Incidencia de Emergencias Hospital Teodoro Maldonado Carbo consideradas APS básicas plan de implemetación
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
En el trabajo se analizan procesos por los que han pasado los servicios hospitalarios a nivel mundial, latinoamericanos y ecuatorianos, así como su relación con el sistema de salud óptimo planteado por la OMS. Se alude en específico al papel que los Hospitales de tercer nivel deben de jugar, como integrantes específicos de él los servicios de emergencia; se analiza el papel que cumple el mismo y los problemas en los que se enfrentan los Hospitales donde en su Sistema de Salud no existe una política real de Atención Primaria de Salud, que se refleja en la saturación en los servicios de emergencia Hospitalarios y demuestra como esto hace que los mismos dejen de cumplir el papel real para los que fueron creados, que es atender la atención especializada y de alta complejidad así como de investigación. Además se demuestra como las atenciones realizadas en el Hospital su gran mayoría son patologías que según el CIE son consideradas de nivel básico de atención, se plantea la necesidad de una reestructuración de este Servicio a través de construir el Triage de Machenster , que es una propuesta manejada a nivel Internacional. Para validar el trabajo se realiza un análisis estadístico con datos obtenidos a través del sistema informático del Hospital Teodoro Maldonado Carbo AS400, se definen los problemas, se fundamentan los cambios planteados, se analizan los resultados, sé plasma la propuesta con la elaboración de la implantación del Triage de Machenster , por último se valida la propuesta por expertos.
In this work we analyze the processes that have passed the hospital services around the world, Latin American and Ecuadorian level and its relationship to optimal health system proposed by WHO are analyzed. It refers specifically to the role that third level hospitals must play, and specific members of the emergency service the role it is analyzed. We analyze problems that hospitals have to face where there is no real policy of Primary Health Care in the Health System faced, as reflected in saturation in their emergency services and demonstrates how this makes analyzes that they stop meet the real role for which they were created, that is to meet the specialized and highly complex and research staff, as well demonstrated as patients attended at the Hospital are overwhelmingly pathologies according to CIE are considered Primary Health Care kind and finally we propose the need of rebuild this service thought the build of the Triage Machenster, which is a proposed managed at international level, to validate our work a statistical analysis with data obtained through the computer system Hospital performed Teodoro Maldonado Carbo AS400, problems are defined, the changes proposed are based, the results are analyzed, the proposal know plasma processing implantation Triage Machenster Finally, the proposal is validated by experts
In this work we analyze the processes that have passed the hospital services around the world, Latin American and Ecuadorian level and its relationship to optimal health system proposed by WHO are analyzed. It refers specifically to the role that third level hospitals must play, and specific members of the emergency service the role it is analyzed. We analyze problems that hospitals have to face where there is no real policy of Primary Health Care in the Health System faced, as reflected in saturation in their emergency services and demonstrates how this makes analyzes that they stop meet the real role for which they were created, that is to meet the specialized and highly complex and research staff, as well demonstrated as patients attended at the Hospital are overwhelmingly pathologies according to CIE are considered Primary Health Care kind and finally we propose the need of rebuild this service thought the build of the Triage Machenster, which is a proposed managed at international level, to validate our work a statistical analysis with data obtained through the computer system Hospital performed Teodoro Maldonado Carbo AS400, problems are defined, the changes proposed are based, the results are analyzed, the proposal know plasma processing implantation Triage Machenster Finally, the proposal is validated by experts
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Servicios hospitalarios, Incidencia, Servicio de Urgencia en Hospital, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador