Percepción de la comunidad acerca de la calidad de los servicios de salud públicos en los Distritos Norte e lchilo, Bolivia

Cadernos de Saúde Pública

Barbara C. Gattinara¹  Jaime Lbacache¹  Carlos T. Puente¹  Jolanda Giaconi¹  Andrea Caprara¹ 

[1] ,Istituto Superiore di SanitàRome,Italy

关键词: Quality;    Public Services;    Health Services;    Community Perception;    Salud Publica;    Calidad;    Percepciones de la Población;    Servicios de Salud;   

DOI  :  10.1590/S0102-311X1995000300018

来源: SciELO

【 摘 要 】

The currrent study identifies the people perception on the quality of public health services in Norte and Ichilo health districts (Bolivia), with a particular emphasis on the relationshisp between heath workers and patients. Both qualitative and quantitative methods were utilised such as: survey, focus groups, participatory observation, unstructured interviews to Key informants and open discussions with the community. Results show that the public health services reputation is affected by elements as discriminatory attitude towards people belonging to a low socio-economic strata, lack of communication between health workers and patients, perceived insufficient technical skills and recognition of a low therapeutic efficacy. The people who are coming from highlands (collas) appear as the most disappointed by the health service provision structured on the western predominant pattern with a top-bottom approach ignoring its potential users' expectations and needs. A low capability of the public health services to accept and recognise the inter-cultural features of the region, makes that the challenge to be undertaken by the district health personnel should focus on the establishment of intercultural bridges betwen the public health service providers and the potential patients, as well as among the different co-existing medical systems.

【 授权许可】

CC BY   
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