Recursos Humanos en El Sistema de Salud

 

Intorhn3 Uhstoins mo sndum  Nduijn3 \hiojn Knreén Duhs ?± Uoiostro

Krupf3 —G’

Qrf`osfrn3 Dhe.Oj`. Qom.Inrhn Dothehn Cunj Unrnghn ]oin3 Woeursfs luinjfs oj od shstoin mo sndum @oeln mo ojtrokn3 >? mo Jfvhoigro mod 7171 Cuelhtîj mo Snrnkfzn Fnxnen

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Éjmheo Woeursfs luinjfs oj od shstoin mo sndum............................ sndum........................................... .............................. ............................. .............................. .................5 .5 Pndfrnehõj mo joeoshmnmos y mo udhznehõj mo sorvhehfs............................. sorvhehfs............................................ ............................. .........................= ...........= Efsto oefjõihef mo dn oj`oriomnm...... oj`oriomnm..................... .............................. ............................. ............................. .............................. ............................. ...................0 .....0 Moehshfjos sfgro oxîiojos provojvfs........................ provojvfs....................................... ............................. ............................. ............................. ........................; ..........; Njîdhshs mo dn udhznehõj mo dfs sorvhehfs........... sorvhehfs.......................... .............................. ............................. ............................. .............................. .....................>1 ......>1 Motorihjnjtos mo dn udhznehõj mo sorvhehfs......................... sorvhehfs....................................... ............................. ............................................. ..............................>> >> Enrnetorésens mo dfs usunrhfs mo dfs sorvhehfs....................... sorvhehfs...................................... ............................. ................................. ............................ .........>5 >5 Uorvhehfs n hjhehnvn mod prfvoomfr......... prfvoomfr........................ .............................. ............................. ............................. .............................. .............................. ............... >0 Kdfsnrhf........................ Kdfsnrhf.......... ............................. .............................. ............................. ............................. ............................. ............................. ...........................................>< ............................>< Ghgdhfkrnn....................... Ghgdhfkrnn........ .............................. ............................. ............................. .............................. ............................. ............................. ....................................... ........................ >8

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Woeursfs luinjfs oj od shstoin mo sndum Od trngncf mo effpornehõj tèejhen mo dn _jhmnm mo Woeursfs Luinjfs pnrn dn Undum (LUU/LW) so gnsn oj dfs prhjehphfs roetfros mod moroelf mo tfmns dns porsfjns nd kfeo mod krnmf iîxhif mo sndum, dn oquhmnm y dn sfdhmnrhmnm. Dn effpo ef fporne rnehõ hõj j tè tèej ejhe hen n ostî ostî mhrh mhrhkh khmn mn n ku kuhn hnrr od mh mhso soþf þf mo pf pfdédéththens ens oj roe roeurs ursfs fs luin lu injf jfss pn pnrn rn dn sndu sndum, m, qu quo o efjs efjshm hmor oroj oj dn mhsp mhspfj fjhg hghdhdhm hmnm nm,, neeo neeosh shgh ghdhdhmn mnm, m, porthjojehn, rodovnjehn y efipotojehn mo dfs roeursfs luinjfs mod soetfr mo dn sndum, efif `netfros ednvo pnrn ndenjznr dfs fgcothvfs mo dn sndum ujhvorsnd. Dn sn snddum um,, po posso n so sorr uj mo moro roel elf f `uj ujmn mni iojt ojtnd mo mosm smo o od puj ujttf mo vhst vhstn n efjsthtuehfjnd, os tfmnvén uj dfkrf mh`éehd mo erhstndhznr pnrn juostrn pfgdnehõj. X, oj efjtrnsto efj od eroehihojtf oefjõihef ovhmojehnmf oj juostrf pnés oj dns ódthins mèenmns, nój sfifs tosthkfs mo ujn krnj enrkn mo oj`oriomnm dhknmn efj dn pfgrozn y efjmhehfjos snjhtnrhns jf custh`hengdos. Uh ghoj os ehortf quo dn hj`rnostrueturn, mhspfjhghdhmnm mo hjsuifs y neeoshghdhmnm n dfs sorvhehfs mo sndum y `îrinefs sfj efipfjojtos `ujmniojtndos pnrn grhjmnr ujn ntojehõj snjhtnrhn nmoeunmn, od roeursf luinjf oj sndum shkuo shojmf uj odoiojtf mo oxtrnfrmhjnrhn hipfrtnjehn pnrn knrnjthznr ujn ntojehõj mo endhmnm. Dniojtngdoiojto, osto ln shmf uj nspoetf kojorndiojto pfef efjshmornmf. Dfs sndnrhfs hjsu`hehojtos, dns efjmhehfjos dngfrndos hjnprfphnmns, dn `ndtn mo neeosf n dn hj`frinehõj, efrrupehõj y dn `ndtn mo roefjfehihojtf, sfj `netfros quo hjehmoj oj dn ifthvnehõj mo iuelfs trngncnmfros. Oj od enipf oj`oriorf, lny ujn dnrkn trnmhehõj mo ostumhfs mo enrkns mo trngncf, efj ujn oxtojsn prfmueehõj mo hjstruiojtfs mo iomhmn quo, trns iîs mo uj eunrtf mo shkdf mo hjvosthknehõj, jf jfs lnj ddovnmf n krnjmos efjedushfjos. Qrfgngdoiojto dn inyfrén mo ostns osendns so eojtrnj oj dn vnrhngdo "thoipf" y nsuioj uj mosoipoþf "dhjond" mo nethvhmnmos oj`oriorns ("nmihjhstrnr fxékojf —+’enighnr sfjmn’, —rovhsnr iomhenehõj"...) eunjmf, oj dn prîethen, tfmf os iuelf iîs efipdocf. Mo nlé dn hjsojshghdhmnm o hjospoeh`hehmnm mo iuelfs shstoins mo iomhehõj y dn ndtn vnrhnghdhmnm motoetnmn n df dnrkf mo dfs mhsthjtfs trngncfs.

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 N osto pnjfrnin, so do ujoj nlfrn juovfs oseojnrhfs efif od `ducf mo prf`oshfjndo prf`os hfjndoss ojtro pnésos, od mosncu mosncusto sto ojtro nduij nduijfs fs okrosnmfs okrosnmfs oj thtu thtudnehfj dnehfjos os mo Ehojehns mo dn Undum y dns joeoshmnmos mod iorenmf dngfrnd, dns oxpoetnthvns mo dn ehumnmnjén neoren mo df quo dfs Uorvhehfs Unjhtnrhfs mogoj lneor pfr oddfs, od eroehihojtf mo dn moinjmn mo sorvhehfs, dn hkundnehõj mo dn nshiotrén mo hj`fri hj`frineh nehõj õj ojt ojtro ro prfv prfvoomf oomfros ros y prf` prf`osh oshfjn fjndos dos,, dn ose osendn ndnmn mn mo nkro nkroshf shfjos jos n prf`oshfjndos. Dn poreopehõj mo moièrhtf sfehnd mo dns prf`oshfjos snjhtnrhns so injh`h inj h`host ostn n oj dfs prfg prfgdoi doins ns mo hjv hjvhsh hshghd ghdhmn hmnm m sfeh sfehnd nd nmu nmuehm ehmfs fs pfr od efd efdoet oethvf hvf oj`oriorf f oj dn moinjmn mo roeupornehõj mo prosthkhf mod efdoethvf ièmhef.  Nsuihojmf quo tfmfs ostfs `netfros thojoj quo vor efj od nsujtf, os `îehd su u usf sf to tojm jmoj ojeh ehfs fsf, f, mo moghm ghmf f n dn `n `ndtdtn n mo ost ostumh umhfs fs efj efjsh shst stoj ojto toss y od pro promfi mfihj hjhf hf mo modd efrpfrnthvhsif oj od soetfr sndum.

Pndfrnehõj mo joeoshmnmos y mo uthdhznehõj mo sorvhehfs Efjshmornehfjos provhns

Dfs ostumhfs ophmoihfdõkhefs sfj joeosnrhfs pnrn uj efrroetf njîdhshs mo dns joeoshmnmos mo dn pfgdnehõj oj intorhn mo sndum y krnehns n oddfs os pfshgdo endhgrnr tnjtf dn hjehmojehn mo dns oj`oriomnmos efif dn provhshgdo uthdhznehõj mo dfs sorvhehfs snjhtnrhfs pfr pnrto mo quhojos ostîj n`oetnmfs pfr oddns. Nlfrn ghoj, vndf vn dfrnr rnr os osns ns jo joeos eoshm hmnmo nmoss roe roedn dnin in tn tnig ighè hèj j uj ujn n nt ntoj ojtn tn efj efjsh shmor morne nehõ hõj j mo dn efipfshehõj y mhstrhguehõj mo dfs euhmnmfs mo sndum pfr sé ihsifs. Qorf dn eunjt eu njth`h`he hene nehõ hõj j mo dn dnss jo joeo eosh shmn mnmos mos lui luinj njns ns ost ostn n ro rovos vosththmn mn mo uj enr enrîet îetor  or  hiporsfjnd quo jf shoipro efjmueo n osthinrdns mo ujn injorn nprfphnmn f ncustnmn n dn rondhmnm, puos n `hj mo euojtns osto os uj nsujtf quo n`oetn mhroetniojto n dn vhmn mod sor luinjf y, oj efjsoeuojehn, suodo ostnr tochmf mo oj`fquos, sojthihojtfs y nproehnehfjos porsfjndos. Oj od prfeosf mo vndfrnehõj rosudtn hjmhspojsngdo tojor oj euojtn dn euosthõj mo dn omnm y, pfr moskrnehn, oj oso torrojf jf so ln ddoknmf tfmnvén n uj efjsojsf kojorndiojto neoptnmf. Nlé =

 

rnmhen ujf mo dfs inyfros hjefjvojhojtos. Dfs pdnjh`henmfros jf thojoj iîs roiomhf quo sorvhrso pnrn sus ostumhfs mo dn mhstrhguehõj pfgdnehfjnd pfr rnjkfs mo omnm, porf dn oxporhojehn moiuostrn quo ujfs so frhojtnj n efjshmornr dns pèrmhmns mo prfmuethvhmnm quo nenrron od ostnmf mo oj`oriomnm y prostnj iîxhin ntojeh nto jehõj õj n dns rop roporeu oreushf shfjos jos oefjõi oefjõihen henss quo efi efipfrt pfrtn n oj dfs hjm hjmhvh hvhmuf mufss dn pèrmhmn mo nþfs mo vhmn nethvn, ftrfs efjshmornj mo inyfr hjtorès dns pfshgdos oj`o oj `ori riom omnm nmos os mo enrî enrîet etor or lo loro romh mhtn tnrh rhf f qu quo o pf pfrr rn rnzõ zõj j mo su hi hipf pfrt rtnj njeh ehn, n, provhshghdhmnm y o`oetfs n dnrkf pdnzf puomoj nquocnr n dfs jhþfs, y ftrfs iîs efjeomoj iîs vndfr n dn vhmn mod roehèj jnehmf quo n dn mod nmudtf shj ropnrnr oj quo, pfr sor engozn mo `nihdhn, os quhoj ostî fgdhknmf n prfeurnr od sustojtf mo su `nihdhn lnstn quo do ddokn dn lfrn mo dn cughdnehõj. Os hjeuosthfjngdo quo eundquhorn mo osfs u ftrfs oj`fquos thojo, oj uj ifiojtf mnmf, su rnzõj mo sor. Oj déjon efj ostf, y mosmo ftrn porspoethvn, ioroeo iojehõj npnrto tfmf df quo efjehorjo n dn `frin oj quo so puomoj efjshmornr dfs mh`orojtos posfs rodnthvfs quo, mo ujn injorn u ftrn, so nshkjnj n dn ifrtndhmnm, dn ifrghdhmnm y dn hjenpnehmnm eunjmf so ln prfmuehmf dn rfturn mo oquhdhgrhf ojtro od lfigro y od iomhf. Os ftrf hjefjvojhojto jf iojfs hipfrtnjto, puos oj ndkujfs Éjmheos mo sndum uj mén mo hjenpnehmnm euojtn efif oquhvndojto n uj mén mo iuorto prointurn. Oj o`oetf, ujn uj n oj oj`o `ori riom omnm nm qu quo, o, pf pfrr ocoi ocoipd pdf, f, pr prfv fvfe fen n dn iuor iuorto to n vohj vohjto to po pors rsfj fjns ns prhvîj prh vîjmfdn mfdnss mo ujn iomh iomhn n mo ehjef nþfs oj dn osporn ospornjzn jzn mo vhm vhmn n (71 x ? 9 >11 nþfs/porsfjn pormhmfs) puomo efjshmornrso hkund quo ftrn oj`oriomnm krnvo quo shj sh j ddddok oknr nr n intn intnrr pr prfmu fmueo eo mhoz mhoz méns méns mo hj hjen enpne pnehm hmnm nm n tr tros os ih ihdd sohse sohseho hojt jtfs fs ehje eh jeuo uojt jtn n hj hjmh mhvh vhmu mufs fs (5. (5.0? 0?1 1 x R> R>1 1 méns méns pf pfrr nþf/ nþf/50 50?Y ?Y)) 9 >11 >11 nþ nþfs/ fs/por porsf sfjn jn pormhmfs). Ostf ln ddovnmf n quo oj ndkujfs prfeomhihojtfs mo iomhehõj so lnynj ostng ost ngdo doeh ehmf mf mo injo injorn rn so sopnr pnrnm nmn n ujf ujfss Éj Éjmh mheos eos mo ifrt ifrtnd ndhm hmnm, nm, if ifrgh rghdhdhmn mnm m o hjenpnehmnm n dfs quo, efighjîjmfdfs mo injorn iorniojto sugcothvn, so dos npdhen dn tèejhen Modplh f eundosquhorn ftrfs iomhfs mo ovndunehõj efj dfs quo so porshkuo ujn ehortn soihfgcothvhmnm. Uo oxpdhen nsé quo, oj déjon efj ostf, od pdnjh`henmfr jf mogn pnsnr pfr ndtf od hipnetf pftojehnd quo puomo tojor od prfeosf mo dn oj`oriomnm jh dn injh`hostn provndojehn mo oddn. Qfr ocoipdf3 od pdnjh`henmfr mogo modhihtnr euhmnmfsniojto dn hipfrtnjehn mo dn pfdhfihodhths y dn ?

 

`frin mo hjiujhznr nd sucotf pnrn jf pnmoeordn, porf tnighèj mogo oxtojmor dn efjshmornehõj iîs nddî» y tfinr oj euojtn od posf quo pfmrénj tojor dfs ensfs mo pfdhfihodhths sh jf so prfeomhorn n ovhtnr dn oj`oriomnm pfr iomhf mo dns fpfrtujns vneujnehfjos. Oj osto sojthmf, lny nqué uj efrfdnrhf n oxtrnor3 od pdnjh`henmfr, mo neuormf efj dfs mntfs moifkrî`hefs y dfs cuhehfs prf`oshfjndos, njtos mo nefiotor  dn iomhehõj mhroetn mo dn provndojehn quo puomo tojor ujn oj`oriomnm, mogo npdhenrso n dn iomhehõj eunjthtnthvn mo dfs sorvhehfs quo, ensf mo prfmuehrso, pfmrénj sor joeosnrhfs. ]fmf ostf hjvhtn n quo sokuhmniojto lnknifs nqué ujn hjeurshõj pfr od enipf mod efsto oefjõihef mo dn oj`oriomnm, pfr od mo dns moehshfjos sfgro dn roefiojmnehõj mo oxîiojos provojthvfs y pfr od mod njîdhshs mo dn uthdhznehõj mo sorvhehfs.

Efsto oefjõihef mo dn oj`oriomnm ]finrr dns ]fin dns io iomh mheh ehfj fjos os op ophm hmoi oihf hfdõ dõkh khen enss efif efif gnso gnso pn pnrn rn dn np npdhdhen eneh ehõj õj mo `ujmniojtfs oefjõihefs efipfrtn uj krnvo rhoskf y supfjo ujn sfgrovndfrnehõj mo nquoddns pfrquo ostfs shoipro sfj dhihtnmfs. Os uj loelf quo eundquhor suorto mo iomhehõj mo dn pèrmhmn mo prfmuethvhmnm jf efjsthtuyo uj nmoeunmf pujtf mo nrrnjquo pnrn ostngdoeor efipnrnehfjos nmoeunmns ojtro oj`oriomnmos. Qnrn hdustrnr ostf vnifs n sorvhrjfs mo uj ocoipdf. Uupfjknifs quo oj uj krupf mo pfgdnehõj pfgdne hõj ospoeé`h ospoeé`hen, en, efif pfr ocoip ocoipdf df od mo omnm efrrosp efrrospfjmhojt fjmhojto o n 01 nþfs, dn lh lhpo port rtojs ojshõ hõj j prf prfvf vfen en >1 >11 1 `n `nddddoeh oehih ihojt ojtfs fs nju njundo ndoss y sui suio o oj uj ostn ostnmf mf mo hjenpnehmnm n >.111 porsfjns murnjto uj porhfmf iomhf mo tros iosos nd nþf. Uupfjknifs quo od efsto iomhf mo dn ntojehõj ièmhen os mo 7?1 u.i. pnrn dfs prhiorfs y mo 811 u.i. pnrn dfs sokujmfs, y quo tnjtf ujfs efif ftrfs thojoj ujfs hjkrosfs iomhfs njundos mo >1.111 u.i. Dn prokujtn os ostn3 ¶què efsto oefjõihef roprosojtn dn lhportojshõj pnrn osn pfgdnehõj6 Df prhiorf quo ln mo nsuihrso os quo dfs efstfs mo dn prfmuethvhmnm pormhmn (tnjtf pfr `nddoehihojtf efif pfr hjenpnehmnm) sfdf sfj npdhengdos lnstn dn omnm mo 0? nþfs (omnm oj quo so prfmueo dn cughdnehõj). Df sokujmf n nsuihr os quo dfs hjkrosfs pftojehndos efrrospfjmhojtos n dfs nþfs proeomojtos n osn omnm sfj dfs quo o`oethvniojto vnj n sor mosefjtnmfs pfrquo, mnmf quo osfs hjkrosfs so rodnehfjnj efj ujn 0

 

hjvorshõj oj enphtnd luinjf, lnj mo efjshmornrso efif sh mo eundquhor ftrf thpf mo hjvorshõj so trntnrn. Oj osto sojthmf, sh lfy so hjvhortoj ?11 u.i. pnrn fgtojor uj 71 pfr >11 mo rojmhihojtf, osf tojmrî» uj proehf (uj vndfr) mo 011 u.i. oj uj nþf (?11 x >,71). Uhkuhojmf osto rnzfjnihojtf, sh supfjoifs quo od rojmhihojtf ospornmf murnjto od sokujmf nþf os od >? pfr >11 mo 011 u.i. (f son, uj rojmhihojtf mo 81 u.i.), od vndfr mo dn hjvorshõj hjeroiojtnr» n 081 u.i. (011 + 81). Efj ftrns pndngrns3 oj kojornd, od vndfr mo ½x nþfs sor mo 011 \ d, 71x. Mo nqué so shkuo quo dns 081 u.i. pnknmorns od sokujmf nþf sfj oquhvn oquhvndojtos dojtos n dns ?11 u.i. mo lfy2 os moehr, quo dfs hjkrosfs `uturfs lnj mo mosefjtnrso n vndfr  netun net und.d. Efrf Efrfdn dnrh rhf3 f3 dn dnss pr pro` o`oro oroje jehn hnss lu luin injns jns n qu quo o hj hjmh mhvh vhmun mundi diojt ojto o so ostè ostè mhspuo mhs puostf stf n roj rojujeh ujehnr nr sfj nqu nquodd oddns ns euy euyfs fs gojo gojo`he `hehfs hfs pros prosojt ojtos os rop roproso rosojtn jtnj j inyfros gojo`hehfs `uturfs. Ostf ddovn n moehr quo dn rnthf mo moseuojtf uthdhznmn efj dn vhstn puostn oj od vndfr ½`uturfs nþfs mo vhmn jf puomo npdhenrso ednrniojto efif sh mo uj rojmhihojtf ifjotnrhf mo dn hjvorshõj so trntnrn. Uhj oignrkf, y pnrn `nehdhtnr dn oxpfshehõj, nsuihroifs n vén mo iuostrn uj rojmhihojtf mo >1 pfr  >11 y su efrrospfjmhojto `netfr mo moseuojtf. Mo ostn injorn, efjshmornjmf dn iomhn hjmhvhmund mo quhojos phormoj ? nþfs mo vhmn prfmuethvn pfr ifrhr n dfs 01 nþfs, endeudnroifs od vndfr mo moseuojtf mo dn pèrmhmn mo hjkrosfs mo dn shkuhojto `frin3 H.

Nþ Nþf f >3 >3 > >1. 1.11 111 1 / >,>1 >,>1 9 8 8.1 .18> 8> u.i. u.i.

HH. HH.

Nþ Nþf f 73 73 >1 >1.1 .111 11 / d,d, >1 >17 7 9 1.1 .111 11 / d,d, >1 >15 5 9 ;.?> ;.?>5 5u u.i .i.. Nþ Nþf f =3 =3 >1 >1.1 .111 11 / d,d, >1 >1= = 9 0.1. 1.11 111 1 / >.>1 >.>15 5 9 0.71 0.718 8u u.i .i..  

]ftnd 9 5;.81; u.i.

]ojoifs nlfrn dn pèrmhmn mo dns >.111 porsfjns hjenpnehtnmns pfr tros iosos, n 7.?11 u.i nd nþf (>1.1113 =), y, nmhehfjnjmf od efsto mo dfs euhmnmfs ièmhefs, so fgthojoj nsé ujfs efstfs tftndos, mhroetfs o hjmhroetfs, mo3 >11 (5;.81; + 7?1) + >.111 (7.?11 + 811) 9 ;.7>?.;11 u.i. Eh`rn ostî quo, oj od ocoipdf pdnjtonmf, efjsthtuyo od efsto oefjõihef mo dn lhportojshõj oj dn pfgdnehõj efjshmornmn. ;

 

Moehshfjos sfgro oxîiojos provojthvfs ]ndd efif ]n efif so ln hjmh hjmhen enmf mf nj njto torh rhfr frio iojt jto, o, od pdnj pdnjh`h`he henm nmfr fr so hjto hjtoro rosn sn oj dn provndojehn mo dns oj`oriomnmos pnrn, ojtro ftrns efsns, ostngdoeor nsé ujn rodnehõj efj dn eronehõj pftojehnd mo sorvhehfs y prfspoeehfjos dn uthdhznehõj netund mo dfs yn oxhstojtos. Oj rosuihmns euojtns, os fgvhf quo oj dns ostrntokhns provojthvns so prfmueo ujn ednrn efj`duojehn mo hjtorosos, y quo ostfs jf engo fgvhnrdfs oj od mosnrrfddf y npdhenehõj mo eundquhor njîdhshs mo moehshõj. Wohjbo (>81 >11 1 u.i. u.i. pfr pfr ensf ensf tr trnt ntnm nmf, f, quo quo eunj eunjmf mf nój nój os nshjtfiîthen dn toiprnjn motoeehõj porihto npdhenr uj trntnihojtf efj uj efsto mo