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Argumentos filosóficos para una re-definición de la medicina moderna
(Universidad de Chile, 2005)
Quien observe el estado actual de la medicina no dejará de sorprenderse con la importancia, y la velocidad, de una inusitada corriente de modificaciones que abruman el convencional trato entre médicos y pacientes. Baste pensar, por ejemplo, en los...
Factores que influyen en la elección de mención desde la percepción de los estudiantes de tercer año de tecnología médica de la Facultad de Medicina de la Universidad de Chile
(Universidad de Chile, 2021)
factores que influyen en
el proceso de elección de mención desde la percepción de los estudiantes de
tercer año de Tecnología Médica de la Facultad de Medicina de la Universidad de
Chile.
Se realizó un estudio cualitativo, con enfoque interpretativo en...
The School of Medical Technology of the University of Chile imparts five disciplinary areas where the admission process to these areas is through the average of grades of the first approved year. As a result, underperforming students do not achieve the ranking necessary to be in their area of preference. In this context, some students prefer to repeat the first year to improve their ranking or take only the common courses of the second level to apply the following year. The most extreme student decision was to abandon the career and apply to the University Selection test again. They could apply to the Medical Technology career at another institution but lose a year of study. The main objective of this research was to analyze the factors that influence the process of choice of mention from the perception of third-year students of Medical Technology of the Faculty of Medicine of the University of Chile. A qualitative study was carried out with an interpretive approach based on case studies. Data collection was carried out through semi-structured interviews, validated to a group of 11 third-year students of the degree. In the results obtained, the influencing factors were classified into 2 groups: personal and external. In personal factors, the following categories were obtained: "affinity for an area" of study, "social skills", "manual skills", "spirit of service" and "discipline"; in the external ones they were: "Sources of information", obtained by a subject, by students of higher courses, other acquaintances or being patients of exams; also “family influences”, given by pressure, non-influences or support from parents specifically. Conclusions: The most prominent personal factors were "affinity for an area" and "social skills", that is, interaction with people and personal interest for an area. In the external ones, it was "sources of information”; they even pointed out that they arrived at the career without knowing all the mentions....
The School of Medical Technology of the University of Chile imparts five disciplinary areas where the admission process to these areas is through the average of grades of the first approved year. As a result, underperforming students do not achieve the ranking necessary to be in their area of preference. In this context, some students prefer to repeat the first year to improve their ranking or take only the common courses of the second level to apply the following year. The most extreme student decision was to abandon the career and apply to the University Selection test again. They could apply to the Medical Technology career at another institution but lose a year of study. The main objective of this research was to analyze the factors that influence the process of choice of mention from the perception of third-year students of Medical Technology of the Faculty of Medicine of the University of Chile. A qualitative study was carried out with an interpretive approach based on case studies. Data collection was carried out through semi-structured interviews, validated to a group of 11 third-year students of the degree. In the results obtained, the influencing factors were classified into 2 groups: personal and external. In personal factors, the following categories were obtained: "affinity for an area" of study, "social skills", "manual skills", "spirit of service" and "discipline"; in the external ones they were: "Sources of information", obtained by a subject, by students of higher courses, other acquaintances or being patients of exams; also “family influences”, given by pressure, non-influences or support from parents specifically. Conclusions: The most prominent personal factors were "affinity for an area" and "social skills", that is, interaction with people and personal interest for an area. In the external ones, it was "sources of information”; they even pointed out that they arrived at the career without knowing all the mentions....
Percepción de conductas abusivas en estudiantes de medicina
(2006)
, 2739897. Fax: 2731415.
E mail: mmaida@med.uchile.cl
Percepción de conductas abusivas
en estudiantes de medicina
Ana Margarita Maida S1, Viviana Herskovic M2, Ana Pereira
S3, Lorena Salinas-Fernándeza, Claudia Esquivel Ca.
Perception of abuse among medical...
, 2006. El trabajo realizado fue aprobado por ASOFAMECH, en 2002, como parte de estudio multicéntrico. 1Departamento de Pediatría y Cirugía Infantil Oriente, Facultad de Medicina, Universidad de Chile, Hospital Luis Calvo Mackenna. 2Clínica Psiquiátrica...
, 2006. El trabajo realizado fue aprobado por ASOFAMECH, en 2002, como parte de estudio multicéntrico. 1Departamento de Pediatría y Cirugía Infantil Oriente, Facultad de Medicina, Universidad de Chile, Hospital Luis Calvo Mackenna. 2Clínica Psiquiátrica...
Consejería en Adolescentes con condiciones crónicas de salud: su rol en el período de transición a la medicina del adulto
(Sociedad Chilena de Pediatría, 2020)
7Versión in press ID 1585
Rev Chil Pediatr. 2019;91(1):7-9
DOI: 10.32641/rchped.v91i1.1585
Consejería en Adolescentes con condiciones
crónicas de salud: su rol en el período de
transición a la medicina del adulto...
atención, a ge- nerar un vínculo que incorpore a la Consejería Ado- lescente como actividad de acompañamiento en dicha atención de salud. En las últimas décadas, hemos sido testigos de cómo los avances en las condiciones sociales y en la medicina han...
atención, a ge- nerar un vínculo que incorpore a la Consejería Ado- lescente como actividad de acompañamiento en dicha atención de salud. En las últimas décadas, hemos sido testigos de cómo los avances en las condiciones sociales y en la medicina han...
Perspectivas latinoamericanas sobre medicina centrada en la persona
(Instituto Nacional de Salud, 2016)
801
Rev Peru Med Exp Salud Publica
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1 Facultad de Medicina, Instituto de Ética en Salud, Universidad...
Nacional Mayor de San Marcos. Lima, Perú. 2 Universidad Nacional de Colombia. Colombia. 3 Academia Nacional de Medicina de Colombia. Colombia. 4 Facultad de Medicina, Colegio Mayor de Nuestra Señora del Rosario. Bogotá, Colombia. 5 Universidad de Chile...
Nacional Mayor de San Marcos. Lima, Perú. 2 Universidad Nacional de Colombia. Colombia. 3 Academia Nacional de Medicina de Colombia. Colombia. 4 Facultad de Medicina, Colegio Mayor de Nuestra Señora del Rosario. Bogotá, Colombia. 5 Universidad de Chile...
diagnóstico de mermas en fórmulas enterales (FE) y suplementos nutricionales orales (SNO) preparadas en servicio dietético de leches/central de fórmulas enterales (SEDILE/CEFE), utilizadas en pacientes adultos hospitalizados en hospital clínico San Borja Arriarán (HCSBA), Santiago de Chile
(2018-06)
Fórmulas Enterales (FE) y Suplementos Nutricionales Orales (SNO) preparadas en SEDILE/CEFE, utilizados en pacientes adultos hospitalizados en los servicios de Medicina y Cirugía del Hospital Clínico San Borja Arriarán (HCSBA), en Santiago, entre los meses...
Introduction: Clinical Nutrition (NC), has experienced a great boom in recent years, mainly due to the high prevalence of malnutrition in hospitalized patients, which is described close to 50%. This has led to the development of artificial nutrition techniques, among which are Parenteral Solutions, Enteral Formulas (FE) and Oral Nutritional Supplements (SNO). The Enteral Formula (FE) is that product consisting of a mixture of macro and micronutrients nutritionally balanced and complete that can be administered orally or enterally. The SNO is nutritional formulas that mix macro and micronutrients, complete or not in terms of their composition, which are orally ingested by patients who do not cover their nutritional needs with the conventional diet. In this work, we will refer to reduction to all those enteral formulas and oral nutritional supplements that after being planned, prepared, distributed and used in the room, are returned to CEFE (Central of Enteral Formulas), for some reason. In Chile there are no published studies on losses in NE and SNO used in hospitalized patients. Objective: To carry out a diagnosis of the quantity and causes of losses from Enteral Formulas (FE) and Oral Nutritional Supplements (SNO) prepared in SEDILE / CEFE, used in adult patients hospitalized in the Medicine and Surgery services of the Hospital Clinico San Borja Arriarán (HCSBA), in Santiago, between the months of October and December 2017 and February 2018, in order to propose an improvement plan for the reduction of waste. Methodology: The first stage of this study consisted of the review and description of existing records in SEDILE / CEFE of HCSBA. These records correspond to: Daily enteral feeding statistics, daily statistics of ingredients calculation for NE and daily statistics of FE and SON returns during the months of October, November and December 2017 and February 2018. The second stage consisted of an internship clinic for 4 non-consecutive weeks in days and sporadic shifts (hours between 10:00 and 22:00 hrs), where the flows of the prescribed and returned FM and SNO flasks were observed, as well as the causes of shrinkage. The above was carried out in the Medicine and Surgery services of the HCSBA, during the months of November - December 2017 and February - March 2018....
Introduction: Clinical Nutrition (NC), has experienced a great boom in recent years, mainly due to the high prevalence of malnutrition in hospitalized patients, which is described close to 50%. This has led to the development of artificial nutrition techniques, among which are Parenteral Solutions, Enteral Formulas (FE) and Oral Nutritional Supplements (SNO). The Enteral Formula (FE) is that product consisting of a mixture of macro and micronutrients nutritionally balanced and complete that can be administered orally or enterally. The SNO is nutritional formulas that mix macro and micronutrients, complete or not in terms of their composition, which are orally ingested by patients who do not cover their nutritional needs with the conventional diet. In this work, we will refer to reduction to all those enteral formulas and oral nutritional supplements that after being planned, prepared, distributed and used in the room, are returned to CEFE (Central of Enteral Formulas), for some reason. In Chile there are no published studies on losses in NE and SNO used in hospitalized patients. Objective: To carry out a diagnosis of the quantity and causes of losses from Enteral Formulas (FE) and Oral Nutritional Supplements (SNO) prepared in SEDILE / CEFE, used in adult patients hospitalized in the Medicine and Surgery services of the Hospital Clinico San Borja Arriarán (HCSBA), in Santiago, between the months of October and December 2017 and February 2018, in order to propose an improvement plan for the reduction of waste. Methodology: The first stage of this study consisted of the review and description of existing records in SEDILE / CEFE of HCSBA. These records correspond to: Daily enteral feeding statistics, daily statistics of ingredients calculation for NE and daily statistics of FE and SON returns during the months of October, November and December 2017 and February 2018. The second stage consisted of an internship clinic for 4 non-consecutive weeks in days and sporadic shifts (hours between 10:00 and 22:00 hrs), where the flows of the prescribed and returned FM and SNO flasks were observed, as well as the causes of shrinkage. The above was carried out in the Medicine and Surgery services of the HCSBA, during the months of November - December 2017 and February - March 2018....
Cuidado humanizado: protocolo operativo de salida terapéutica
(Sociedad Chilena de Medicina Intensiva, 2022)
Acompañar en la vida y en la muerte: recomendaciones para los equipos de APS sobre la preparación para la muerte de personas mayores en fin de vida
(Agencia Nacional de Investigación y DesarrolloUniversidad de Chile. Facultad de Medicina, 2023)
Falta tiempo: experiencias de médicos gestores de la demanda en la atención primaria de salud chilena
(Doyma, 2021)
Objetivo: Caracterizar la situación actual del médico gestor de la demanda (MGD) en la atención
primaria de salud (APS), desde las percepciones de aquellos que cumplen ese rol, sus pares
médicos y los directivos de los centros de salud familiar...
Objective: Characterize the current situation of the demand manager physician (DMP) in primary health care (PHC), from the perceptions of those who fulfill this role, their medical peers and the directors of the family health centers (CESFAMs). Design: Qualitative cross-sectional study with a grounded theory approach. Site: Four CESFAMs from the South East Metropolitan Health Service in Santiago, Chile. Participants: Demand manager physician, general practitioners and directors of CESFAM. Method: A semi-structured interview and discussion group were used as data collection technique. Open, axial, and selective coding was carried out with the support of the NVivo12 software. Results: In practice, DMP performs more functions than those defined for the position by the Ministry of Health, generating the feeling of lack of time to carry out their work, what represents their main barrier at work and reflects the absence of institutional support they receive from their employees. Among these invisible functions are: providing feedback to the medical team, leading clinical meetings, and generating reference protocols. For the good performance of the DMP it is necessary to have technical skills and be recognized by their peers. It was estimated that the family doctor is the most suitable professional for the position. The work of the DMP is limited by institutional factors such as waiting lists, lack of specialists, and poor coordination between levels of care. Conclusions: Standardizing the functions of the DMP is a necessary element for its consolidation and achieving the objectives of maintaining continuity of care in the population....
Objective: Characterize the current situation of the demand manager physician (DMP) in primary health care (PHC), from the perceptions of those who fulfill this role, their medical peers and the directors of the family health centers (CESFAMs). Design: Qualitative cross-sectional study with a grounded theory approach. Site: Four CESFAMs from the South East Metropolitan Health Service in Santiago, Chile. Participants: Demand manager physician, general practitioners and directors of CESFAM. Method: A semi-structured interview and discussion group were used as data collection technique. Open, axial, and selective coding was carried out with the support of the NVivo12 software. Results: In practice, DMP performs more functions than those defined for the position by the Ministry of Health, generating the feeling of lack of time to carry out their work, what represents their main barrier at work and reflects the absence of institutional support they receive from their employees. Among these invisible functions are: providing feedback to the medical team, leading clinical meetings, and generating reference protocols. For the good performance of the DMP it is necessary to have technical skills and be recognized by their peers. It was estimated that the family doctor is the most suitable professional for the position. The work of the DMP is limited by institutional factors such as waiting lists, lack of specialists, and poor coordination between levels of care. Conclusions: Standardizing the functions of the DMP is a necessary element for its consolidation and achieving the objectives of maintaining continuity of care in the population....
Características familiares de adolescentes consultantes y no consultantes en unidades de salud mental
(1997)
Propósito: Determinar si existen diferencias en características de función familiar que permiten predecir conductas de riesgo para la salud mental en adolescentes, así como otras que constituyen criterios de estas últimas. Ambito: adolescentes que...