the living together (with whom they live, if they are alone, which the nets of social support are, etc.), that cultural standard and economic they possess, and even the possibility of valuing a domiciliary attention versus to enter to an geriatric residence. Besides, from organizational point of view it is a simple, bureaucratic traditional design and it lacks specific program for the third age. Our contribution is to determine lack of necessities and requirements, general satisfaction of dispensaries PHC’s users, to associate variables of strategic importance and to propose and to boost through specific recommendations an integrated multiinter-trans-disciplinary model program where the elderly people is contained with a wide vision, which on the basis of a suitable knowledge, tries to foresee and to provide for the future. The design is matrix-made, the human professional and material resources are of moderate increase, whereas the human bureaucratic resources, not professionals, not technical personnel, diminish substantially in comparison the existing dispensaries, the circuits are clear (users' net), with a good continuity in the information (clinical, social and infirmary history), it is of preventive and welfare specializing and personalized activity, it contemplates psychosocial aspects and it does not duplicate services. The evaluation is more complex, it needs of good records but it is much more precise and it completes the current model.