Deficiente cobertura de aseguramiento a médicos durante el servicio rural y urbano-marginal en Perú

Mejía, Christian R.; Quiñones-Laveriano, Dante M.; Espinoza, Klaudia G.; Quezada-Osoria, Claudia

doi:10.17843/rpmesp.2013.302.194

Cited by 10 publications

(9 citation statements)

References 17 publications

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“…Although there are differences between the countries, these programmes usually have three elements in common: (i) they are aimed at recently graduated professionals; (ii) they have a certain compulsory nature; and (iii) they are carried out in rural areas. However, in the last 20 years, the effectiveness of these programmes has been questioned in various international forums, as a consequence of significant deficiencies: limited training value, low monetary remuneration, lack of supervision, little or poor preparation of the workers to carry out their tasks in rural areas, high accident rates, and a scarcity of logistical resources and facilities in the areas where this service is performed (5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas

López-Morales

Rivera-Diaz

Ore-Zuñiga

et al. 2020

Front. Public Health

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Introduction: In Peru, recently graduated physicians and nurses who are willing to start working in the public healthcare system, first have to work in their newly acquired profession in the programme denominated “Servicio Rural Urbano y Marginal de Salud” (SERUMS). The SERUMS programme is a 1-year contract in rural areas of the country. The aim of this study was to confirm the following hypothesis: the development of abilities associated to professionalism has a positive effect on the perception of global well-being in the professionals beginning SERUMS.Material and methods: In the study two cohorts of medical and nursing professionals that started SERUMS in 2017 and 2019 were included. The perception of global well-being and general health condition were measured with the Scale of Life Satisfaction (SWLS) and the General Health Questionnaire (GHQ-28), respectively. Professionalism was measured using Jefferson's scales of empathy (JSE), teamwork (JSAPNC), and lifelong learning (JeffSPLL). An analysis in phases using the R language was applied to develop a multiple regression model that would explain the lineal relationship between the global perception of well-being and the studied variables.Results: The study sample included 303 professionals (108 men and 195 women) with a mean age of 26 years, ranging from 22 to 39 years (SD = 4). Based on their profession, 230 were medical doctors and 67 were nurses. The multiple regression model evidenced that age (p < 0.001), social dysfunction (p < 0.001), severe depression (p < 0.001), and inter-professional collaborative work abilities (p < 0.001) explain 38% of the variability in the global perception of well-being. Moreover, a second model explained 44% of the variability in the inter-professional collaborative work abilities based on a lineal relationship with empathy (p < 0.001), lifelong learning (p < 0.001), and future professional orientation (p = 0.01). Both models complied with the necessary conditions for statistic inference and showed large effect sizes.Conclusions: These findings confirm that professionalism has an important role in improving the global well-being of the professionals initiating SERUMS. This influence is direct in the case of inter-professional collaborative work, whereas it is indirect in the case of empathy and lifelong learning.

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Section: Introductionmentioning

confidence: 99%

Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas

López-Morales

Rivera-Diaz

Ore-Zuñiga

et al. 2020

Front. Public Health

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“…Estos factores pueden ser algunos de los que ya han reportado investigaciones previas, como los que son generados por problemas administrativos (2) , las consecuencias del clima y otros factores según la accesibilidad de la zona (3) , entre otros.…”

Section: Referencias Bibliográficasunclassified

SERUMS y la migración de médicos: a propósito de una cohorte de médicos de Lima

Mejía

Quiñones-Laveriano

2015

Rev Peru Med Exp Salud Publica

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“…Entre las falencias y riesgos reportados en el SERUMS peruano se encuentran: un deficiente aseguramiento en salud así como contra accidentes y muertes para los que realizan este servicio (16) , serumistas con una salud mental alterada (17) y una de las tasas de mortalidad de médicos recién egresados más grande del mundo, Tabla 1. Áreas críticas del servicio social de salud en Latinoamérica (6) Áreas críticas Falta de una política tangible y dinámica de recursos humanos en salud Obligatoriedad del servicio…”

Section: Evidencias Disponibles Sobre El Serumsunclassified

El requisito obligatorio del servicio social en salud del Perú: discriminatorio e inconstitucional

Mayta‐Tristán

Poterico

Galán-Rodas

et al. 2014

Rev Peru Med Exp Salud Publica

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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.

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Deficiente cobertura de aseguramiento a médicos durante el servicio rural y urbano-marginal en Perú

Cited by 10 publications

References 17 publications

Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas

Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas

SERUMS y la migración de médicos: a propósito de una cohorte de médicos de Lima

El requisito obligatorio del servicio social en salud del Perú: discriminatorio e inconstitucional

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