| Percepción de la comunidad acerca de la calidad de los servicios de salud públicos en los Distritos Norte e lchilo, Bolivia Community perception on the quality of public health services delivery in the Norte and Ichilo districts of Bolivia</td>
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<td colspan="2" class="text5">关键词:
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Salud Publica"'>Salud Publica</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Calidad"'>Calidad</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Percepciones de la Población"'>Percepciones de la Población</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Servicios de Salud"'>Servicios de Salud</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Quality"'>Quality</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Public Services"'>Public Services</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Health Services"'>Health Services</a>;
<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oakeywords:"Community Perception"'>Community Perception</a>;
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<td class="text2" colspan="2" style="color: #2575A5;">DOI : 10.1590/S0102-311X1995000300018</td>
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<td colspan="2" class="text5" style="color: #2575A5;">来源:<a
href='http://oa.las.ac.cn/oainone/service/browseall/viewmore?ptype=JA&q= AND oasourcestr:"DOAJ"'>
DOAJ</a></td>
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<h6>【 摘 要 】</h6>
<p style="text-align: justify; text-indent: 2em;">
<abstract language="spa">El presente estudio identifica la percepción de la población respecto a la calidad de los servicios públicos de salud en los distritos Norte e Ichilo (Bolivia), enfatizando la relación entre los trabajadores de salud y los pacientes. Se utilizaron métodos cuantitativos y cualitativos tales como: encuesta, grupos focales, observación directa, entrevistas abiertas con informantes clave y discusiones abiertas con la comunidad. La coexistencia de culturas diferentes y de varios estratos socioeconómicos, hace que la relación entre el personal de salud y el paciente se efectúe en un marco multicultural. Los resultados muestran que la reputación de los servicios aquí estudiados está afectada por algunos elementos, tales como las actitudes discriminatorias hacia la gente que pertenece a un nivel socioeconómico bajo, problemas de comunicación entre el trabajador de salud y el paciente, la percepción de insuficiente capacidad diagnóstica y terapéutica. La baja capacidad de los servicios públicos de salud para aceptar y reconocer las características interculturales de la región, hace que el desafío a ser asumido por el personal de salud del distrito es el establecimiento de puentes interculturales entre los proveedores de los servicios públicos de salud y los pacientes potenciales, así como entre los diferentes sistemas médicos coexistentes.<br>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.</p>
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<h6>【 授权许可】</h6>
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