Promoción de los derechos en salud en Perú: una aproximación desde la perspectiva de acción de la Superintendencia Nacional de Salud
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Authors
Mezones-Holguín, EdwardDíaz-Romero, Ricardo
Castillo-Jayme, Jackeline
Jerí-de-Pinho, María
Benítes-Zapata, Vicente A.
Marquez-Bobadilla, Edith
López-Dávalos, César
Philipps-Cuba, Flor de María
Issue Date
2016-09Keywords
Derecho a la saludParticipación ciudadana
Organización comunitaria
Calidad de la atención de salud
Reforma del sector salud
Organizaciones del usuario
Perú
Right to health
Citizen participation
Communitarian organization
Quality of health care
Health care reform
Organized groups of users
xmlui.metadata.dc.contributor.email
[email protected]
Metadata
Show full item recordOther Titles
Promotion of health rights in Peru: an approach from the perspective of The Peruvian National Health AuthorityCitation
[Promotion of health rights in Peru: an approach from the perspective of The Peruvian National Health Authority]., 33 (3):520-528 Rev Peru Med Exp Salud PublicaPublisher
Instituto Nacional de Salud (INS)Journal
Revista peruana de medicina experimental y salud publicaDOI
10.17843/rpmesp.2016.333.2302PubMed ID
27831616Additional Links
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1726-46342016000300520&lng=en&nrm=iso&tlng=enAbstract
In Peru, The National Health Authority (SUSALUD) is granted the responsibility to promote, protect and defend the health rights of every citizen. However, in the Peruvian Health System (PHS) there exists an insufficient culture of health rights, a low level of knowledge of health rights by the population, and a limited degree of cooperation between users, providers and funders. In light of this limited popular participation in the health rights of the citizenry, it has been necessary for SUSALUD to pursue various activities in order to promote the exercise of health rights by Peruvians. Among the strategies implemented are the development of Organized Boards of Users (OBU) and a Program of Integrated Actions for the Promotion of Health Rights (PIAPHI). The aim of both interventions is to increase the level of trust between citizens and government, which fosters and strengthens the capacity of citizens to pursue their health rights. In this article we begin with a brief presentation on the state of knowledge, attitudes and practices of users of the health system regarding their rights. Then we explain both programs, their goals and procedures, and a general description of their activities. Also, some indicators of process and some results are presented along with discussion and future prospects. We believe that the gradual implementation of the OBU and PIAPHI programs will enhance the participation of Peruvians in their health system, and will contribute positively to their empowerment and the pursuit of their health rights.In Peru, The National Health Authority (SUSALUD) is granted the responsibility to promote, protect and defend the health rights of every citizen. However, in the Peruvian Health System (PHS) there exists an insufficient culture of health rights, a low level of knowledge of health rights by the population, and a limited degree of cooperation between users, providers and funders. In light of this limited popular participation in the health rights of the citizenry, it has been necessary for SUSALUD to pursue various activities in order to promote the exercise of health rights by Peruvians. Among the strategies implemented are the development of Organized Boards of Users (OBU) and a Program of Integrated Actions for the Promotion of Health Rights (PIAPHI). The aim of both interventions is to increase the level of trust between citizens and government, which fosters and strengthens the capacity of citizens to pursue their health rights. In this article we begin with a brief presentation on the state of knowledge, attitudes and practices of users of the health system regarding their rights. Then we explain both programs, their goals and procedures, and a general description of their activities. Also, some indicators of process and some results are presented along with discussion and future prospects. We believe that the gradual implementation of the OBU and PIAPHI programs will enhance the participation of Peruvians in their health system, and will contribute positively to their empowerment and the pursuit of their health rights.
Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/openAccessLanguage
spaISSN
1726-4642ae974a485f413a2113503eed53cd6c53
10.17843/rpmesp.2016.333.2302
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Modelo de supervisión basado en el riesgo para instituciones prestadoras de servicios de salud como herramienta para la protección de los derechos en salud en PerúBenítes-Zapata, Vicente A.; Saravia-Chong, Héctor A; Mezones-Holguín, Edward; Aquije-Díaz, Allen J; Villegas-Ortega, José; Rossel-de-Almeida, Gustavo; Acosta-Saal, Carlos; Philipps-Cuba, Flor; [email protected] (Instituto Nacional de Salud (INS), 2016-09)Objetivos. Describir el modelo de supervisión de las Instituciones Prestadoras de Servicios de Salud (IPRESS) de la Superintendencia Nacional de Salud (SUSALUD) y evaluar los factores asociados al porcentaje de cumplimiento normativo ajustado a riesgo (%CNAR) en las IPRESS del Sistema de Salud Peruano (SSP). Materiales y Métodos. Se realizó un estudio de caso sobre el desarrollo e implementación de un modelo de supervisión ajustado a riesgo basado en la norma ISO 31000-2009. Con la IPRESS como unidad de análisis, se calcularon los %CNAR (un puntaje continuo entre 0 a 100) de las supervisiones integrales (SI) y supervisiones selectivas efectuadas durante los años 2013 al 2015. Un mayor %CNAR implica un menor riesgo operacional. Se estimaron coeficientes β con IC95% mediante modelos lineales generalizados para valorar la asociación entre el %CNAR (variable de respuesta) y el subsector, la región, el nivel de complejidad y el año de supervisión (variables de exposición). Resultados. Se ejecutaron 1444 supervisiones. En las SI, solo la Seguridad Social en Salud (ESSALUD) tuvo mayor %CNAR que los centros privados [(β=7,7%;IC95%(3,5 a 11,9)]. Las IPRESS de la Costa [β=-5,2;IC95%(-9,4 a -1,0)], Sierra [β=-12,5;IC95%(-16,7 a -8,3)] y Selva [β=-12,6;IC95%(-17,7 a -7,6)] tuvieron menor %CNAR que aquellas ubicadas en Lima Metropolitana. El %CNAR fue superior en el año 2015 [β=10,8IC95%(6,4 a 15,3)] en relación al año 2013. Conclusiones. El %CNAR difiere por subsector, región y año de supervisión. En las SI las IPRESS supervisadas en ESSALUD, Lima Metropolitana y el año 2015, tuvieron mejores puntuaciones. Se sugiere la puesta en marcha de acciones orientadas a mejorar el %CNAR con el propósito de favorecer el ejercicio de los derechos en salud en el SSP.Acceso abierto
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