Introduction: nursing is the pillar of the health system that is oriented in a scientific and humanistic way to the care of the person, family, groups, and communities. Qualitative historical-documentary research was carried out whose objective of this article is to describe the historical evolution and innovation in the Bachelor's Degree in Nursing at the University of Buenos Aires (UBA). Nursing acquired its character as a university degree in 1960 and is structured in two cycles. The teaching scenarios of the career are organized in the central academic unit and in a decentralized manner in 16 Nursing Teaching Units distributed in the City and Province of Buenos Aires. The future perspectives and focus on career innovation include promoting scientific research, editorial management and scientific publication, health communication, clinical simulation, telehealth, and advanced education, as well as training in teaching and research careers and continuation in programs of postgraduate programs to all those who work in higher education and optimize the study plan in accordance with national curricular standards, which strengthened the narrative of the topics presented at the VIII institutional nursing conference of the UBA on November 24, 2023. Objective: to characterize the origins of nursing in Argentina and in the regional context linked to patterns that typify the birth and development of the Bachelor of Nursing degree at the UBA in epoch and contextual terms, highlighting the sociohistorical and institutional contributions both in the unit central academic center and in the nursing teaching units where the program operates, crystallizing the integrative dimensions that work in university life. Method: qualitative historical-documentary research. The research methods used were both theoretical and empirical. The theorists facilitated fulfilling the epistemological function of the conceptual interpretation of the information, which were: Analytical-Synthetic; Deductive-Inductive and Historical-Logical: Development: a dialectical, discursive sequencing and a narrative of events that appeal to organizational values or define in a sense attribute of the reference institution that anchors in amalgamation with the mission and vision of the Bachelor of Nursing degree at the UBA were programmed. Conclusions: the process of making the proposal programmed for the VIII institutional day of the Bachelor of Nursing degree at the UBA was enhanced as in a tessellar network, as it represented an organizational, operational and collaborative logic that highlighted the unity in action, guided by the leadership and direction of the course direction and with notable support in terms of the presence of prominent authorities from the House of Higher Studies itself, the Ministry of Health of the Nation and the Autonomous City of Buenos Aires, of disciplinary organizations: Argentine Nursing Federation, Nursing Association of the Federal Capital, Association of University Schools of Nursing of the Argentine Republic, Argentine Nursing Networks, career directors of local universities, as well as the UBA educational community made up of students, teachers, graduates, directors, coordinators of headquarters, areas and commissions that the convergence space selected for the occasion has flourished in the imposing Aula Magna “José Arce”, with a spirit of joy commemorating on such an occasion Nursing Day in Argentina, as an anniversary declared of interest by the race managers, focused on history and innovation
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, México., Emanuel Orozco, Jacqueline Elizabeth Alcalde‐Rabanal, Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, México. · 8 authors
OBJECTIVE:: To show that the administrative regime of specialized hospitals has some influence on the administrative processes to operate the Mexican Fund for Catastrophic Expenditures in Health (FPGC, in Spanish), for providing health care to breast cancer, cervical cancer and child leukemia. MATERIALS AND METHODS:: The variable for estimating administrative efficiency was the time estimated from case notification to reimbursement. For its estimation, semistructured interviews were applied to key actors involved in management of cancer care financed by FPGC. Additionally, a group of experts was organized to make recommendations for improving processes. RESULTS:: Specialized hospitals with a decentralized scheme showed less time to solve the administrative process in comparison with the model on the hospitals dependent on State Health Services, where timing and intermediation levels were higher. CONCLUSIONS:: Decentralized hospitals administrative scheme for specialized care is more efficient, because they tend to be more autonomous.
Nader Markazi Moghaddam, Aidin Aryankhesal, Mohammad Arab
BACKGROUND: Liberalization and decentralization of public sector has been triggered in some developing countries and in Iran by the Ministry of Health and Medical Education (MOHME) that granted autonomy to 54 public hospitals. However, establishment of such a complex organizational reform was rather unsuccessful. We aimed to explore the obstacles and barriers caused such a failure and their mechanisms. METHODS: Using a qualitative approach in 2013, we consulted key informants at the autonomous hospitals and their affiliating universities. Data collection was done within two phases: (i) 276 unstructured questionnaires asking respondents of barriers, and (ii) 23 semi-structured interviews from the first phase's key respondents. The first phase data were analyzed using thematic analysis and the second's by framework approach based on the frame shaped at the first phase. RESULTS: Nine obstacles were recognized including "autonomous hospitals' board composition", "delay in announcing autonomous hospitals' charges by the MOHME", "lack of financing by the committed organizations", "poor follow up for implementation of the reform", "irregular board meetings", "lack of an external overseer", "shortage of full-time physicians", "lack of management stability", and "health insurance organizations' delayed payments". CONCLUSION: The MOHME and insurance organizations did not pay the reform expenses. There were some competing motives as well to slow the reform or to shut it down. The stages of policy formulation and implementation were done separately in Iran, so this big organizational reform encountered serious obstacles.
Since the decade of 1939 the mexican governments focussed the health cure of the poor, children and peasants as public health problems. During the decade of 1980 financement, demographic transition, epidemiological transition problems and the prevailing political situation geared to a health services' decentralization. Presently the mexican health system is composed by public organisms, social security services and private health services. This paper examines some of their problems -resources, eficiency, equity, patients' satisfaction and quality- from the social medicine perspective.
OBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.