Arango de Bedoya Y
Educ Med Salud. 1979;13(4):341-50.
The article begins with a general analysis of the salient health problems of most Latin American countries. It correlates the situation with changes that have come about in the various socioeconomic structures and take an historical approach to the different ways in which the health/disease phenomenon has been viewed, ways which are regarded as determined by the kind of care provided during particular eras. The author emphasizes the need to study the various theoretical framework of health and disease in order to be able to discern from the overall picture just where medicine is headed today and how medicine and nursing are practiced. She reflects on some factors that have limited the implementation of several of the more desirable aspects of health services delivery such as teamwork, reallocation of functions, and institutional regionalization. Lastly, she proposes a conceptual framework for primary care as a strategy for addressing the problems outlined.
本文开篇对大多数拉丁美洲国家突出的健康问题进行了总体分析。它将这种情况与各种社会经济结构中发生的变化联系起来，并采用历史方法探讨看待健康/疾病现象的不同方式，这些方式被认为是由特定时期提供的护理类型所决定的。作者强调有必要研究健康与疾病的各种理论框架，以便能够从整体情况中辨别出当今医学的发展方向以及医学和护理的实践方式。她思考了一些限制实施诸如团队合作、职能重新分配和机构区域化等更理想的医疗服务提供方面的因素。最后，她提出了一个初级保健的概念框架，作为解决上述问题的一项策略。
