Jadresic A
Facultad de Medicina, Universidad de Chile (División Occidente).
Rev Med Chil. 1991 May;119(5):589-99.
A severe deterioration in numbers and quality of health personnel in health services was observed during the military regime. Due to population growth only, the NHS has experienced an 18% reduction in personnel. Security at the job and on the job training have disappeared. We propose to correct the deficit in personnel over a 4 year period; develop a job assignment system based on progressive training; promote continuing education and fellowships. Primary health care must be emphasized, a national network of outpatient facilities should be developed and health services should be linked to other health facilities. Regional care and teaching programs and the growing of family medicine are also considered. Finally, appropriate curricular modifications are required for the health professions.
在军事政权统治期间,卫生服务领域的卫生人员数量和质量严重恶化。仅因人口增长,国家卫生服务体系的人员就减少了18%。工作安全和在职培训已不复存在。我们提议在4年内纠正人员短缺问题;建立基于渐进式培训的工作分配系统;促进继续教育和奖学金项目。必须强调初级卫生保健,应建立全国性的门诊设施网络,并将卫生服务与其他卫生设施相联系。还考虑了区域护理和教学项目以及家庭医学的发展。最后,卫生专业需要进行适当的课程调整。