Bendezu-Quispe Guido, León Franco, Moreno Joel, Inga-Berrospi Fiorella
Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú.
Departamento Académico de Medicina Preventiva y Salud Pública, Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Medwave. 2020 Mar 31;20(2):e7848. doi: 10.5867/medwave.2020.02.7848.
There are few studies on the impact of social service programs on health in the professional development of doctors in the Andean States (Argentina, Bolivia, Chile, Colombia, Ecuador, Peru, and Venezuela). The purpose of these programs is to increase the availability of human resources in health in rural and remote areas.
To describe the regulations of social service programs for medical professionals in the Andean countries.
We carried out a bibliographic review of normative documents concerning the social service for medical professionals using websites of governments of the Andean States as data sources. We sought to obtain information regarding service conditions, funding of these programsincluding remunerations, and means of program allocation. Additionally, we used PubMed/MEDLINE to find complementary information on mandatory social services in these countries.
Social service for medical professionals is established under a regulatory framework in all the Andean countries, except for Argentina, where this program does not exist. Participants receive remuneration (except in Bolivia, where students perform the service). The allocation systems used for these programs are heterogeneous, and in some Andean countries, the allocation is merit-based. Participation in social programs influences later professional opportunities (Ecuador, Colombia, and Venezuela) and the ability to specialize (Chile and Peru).
It is necessary to study the impact of these programs on the professional development of the participants to design and implement quality improvement strategies tailored to each context.
关于社会服务项目对安第斯国家（阿根廷、玻利维亚、智利、哥伦比亚、厄瓜多尔、秘鲁和委内瑞拉）医生职业发展中的健康影响的研究很少。这些项目的目的是增加农村和偏远地区卫生领域的人力资源供应。
描述安第斯国家针对医学专业人员的社会服务项目的相关规定。
我们以安第斯国家政府网站为数据源，对有关医学专业人员社会服务的规范性文件进行了文献综述。我们试图获取有关服务条件、这些项目的资金情况（包括薪酬）以及项目分配方式的信息。此外，我们使用PubMed/MEDLINE查找这些国家强制性社会服务的补充信息。
除阿根廷没有该项目外，安第斯所有国家都在监管框架下设立了医学专业人员社会服务项目。参与者会获得报酬（玻利维亚除外，该国由学生提供服务）。这些项目所采用的分配系统各不相同，在一些安第斯国家，分配是基于功绩的。参与社会项目会影响后续的职业机会（厄瓜多尔、哥伦比亚和委内瑞拉）以及专业化能力（智利和秘鲁）。
有必要研究这些项目对参与者职业发展的影响，以便设计和实施适合每种情况的质量改进策略。
