RESUMENEl servicio rural y urbano marginal en salud (SERUMS) es una actividad que realizan solo los profesionales de la salud al Estado peruano, ya que constituye un requisito obligatorio para optar por la segunda especialidad o para trabajar en un centro de salud público, y obtener becas del gobierno para futura capacitación. Los escasos cambios legales en el reglamento de este programa social y el enfoque de "servicio" restringido a los profesionales de salud conllevan a que esta política sea discriminatoria e inconstitucional por atentar contra el derecho a la educación y al trabajo. No hay evidencia científica que sustente la utilidad y efectividad de este programa, tanto en la calidad de servicio y mejora de indicadores sanitarios, como en la adecuada distribución y retención de profesionales de salud. Sugerimos abolir el requisito de obligatoriedad y replantear una estrategia política que ayude a atraer y retener a los profesionales de la salud en zonas vulnerables del Perú.
Palabras clave: Recursos humanos; Distribución de médicos; Trabajadores rurales; Salud pública; Políticas; Perú (fuente: DeCS BIREME).
MANDATORY REQUIREMENT OF SOCIAL HEALTH SERVICE IN PERU:DISCRIMINATORY AND UNCONSTITUTIONAL
RESUMENThe rural and urban-edge health service (SERUMS) is an activity that only health professionals perform for the Peruvian government, as it is a mandatory requirement to qualify for a second specialty or to work in public hospitals and public health care facilities, and obtain government scholarships for future training. The few legal changes in the rules of this social program and the focus of "service" restricted to health professionals lead to a perception of this policy as discriminatory and unconstitutional because it violates the right to education and work. There is no scientific evidence that supports the usefulness and effectiveness of this program in terms of quality of service and health indicator improvement, as well as in adequate distribution and retention of health professionals. We suggest to abolish the compulsory requirement and to reformulate a political strategy to help attract and retain health professionals in vulnerable areas of Peru.
La violencia, en cualquiera de sus formas, es un acto inaceptable caracterizado por la pérdida elemental del respeto por la dignidad e integridad de la persona humana. Cuando esta agresión se dirige contra el personal de salud en funciones, quienes se exponen diariamente en la loable labor de asistir, curar y acompañar a una persona que necesita de ellos para recuperar o mantener su salud, no debe ser tolerada y se tiene que buscar los mecanismos necesarios para protegerlos [1]. Lamentablemente, la violencia contralos trabajadores de la salud es cada vez más frecuente, diversos reportes en Estados Unidos [2], China [3], India [4], España [5], Bélgica [6] estiman que al menos uno de cada dos médicos ha tenido una experiencia de violencia en el lugar de trabajo en su vida, la cual puede ser verbal, psicológica, física o sexual.
Purpose
This study aims to evaluate the association between ethnic minority membership and their knowledge about their human health rights in Peru.
Design/methodology/approach
A secondary analysis of the National Health User Satisfaction Survey 2015–2016 was conducted using an analytical cross-sectional design. Participants who spoke Quechua, Aymara, Awajun, Bora or a language other than Spanish aged 15 year were considered as a racial minority. The question “Do you know that by law you have health rights?” was applied to incorporate knowledge on health rights. Generalized linear models of the Poisson distribution were used to calculate crude prevalence ratio and adjusted prevalence ratio. A total of 3,721 responses were included in the analysis.
Findings
The average age was 38.3 year, and 26.6% were males. The prevalence of belonging to an ethnic minority was 7.7%, and 27.6% of the participants did not know about their health rights. An association was found in the adjusted regression analysis between belonging to an ethnic minority and a greater probability of not knowing human health rights.
Originality/value
The value of the works lies in one in four participants who did not know he had health rights by law. Belonging to an ethnic minority was associated with not knowing about having human health rights.
Mariana ISERN 3Resumen: Esta investigación expone las condiciones por las cuales el juez peruano pueda inaplicar un precedente emitido por el Tribunal Constitucional en ejercicio de su independencia jurisdiccional. La jurisprudencia internacional y nacional consultadas y emitidas por los órganos de control constitucional competentes arroja como resultado que el juez puede inaplicar un precedente bajo ciertos parámetros que deben estar contenidos en su decisión.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.