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Search Results: 1 - 10 of 310424 matches for " Céspedes-Londo?o "
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Impacto de la reforma del sistema de seguridad social sobre la equidad en los servicios de salud en Colombia
Céspedes-Londoo, Juan Eduardo;Jaramillo-Pérez, Iván;Casta?o-Yepes, Ramón Abel;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000400008
Abstract: to evaluate the impact on access to, and use of, health services in colombia's new national health insurance system, the authors compared two cross sections of the population: before (1993) and after (1997), with the approval of act 100, creating the general system for social security in health (sgsss). two equity indicators were assessed: concentration curves (cc) and concentration indices (ci), summarizing the distribution of access to health care and utilization of health care services provided by the sgsss according to income deciles. between 1993 and 1997, the ci for access to insurance halved from 0.34 to 0.17; simultaneously, coverage increased from 23% to 57%, especially among the poorest segments of the population, where it increased from 3.7% to 43.7% as a result of subsidies provided by local governments. the ci for utilization of health care services did not vary significantly. increased disease prevalence and utilization of services among the insured, due to biased selection of risks and moral hazards, were also documented. these findings suggest a positive impact by the reform on inequalities in access to health care insurance; however, a similar effect on inequities in utilization of health services is not clear.
Impacto de la reforma del sistema de seguridad social sobre la equidad en los servicios de salud en Colombia
Céspedes-Londoo Juan Eduardo,Jaramillo-Pérez Iván,Casta?o-Yepes Ramón Abel
Cadernos de Saúde Pública , 2002,
Abstract: Para evaluar el impacto sobre la equidad en el acceso y en la utilización de servicios de salud del nuevo Sistema General de Seguridad Social en Salud Colombiano (SGSSS), se compararon dos cortes transversales de la población, antes (1993) y después (1997) de promulgada la Ley 100, de 1993, que lo creó, con respecto a dos indicadores de equidad: las curvas (CC) e índices de concentración (IC) correspondientes a la distribución del aseguramiento y a la utilización de servicios. Entre 1993 y 1997, el IC en el aseguramiento se redujo a la mitad, del 0,34 al 0,17; simultáneamente, la cobertura del SGSSS se incrementó del 23% al 57%, sobretodo entre los segmentos más pobres de la población, donde pasó del 3,1% al 43,7%, como resultado de los subsidios otorgados por los gobiernos locales. Los IC en la utilización de servicios variaron muy poco. Adicionalmente, se detectó una mayor prevalencia de enfermedad y utilización de servicios entre los asegurados, debido a selección sesgada de riesgos y riesgo moral. Estos resultados sugieren un impacto positivo del SGSSS sobre las inequidades en el acceso al aseguramiento; sin embargo, no se evidenció un impacto claro sobre la equidad en la utilización final de servicios.
Características de la prescripción por Enfermería en la ciudad de Cali, Colombia
Céspedes Zamora,Leydy Diana; Bedoya Londoo,Catherine; Palacios Gómez,Mauricio;
Investigación y Educación en Enfermería , 2010,
Abstract: objective. to describe the drug prescription duties held by nursing professionals in the city of cali (colombia) during the year of 2008. methodology. a survey was applied to 135 nurses who work in different kinds of healthcare or administrative services about prescription habits, perceptions about their education, abilities and necessities to prescribe drugs. results. drug prescription is a frequent practice in most of the surveyed population, unrelated to the work performed, the postgraduate degree or the job experience. the surveyed consider they need more than a legal support the pharmacological training to prescribe drugs; however they don't recognize this practice as part of their professional job. nurses' drug prescription is sometimes presented as part of their occupation tasks into the institution. conclusion. drug prescription is a practice performed by the city nurses and according to the presented results they require an academic, legal, professional debate to be considered between their tasks.
Situación de salud y nutrición en la población menor de 18 a?os de Providencia y Santa Catalina
Pabón Pinto,Margarita María; Céspedes Londoo,Jaime Aurelio;
Revista Ciencias de la Salud , 2004,
Abstract: obligatory report contagious illnesses still have a significant prevalence in the community. the present study evaluates the health and nutrition status of providencia and santa catalina island?s children population. methodology: a health campaign was carried out over a period of 6 days. children between 0 and 18 years were medically evaluated. patients were classified according to frequent pathologies, age groups, nutritional status, and affiliation to social security. results: 366 patients were evaluated, 164 girls and 202 boys. respiratory acute disease was the third cause of consult among children younger than 4 years. the predominant condition of malnutrition was overweight. more than half of the children population belongs to the subsidiary system. fruit and vegetable intake is deficient. conclusions: public health strategies in providencia?s population must be directed towards reduction of contagious diseases and overweight prevalence trough basic attention programs.
Estudio de satisfacción de los usuarios de la Asociación mutual sEr E.s.s. Ars con el programa de administración del riesgo cardiovascular “De Todo Corazón”
Céspedes Londoo,Juan Eduardo; Paz Wilches,Justo Jesús; Guete,Alvaro;
Revista Gerencia y Políticas de Salud , 2007,
Abstract: objectives: to evaluate the quality of services provided by the managed health program (mhp) ¨de todo corazón”, one of the first of its kind, offered in colombia by asociación mutual ser ess, in order to manage cardiovascular risks with efficiency and quality. the focus was on patient satisfaction (regarding accessibility, opportunity, acceptance and adherence, information provided, and perception of benefits) with the following components of the mhp: medicines supply; information education and communication (iec) workshops; home visits by educational agents; and health care provided by nurses, primary care doctors, and specialists. methods: following a crossectional design, a questionnaire for structured interview was designed, validated, and then applied to a random sample of 260 people, selected from a universe comprising 17,466 subjects registered in the mhp, and distributed over eight states. results: satisfaction levels above 80% were found in all of the components and aspects evaluated, except two: (1) home visits by educational agents, and (2) iec workshops. conclusions: the clientele served by the mhp is highly satisfied with most of its services, although there are opportunities for improvement.
Health and nutrition state in younger than 18 population from Providencia and Santa Catalina
Margarita María Pabón Pinto,Jaime Aurelio Céspedes Londoo
Revista Ciencias de la Salud , 2004,
Abstract: Obligatory report contagious illnesses still have asignificant prevalence in the community. The presentstudy evaluates the health and nutrition status ofProvidencia and Santa Catalina Island’s childrenpopulation. Methodology: A health campaign wascarried out over a period of 6 days. Children between0 and 18 years were medically evaluated. Patientswere classified according to frequent pathologies,age groups, nutritional status, and affiliation to socialsecurity. Results: 366 patients were evaluated,164 girls and 202 boys. Respiratory acute diseasewas the third cause of consult among childrenyounger than 4 years. The predominant conditionof malnutrition was overweight. More than half ofthe children population belongs to the subsidiarysystem. Fruit and vegetable intake is deficient.Conclusions: Public health strategies inProvidencia’s population must be directed towardsreduction of contagious diseases and overweightprevalence trough basic attention programs.
Características de la prescripción por Enfermería en la ciudad de Cali, Colombia Características da prescri o por enfermagem na cidade de Cali, na Col mbia Prescription characteristics given by nurses in the city of Cali, Colombia
Leydy Diana Céspedes Zamora,Catherine Bedoya Londoo,Mauricio Palacios Gómez
Investigación y Educación en Enfermería , 2010,
Abstract: Objetivo. Describir las labores de prescripción de medicamentos que realizaron los profesionales de enfermería en la ciudad de Cali (Colombia) durante el a o 2008. Metodología. Se realizó una encuesta a 135 enfermeras que laboran en diferentes tipos de servicios asistenciales o administrativos sobre hábitos de formulación, percepciones sobre su formación, capacidades y necesidades para ejercer la prescripción de medicamentos. Resultados. La prescripción de medicamentos es una práctica frecuente en la mayoría de la población encuestada, sin relación con el trabajo que desempe an, la formación de postgrado o la experiencia laboral. Para ejercer esta labor, los encuestados consideran que necesitan formación en farmacología más que un respaldo legal; sin embargo, no reconocen esta actividad como parte de las funciones de su profesión. La prescripción de medicamentos por enfermeras se presenta en algunos casos como una función de la institución donde laboran. Conclusión. La prescripción de medicamentos es una práctica que se ejerce entre los enfermeros de la ciudad, y de acuerdo con los resultados presentados, requiere un debate académico, legal y gremial para ser considerada entre el quehacer de la profesión. Objetivo. Descrever os labores de prescri o de medicamentos que realizaram os profissionais de enfermgem na cidade de Cali (Col mbia) durante o ano 2008. Metodologia. Realizou-se uma enquete a 135 enfermeiras que laboram em diferentes tipos de servi os assistenciais ou administrativos sobre hábitos de formula o, percep es sobre sua forma o, capacidades e necessidades para exercer a prescri o de medicamentos. Resultados. A prescri o de medicamentos é uma prática frequente na maioria da popula o interrogada, sem rela o com o trabalho que desempenham, a forma o de pós-gradua o ou a experiência trabalhista. Para exercer este labor, os interrogados consideram que precisam forma o em farmacologia mais do que um respaldo legal; no entanto, n o reconhecem esta atividade como parte das fun es de sua profiss o. A prescri o de medicamentos por enfermeiras se apresenta em alguns casos como uma fun o da institui o onde laboram. Conclus o. a prescri o de medicamentos é uma prática que se exerce entre os enfermeiros da cidade, e de acordo com os resultados apresentados, requer um debate acadêmico, legal e do grêmio para ser considerada entre o afazer da profiss o. Objective. To describe the drug prescription duties held by nursing professionals in the city of Cali (Colombia) during the year of 2008. Methodology. A survey was applied to 135 nurses who
La Autoridad en el caso de una Alianza: Preguntas desde la gestión
Londoo C,Diana;
Pensamiento & Gestión , 2008,
Abstract: authority as a type of power is the characteristic selected by weber ([1922]1997) for describing the business enterprise. the new institutional economics (nie) has recognized authority as the explanation for the existence of the firms because it permits lowering coordination costs if compared with those of the market. today, cooperation agreements or alliances are common and some new institutional economists have considered the costs of structuring the contracts that make them pos- sible but they have left authority behind and with it, the coordination of activities in those alliances where no new firm is constituted. this subject is the one that is considered, and the analysis of one case is the source for the different questions asked. in the case studied, two parallel authority structures leave areas in which authority becomes diffuse and coordination debilitates.
La Autoridad en el caso de una Alianza: Preguntas desde la gestión
Diana Londoo C
Pensamiento & Gestión , 2008,
Abstract: La Autoridad como un tipo de poder es la característica seleccionada por Weber ([1922]1997) para describir la empresa capitalista y ésta ha sido reconocida por la economía neoinstitucional como explicación para la existencia de las firmas dada su capacidad para la disminución de costos de coordinación si se compara con los del mercado. Hoy son frecuentes los acuerdos de cooperación, y si bien se ha indagado sobre los costos de estructurar el contrato que los propician, se ha obviado el tema de la autoridad como base de la coordinación, la cual se queda sin sustento en esos tipos de acuerdos en los que no se crea una nueva empresa. Al rededor del tema se plantean preguntas apoyadas en el caso de una alianza en la que dos estructuras paralelas dejan espacios en los cuales la autoridad se desdibuja y se debilita la coordinación. Authority as a type of power is the characteristic selected by Weber ([1922]1997) for describing the business enterprise. The New Institutional Economics (NIE) has recognized authority as the explanation for the existence of the firms because it permits lowering coordination costs if compared with those of the market. Today, cooperation agreements or alliances are common and some New Institutional Economists have considered the costs of structuring the contracts that make them pos- sible but they have left authority behind and with it, the coordination of activities in those alliances where no new firm is constituted. This subject is the one that is considered, and the analysis of one case is the source for the different questions asked. In the case studied, two parallel authority structures leave areas in which authority becomes diffuse and coordination debilitates.
Papel de las metodologías de ense?anza del proceso lectoescritural en la educación superior
Cárdenas-Londoo,Rogelio;
Cuadernos de Contabilidad , 2009,
Abstract: the purpose of this paper is to analyze the different teaching strategies implemented by teachers in higher education to teach the processes behind the activities of reading and writing and to ponder which ones work properly in order to share them via an educational and didactic replica. the perspective of our reflections is a cognitive one, since this field of knowledge, apart from presenting an important methodological and categorical horizon, also reflects on the activities of reading and writing as incomplete processes in permanent need of revision and discussion. this paper goes through the following steps; first, we focus on identifying the different voices that define reading and writing as a social practice, both understood as a collection of actions, operations, and ideologies materialized in objects, texts, and exchanges of diverse nature. with that, we would like to underscore that reading and writing, apart from reacting to a particular context and history, both activities and skills have deep political implications vis-à-vis education and personal development. second, we attempt to get together successful strategies to show others, who are now starting to work in this field, that it is possible to establish a methodological road to better understand and teach both skills. finally, we want to incite the university's academic community to the construction of collaborative work networks that fosters dialogue among peers and boost the need for the creation of new spaces for reflection and action.
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