Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta

Background: Health care research has demonstrated that the primary care level can provide effective services. Aim: To propose a basic package of services for primary health care in medium income countries, based on evidences about its effectiveness. Materials and methods: Scientific evidence for the...

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Autores principales: Bedregal G,Paula, Bosanquet,Nick, Atun,Rifat
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2000
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900012
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spelling oai:scielo:S0034-988720000009000122005-11-15Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuestaBedregal G,PaulaBosanquet,NickAtun,Rifat Health care facilities manpower, and services health planning organizations Health planning support Background: Health care research has demonstrated that the primary care level can provide effective services. Aim: To propose a basic package of services for primary health care in medium income countries, based on evidences about its effectiveness. Materials and methods: Scientific evidence for the effectiveness of primary care services was first sought through a systematicliterature research. Interventions with evidences of effectiveness and appropriate for the Chilean epidemiological profile were selected. The cost in US dollars for a 100.000 inhabitant population was established. Results: Fourteen programs with evidence of effectiveness were selected: immunizations, infant growth and development surveillance, pregnancy surveillance, family planning, cervical cancer screening, diabetes, hypertension, prevention of stroke, smoking cessation, treatment of problem drinkers, depression, lower respiratory infections in children of less than 6 years old, tuberculosis and palliative care. The total cost was calculated in US$ 36 per person/year. Conclusions: This proposal must be flexible, according to local conditions and changes in evidence. It is based in the "new universality" proposed by WHO, that combines a high coverage in key zones with economical realism (Rev Méd Chile 2000; 128: 1031-8).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.9 20002000-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900012es10.4067/S0034-98872000000900012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Health care facilities
manpower, and services
health planning organizations
Health planning support
spellingShingle Health care facilities
manpower, and services
health planning organizations
Health planning support
Bedregal G,Paula
Bosanquet,Nick
Atun,Rifat
Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
description Background: Health care research has demonstrated that the primary care level can provide effective services. Aim: To propose a basic package of services for primary health care in medium income countries, based on evidences about its effectiveness. Materials and methods: Scientific evidence for the effectiveness of primary care services was first sought through a systematicliterature research. Interventions with evidences of effectiveness and appropriate for the Chilean epidemiological profile were selected. The cost in US dollars for a 100.000 inhabitant population was established. Results: Fourteen programs with evidence of effectiveness were selected: immunizations, infant growth and development surveillance, pregnancy surveillance, family planning, cervical cancer screening, diabetes, hypertension, prevention of stroke, smoking cessation, treatment of problem drinkers, depression, lower respiratory infections in children of less than 6 years old, tuberculosis and palliative care. The total cost was calculated in US$ 36 per person/year. Conclusions: This proposal must be flexible, according to local conditions and changes in evidence. It is based in the "new universality" proposed by WHO, that combines a high coverage in key zones with economical realism (Rev Méd Chile 2000; 128: 1031-8).
author Bedregal G,Paula
Bosanquet,Nick
Atun,Rifat
author_facet Bedregal G,Paula
Bosanquet,Nick
Atun,Rifat
author_sort Bedregal G,Paula
title Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
title_short Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
title_full Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
title_fullStr Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
title_full_unstemmed Paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
title_sort paquete básico de prestaciones basados en evidencia para el nivel primario de atención: una propuesta
publisher Sociedad Médica de Santiago
publishDate 2000
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900012
work_keys_str_mv AT bedregalgpaula paquetebasicodeprestacionesbasadosenevidenciaparaelnivelprimariodeatencionunapropuesta
AT bosanquetnick paquetebasicodeprestacionesbasadosenevidenciaparaelnivelprimariodeatencionunapropuesta
AT atunrifat paquetebasicodeprestacionesbasadosenevidenciaparaelnivelprimariodeatencionunapropuesta
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