resuMenEl 2008 estuvo marcado por la continuación de un proceso electoral interno en los partidos políticos, que se prolongó largamente y que se libró sin cuartel, presagiando el tono de los comicios generales de mayo de 2009. También ha sido un año especial por la inusual inflación que movilizó a importantes sectores para exigir mejoras salariales, más subsidios e, incluso, control de precios. No obstante, el país siguió creciendo a tasas muy por encima del promedio latinoamericano y registró una importante caída en la pobreza y la indigencia. Desde afuera Panamá puede parecer un paraíso, pero su evidente imperfección corre el riesgo de profundizarse.Palabras clave: Panamá, democracia, crecimiento económico, elecciones, gobernabilidad. AbstrAct was marked by the continuation of an internal election process within political parties
Objetive: the purpose of this study is to analyze and interpret how a group of nurses working at a Primary Health Care Center perceives cultural diversity. This involves describing their relationship with migrants, taking into account the attitude they have and the strategies they employ when attending these patients. Methodology: qualitative design through semi-structured interviews developed in a Primary Health Care Center in Murcia (Spain). Analysis was carried out through coding, saturation and triangulation of the interviews, with the support of the data analysis software MaxQda® Results: this group of nurses associate cultural diversity with economic migrants, and label them in different ways. Their attitude in this respect strives to give equal health care to every patient. However, the language and cultural barrier they face on a daily basis makes them disagree on the clinical practice, so they suggest strategies to overcome this issue. Final thoughts: the presence of patients from diverse cultures in health care and the importance of providing culturally consistent care are obvious facts. Language and cultural barriers, as well as social prejudices and stereotypes, represent a barrier to establish a therapeutic relationship and practice Health Education.
From 1970's theorists in History have noted the arrival of a new era known as Postmodernity, late-Modernity or reflexive Modernity. This new era, our current time, comes marked by the end of the 'great stories' that made western world comprehensible since ancient times, and cracking old certainties and putting the Subject in terms of social atomization and an accused self-responsibility. These ideological and social changes have brought profound consequences in many spheres (fields, scopes) in western human life, such as work, social (personal) relationships or politics, from where medicine and western practices don't (seem to) escape. On this basis, this article tries to analyze, firstly, the meanings and difficulties of this new era; from there, and secondly, it tries to understand the consequences that these changes and variations are assuming for professionals in the fields of medicine and health.Keywords: change of era, medicine and western medical practice, epistemological Review, simple and reflexive scientific approach, new paradigm. RESUMENDesde los años 70 del pasado siglo, los teóri-cos de la historia han señalado el advenimiento de una nueva época, adjetivada como postmodernidad, Modernidad tardía o Modernidad reflexiva. Este nuevo tiempo, el nuestro, vendría marcado por el fin de los grandes relatos que hicieron comprensible el mundo humano occidental desde la Antigüedad, resquebrajando las viejas certidumbres y arrojando al sujeto a la atomización social y la auto-responsabilidad exacerbada de su propia existencia. Estas transformaciones ideológicas y sociales han traído Ser profesional sanitario en el siglo XXI: algunos apuntes*
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