- PUBLICADO:
RISS. Modelo asistencial.
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El impacto de los casos exitosos demuestra Mayor disponibilidad de recursos, Mejoramiento de procesos clínicos y administrativos,
Mayor cobertura y acceso a servicios, Mayor equidad en el acceso, Mejor calidad técnica de servicios, Mayor eficiencia y productividad, Mayor satisfacción de los usuarios, Mayor participación ciudadana, Mejores niveles de salud.
Barreras para RISS.
1. Segmentación y debilidad institucional del sistema de salud, incluyendo debilidad en la función rectora del sistema
2. Reformas sectoriales de los años 80s y 90s (privatización del aseguramiento de la salud; carteras de servicios de salud diferenciadas entre distintos aseguradores; competencia entre proveedores para la captación de recursos; diversificación y precarización de regímenes laborales del personal de salud; y esquemas regresivos de recuperación de Costos)
3. Grupos de intereses opuestos de gran poder (especialistas y ultra especialistas; aseguradoras privadas; industria de medicamentos, insumos, etc.)
4. Modalidades de financiamiento externo que privilegian programas verticales
5. Deficiencias de sistemas de información, monitoreo y evaluación
6. Debilidades de gestión
Facilitadores para RISS
1. Compromiso y apoyo político de alto nivel para el desarrollo de las RISS
2. Disponibilidad de recursos financieros
3. Liderazgo de la autoridad sanitaria y los gestores de servicios
4. Desconcentración y flexibilidad de la gestión local
5. Incentivos financieros y no financieros alineados con el desarrollo de RISS
6. Cultura de colaboración y trabajo en equipo
7. Participación activa de todas las partes interesadas
8. Gestión basada en resultados
Redes Integradas de Salud RISS – Modelo asistencial.
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