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2015, Number 3

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Rev Cubana Med Gen Integr 2015; 31 (3)

Family as an unclear category in primary care in chilean health system

Egaña RD, Barría IS

Language: Spanish
References: 25
Page: 363-375
PDF size: 129.60 Kb.


ABSTRACT

Introduction: In health terms, the realization that the individual is not a purely biological entity, has to be incorporated in a psychosocial dimension analysis. Family health relieves the centrality of family in the regulatory function of health. However, the difficulty of translating these theoretical approaches into clinical practice has been pointed out repeatedly.
Objective: Study the Chilean model of the comprehensive primary health care for family and the community from distinguishing between members of a family and families as a whole.
Methods: A literature review and content analysis was conducted on policy documents produced by the Chilean Ministry of Health, referred to the "model of comprehensive health care", after the health care reform implemented in 2005.
Conclusions: the Chilean model is based on family health but its actions are mainly focus in the members of the family rather tan on the family itself. Out of the instruments used, Comprehensive Health Visiting is the closest to the actual work with the family as the unit of intervention.


REFERENCES

  1. Domínguez J. La medicina familiar en México y el mundo. Arch Med Fam. 2003;5(4):136-9.

  2. Santacruz J. La Familia Unidad de Análisis. Rev. Med. IMSS (Mex) 1985;21(3):348-57.

  3. Louro I. Modelo de salud del grupo familiar. Rev Cub Salud Pública 2005;31(4):332-37.

  4. Gilliss C. The family as a unit of analisys: strategies for the nurse researcher. ANS Adv Nurs Sci. 1983;5(2):50-9.

  5. Velandia A. Conceptualización sobre la familia dentro del enfoque de la medicina social. Av Enferm. 1994;XII(2 y 3):9-15.

  6. Louro I. La familia en la determinación de la salud. Rev Cub Salud Pública 2003;29(1):48-51.

  7. Vivar C. The family as a unit of analysis: a challenge for nursing. Invest Educ Enferm. 2013;31(3):339-40.

  8. Chesla C. Do Family Interventions Improve Health? J Fam Nurs 2010;16(4):355- 77.

  9. Ganong L. Selecting Family Measurements. J Fam Nurs 2003;9 (2):184-205.

  10. Beck-Gernsheim E. La reinvención de la familia. En busca de nuevas formas de convivencia. Barcelona: Paidós; 2003.

  11. Valdés X. Familias en Chile: rasgos históricos y significados actuales de los cambios. Santiago: CEPAL; 2004.

  12. Valdés X. Notas sobre la metamorfosis de la familia en Chile. Santiago: CEPAL; 2007.

  13. Bertalanffy L. General system theory; a new approach to unity of science. Hum Biol. 1951;23(4):302-12.

  14. Hartmann M, Bäzner E, Wild B, Eisler I, y Herzog W. Effects of Interventions Involving the Family in the Treatment of Adult Patients with Chronic Physical Diseases: A Meta-Analysis. Psychother Psychosom. 2010;79:136-48.

  15. Robinson, C. Unifying Distinctions for Nursing Research with Persons and Families. J Fam Nurs 1995;1(1):8-29.

  16. MINSAL. Modelo de Atención Integral en Salud. Cuaderno Modelo atención Nº 1. Santiago: Gobierno de Chile; 2005.

  17. MINSAL. Manual de Apoyo a la Implementación del Modelo de Atención Integral con Enfoque Familiar y Comunitario en Establecimientos de Atención Primaria. Santiago: Gobierno de Chile; 2008.

  18. MINSAL. En el camino al centro de salud familiar. Santiago: Gobierno de Chile; 2008.

  19. MINSAL-OPS. Orientaciones para la implementación del modelo de atención integral de salud familiar y comunitaria. Santiago: Gobierno de Chile; 2013.

  20. Baird MA, Marvel MK, Schilling R, Doherty WJ. Levels of physician involvement with patients and their families. A model for teaching and research. J Fam Pract. 1994 Dec;39(6):535-44.

  21. MINSAL. Orientaciones Técnicas Visita Domiciliaria Integral para el Desarrollo Biopsicosocial de la Infancia. Santiago: Gobierno de Chile; 2009.

  22. MINSAL. Orientación Técnica Programa de Atención Domiciliaria a personas con Dependencia Severa. Santiago: Gobierno de Chile; 2014.

  23. CEPAL. Familia y nupcialidad en los censos latinoamericanos recientes: una realidad que desborda los datos. Santiago: CELADE/CEPAL; 2011.

  24. Almeida N. Epidemiología sin números. Paltex N° 28. Washington: OPS; 1992.

  25. Pusche K, Téllez A, Montero J, Brunner A, Peñaloza B, Rojas MP, Poblete F, Pantoja T. Hacia un Nuevo modelo de atención primaria en salud. Evaluación del proyecto de salud familiar Ancora UC. Estud Publicos, 2013;130(otoño):23-52.




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