Algunas observaciones acerca de la atención médica de alta especialidad en México

Content Provider	Semantic Scholar
Author	Moreno, Juan García Tirado-Gómez, Laura Leticia Rojas-Russell, Mario Enrique Santiago, Ricardo Antonio Escamilla Pacheco-Domínguez, Reyna Lizzete López-Cervantes, Malaquías
Copyright Year	2013
Abstract	espanolobjetivos: Proponer un concepto de atencion medica de alta especialidad (AMAE), caracterizar su practica y valorar la creacion de una red de soporte interinstitucional de estos servicios. Material y metodos: Estudio cualitativo con 39 grupos de medicos especialitas. Con base en la «teoria fundamentada», se sistematizaron y categorizaron las variables, se compararon y establecieron las relaciones entre las categorias, y se integraron las referencias testimoniales consensuadas. Con las aportaciones sobre las caracteristicas de la practica, se integraron catalogos de servicios, validados por expertos. resultados: Se integro un concepto de AMAE y 39 catalogos de servicios de las especialidades participantes. conclusiones: La alta especialidad es un modelo de atencion deseable, pero no constituye un nuevo nivel de atencion medica. La practica medica actual se enfrenta a serias limitantes para poder ser catalogada como una verdadera alta especialidad. Por lo anterior, es mas conveniente considerar el concepto de tercer nivel de atencion para identificar las oportunidades de creacion de servicios de alta especialidad que actuen como focos de innovacion de la practica medica. Englishobjectives: To put forth the concept of highly specialized medical care, in agreement with the nature of its practice, and evaluate the feasibility of creating a support service network. Methods: Qualitative study of the current practice and requirements for 39 selected medical specialties, using the technique of focused groups of experts in each specialty. In accordance with the "Grounded Theory", variables were systematized and categorized and then compared in order to identify relationships between categories and link them to consensus testimonial references. On the basis of the characteristics of each kind of practice, one key expert integrated and validated service portfolios. results: We developed an integrated a concept for highly specialize medical care with 39 operational catalogs of those diagnoses that belong to each specialty, along with catalogs of the resources required by each specialty. conclusions: Highly specialized care is a desirable model for clinical practice, but does not constitute a different level of care. Currently, medical practice is constrained by the lack of well-defined boundaries and scarcity of resources in order to be conceptualized as high specialty. It is therefore more convenient to strengthen the concept of third level of care in order to identify opportunities for the establishment of high specialty areas that will in turn serve as the focal points for medical innovation.
Starting Page	175
Ending Page	182
Page Count	8
File Format	PDF HTM / HTML
Volume Number	149
Alternate Webpage(s)	http://www.paginaspersonales.unam.mx/files/751/Publica_20130521183245.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article