Eficiencia de los recursos humanos en salud: una aproximación a su análisis en México

Nígenda, Gustavo; Alcalde-Rabanal, Jaqueline; González-Robledo, Luz María; Serván‐Mori, Edson; García-Saisó, Sebastián; Lozano, Rafael

doi:10.21149/spm.v58i5.8243

Cited by 11 publications

(8 citation statements)

References 20 publications

(21 reference statements)

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“…Inclinarse por el ámbito clínico hospitalario también es reflejo de la manera en que se distribuyen los recursos humanos en salud en México. En un estudio realizado en 2016 por Nigenda et al, (51) se informó que en la mayoría de los estados de la República Mexicana se distribuye un mínimo porcentaje de personal de enfermería en unidades de primer nivel, siendo menor la asignación en la Ciudad de México, Jalisco, Campeche y Zacatecas.…”

Section: Discussionunclassified

Expectativas académicas y laborales en estudiantes de enfermería.

Escobar

Covarrubias

2019

Rev. cienc. cuidad.

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Objetivo: Conocer las expectativas académicas y laborales de estudiantes que cursan el último semestre de la licenciatura en enfermería, en una universidad pública de la Ciudad de México. Materiales y método: Estudio cuantitativo, descriptivo- exploratorio y transversal. La población de estudio se integró por 492 estudiantes, con una muestra de 105 universitarios, mayores de 18 años, de ambos sexos e inscritos en el último semestre de alguna de las dos carreras que se ofertan en la institución: Licenciatura en Enfermería y Licenciatura en Enfermería y Obstetricia. Para la recolección de datos se utilizó un diseño de muestreo probabilístico aleatorio simple y se elaboró un instrumento autoadministrado de preguntas cerradas, que se sometió a la validación de contenido por parte de dos expertos. Se calcularon frecuencias relativas y absolutas. Resultados: Los estudiantes esperan realizar su servicio social en áreas clínicas, titularse por medio de estudios de posgrado y realizar una especialidad. Sus expectativas profesionales se enfocan en trabajar en el sector público, en hospitales de segundo y tercer nivel de atención; igualmente, quieren ingresar al campo laboral con la categoría de enfermero especialista durante los primeros seis meses después de liberar el servicio social. Conclusiones: Las expectativas académicas y profesionales de los estudiantes se centran en el área asistencial sin considerar el primer nivel de atención, el ejercicio libre de la profesión ni las áreas de docencia, gestión e investigación.

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Section: Discussionunclassified

Expectativas académicas y laborales en estudiantes de enfermería.

Escobar

Covarrubias

2019

Rev. cienc. cuidad.

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“…There is a need to concentrate State action on strategic functions for the development of human and social capital, for the strengthening of the rule of law and expanded and strengthened democracy 35,36 .…”

Section: Discussionmentioning

confidence: 99%

Rectoría y gobernanza: dimensiones estructurantes para la implementación de Políticas de Atención Primaria de Salud en el Paraguay, 2008-2017

Bejarano

Nígenda

Arredondo

et al. 2018

Ciênc. saúde coletiva

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This study analyzes the conduction patterns of implementing Primary Health Care (PHC) in Paraguay in three government periods (2008-2012, 2012-2013 and 2013-2017) and three management levels (national, regional and local). This is a qualitative study based on grounded theory. A priori categories on PHC stewardship and governance in Paraguay were analyzed. An open-ended questionnaire was applied to a sample of social, political and technical stakeholders: ministers, coordinators, managers, consultants, and international organizations' experts. Data were processed combining the use of Atlas Ti software and sorting findings in a structured Excel matrix. Gaps in leadership, regulatory mechanisms, technical capacities for health planning and management and financial implementation methods have affected PHC continuous expansion and strengthening process. The findings show limitations and possibilities for the implementation of this health policy in Paraguay, evidencing the need for greater qualification of management and political stability in its conduction.

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“…It is also considered that the level of satisfaction is the product of two psychological processes, a cognitive one, which includes expectations and perceptions, and an emotional one resulting from the congruence between the user’s expectation and perception. In addition, the subjective evaluation is influenced by past experiences with other health services [ 9 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Patient dissatisfaction associated with physician-patient linguistic discordance in California clinics: an analytical cross-sectional study

Fernández-Ortega

Juárez-Flores

Olaíz-Fernández

et al. 2023

BMC Health Serv Res

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Background Patient satisfaction is considered as a product of two psychological processes, a cognitive one, including expectations and perceptions, and an emotional one resulting from the congruence between expectation and subjective perception of the user. The objective was to identify the factors associated with the level of perceived satisfaction in patients treated in 36 nonprofit health clinics that offer comprehensive health care services in four counties in the state of California, United States. Methods Cross-sectional analytical study in 14 clinics in four California counties. It consisted of the application of a 30-item questionnaire to determine the degree of patient satisfaction with the clinic. The factorial composition of the quality of care and clinic quality components was analyzed and two factors with an Eigen value greater than 1 were obtained. Results A total of 846 responses were registered. Factor analysis identified two underlying dimensions: Physician Attitude and Empathy. It was found that the discordance in language between the physician and the patient generates a difference in the perception of satisfaction. Patients who prefer to speak English have better satisfaction than those who speak Spanish. Spanish speakers who do not have interpreter have lower satisfaction than those who do (p < 0,01). Conclusions The most important sociodemographic cofactor was language. Satisfaction decreased in Spanish-speaking patients who were not proficient in the use of English since they expressed fewer comments and doubts.

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Eficiencia de los recursos humanos en salud: una aproximación a su análisis en México

Cited by 11 publications

References 20 publications

Expectativas académicas y laborales en estudiantes de enfermería.

Expectativas académicas y laborales en estudiantes de enfermería.

Rectoría y gobernanza: dimensiones estructurantes para la implementación de Políticas de Atención Primaria de Salud en el Paraguay, 2008-2017

Patient dissatisfaction associated with physician-patient linguistic discordance in California clinics: an analytical cross-sectional study

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