6.

Pronunciación por medio de un audio sobre 20 ideas importantes de 4 links

enviados y los cuales deben ser completados con opinión personal mencionando cada
título. ( 5 ideas por cada link)

https://www.youtube.com/watch?v=pj-AvTOdk2Q – What is people-centred care?

1. Around the world people are living longer but often with multiple diseases and
conditions that require care over many years and unfortunately too many are not
informed or consulted in the care they receive.
2. In some countries only 1 in 3 people have the risks of their treatment explained to
them, 1 in 5 have at least one unnecessary test and up to 40% of health spending is
wasted due to inefficiency.
3. People-centred care can have lasting benefits, it improves the trust, experience and
outcomes people have from care, the confidence and job satisfaction of health
professionals and the quality and efficiency of health systems.
4. People-centred care can increase access to health services and reduce unnecessary
use of services; it means people get the right care at the right time and in the right
place.
5. Too often this type of care isn’t standard practice, implementing people-centred care
requires fundamental changes in our approach to health care, it means rethinking
how health services are organized, managed and delivered.

PERSONAL APPRECIATION

I think that the government should offer a better health service, so that the situation of little
information and medical attention doesn’t happen and perhaps it would reduce the
possibility of tragedies.
PRONUNCIATION

What is pepol-centred ker?

1. Around de world pepol ar living longer bat ofen with multipol disices and
condishions dad requir ker over meny years and anfortunly too meny are not
informd or consultid in de ker dey recive.
2. In som countris only 1 in 3 pepol hav de risks of deir tretment explaind tu dem, 1 in
5 hav at list one annecessary test and ap tu 40% of helth spending is weisted dyu to
inefishiency.
3. Pepol-centred ker can hav lasting benefits, it improvs de trust, expirienc and
autcoms pepol hav from ker, the confidenc and yob satisfaction of helth
professionals and de quality and efficiency of helth systems.
4. Pepol-centred ker can incris access to helth services and rediuc annecessary ius of
services; it mins pepol get the ruaight ker at de ruaight taim and in de ruaight pleis.
5. Too ofen dis taip of ker isent standard practic, implementing pepol-centred ker
requires fundamental changs in our approuch to helth ker, it mens rethinking jow
helth services are organizd, managd and deliverd.

PERSONAL APPRECIATION

Ai think dad de government shud offer a beder helth servic, so dad de situeishion of lirol
informeishion and medical attention dasent jappen and perjaps it wud redius de possibiliry
of tragedis.
https://www.youtube.com/watch?v=8PH4JYfF4Ns – Social Determinants of health

1. In 2015 the life expectancy of a child born in Sierra Leone was 50 years whereas in
Australia it was 83 years, a difference of 33 years but there are differences even
within countries for example in Australia the life expectancy of indigenous people is
about 10 years lower than that of non-indigenous people.
2. Within a population health is also influenced by social status, people with higher
income a higher level of education and a better occupation have better health and a
greater life expectancy
3. A person’s health is influenced by a range of factors called determinants of health,
these include: individual factors such as age, sex and genetic makeup and also what
they do, this includes their health behaviors such as smoking physical activity,
alcohol use and diet. Also largely influenced by the conditions in which people are
born, grow, live, work and age, these include their social community networks, the
socio economic cultural and environmental conditions that people live in.
4. There are two broad types of health determinants that influence health and can lead
to health inequities, these are structural determinants (refer to the socio economic
and political context, include governance, public policies and also the social and
cultural values) and intermediary determinants (these include material
circumstances and also the work environment, psychosocial factors, behavior and
biological factors.
5. In addition, health systems have an impact on the type and quality of health care
available to people, it also determines how easy it’s for people to access health
services and receive the health care they need

PERSONAL APPRECIATION

I think and I agree that we must manage a little more morals, be a little more human,
unfortunately, we are in a world where people don ‘t know the true meaning of ethics.
PRONUNCIATION

– Social Determinants of helth

1. In 2015 de laif expectency of a chaild born in Sierra Leone was 50 years weras in
Australia it was 83 years, a differenc of 33 years bat dere ar differences iven widin
countris for example in Australia the life expectency of indigenous pepol is about
10 years lower dan dad of non-indigenous pepol.
2. Widin a populeishion helth is olso influencid by social status, pepol with haigher
incom a haigher level of education and a beder occupeishion hav beder helth and a
greater laif expectency
3. A person’s helth is influencid by a reinge of factors calld determinants of helth, dis
includ: individual factors sach as eig, sex and genetic meikap and olso what they du,
dis includs their helth bijeiviors sach as smouking physical activity, alcohol ius and
daiet. Olso largely influencid by de conditions in which pepol ar born, grow, liv,
work and eig, dis includ deir social community networks, the socio economic
cultural and envaironmental conditions dad people liv in.
4. Der ar two broud tayps of helth determinants dad influenc helth and can lid to helth
inequities, dis ar structural determinants (refer tu de socio economic and political
context, includ governanc, public policis and olso de social and cultural valius) and
intermediary determinants (dis includ matirial circumstances and olso the work
envaironment, psychosocial factors, bijeivior and biological factors.
5. In addition, helth systems hav an impact on de tayp and quality of helth ker
availabol tu pepol, it olso determins how isy its for pepol tu access helth services
and ricive the helth ker dey need.

PERSONAL APPRECIATION

I think and I agree dad we mast manag a lirol mor morals, bi a lirol mor jiuman,
anfortunly, we ar in a world where pepol don’t now de thru mining of ethics.
 https://www.youtube.com/watch?v=HicV_h4eXSw – Health care in danger

1. Mobile clinic that moves along every two days from village to village she provides
basic primary health care for communities who don’t have access to health. It’s an
area that has been throughout the past 20 to 30 years in control of the armed groups
government institutions have never actually had access to this area. Therefore it is
seen as a red zone as another convict or a conflict zone and therefore the doctors,
nurses are scared.
2. People can’t get basic health care here because of the conflicts, distance; the
vulnerability of the communities is due to the fact that the health services in the area
have not been provided for very long time.
3. Logistically it’s a bit of a nightmare, as you could imagine and taking all
medications from Bogota and with about 10 or 15 personnel team takes about eight
hours to get to the destinations and have to discharge everything you have to
prepare the whole set up, of course there not many health infrastructure so
everything has to be done from scratch.
4. One of the key concerns the high number of teenage pregnancies, this is a low-
intensity conflict the basic services for the communities have actually been
destroyed, communities are not able to function properly without proper healthcare
and without basic education.
5. Communities have wise they are living in a desperate situation they really don’t
have access to a doctor, a nurse so they don’t have access to medications, the
smallest risk could actually become a big thing.

PERSONAL APPRECIATION

I think that sometimes the smallest can become the most enormous and even more, if it’s
health, that's why I completely agree with the entire population, regardless of anywhere in
the world, must work together to avoid needs and in this way avoid corrupt governments
that meet every need that is required in due case.
PRONUNCIATION

– Helth ker in denger

1. Mobail clinic dad muvs along ebry two deys from vilig to vilig she provaids beisic
primary helth ker for commiunities jo dont hav access to helth. Its an eria dad has
been truaut de past 20 to 30 years in control of de armd grups, government
institutions hav never actualy had access tu dis eria. derfor its seen as a red zon as
anoder convict or a conflict zon and derfor de doctors, nurses ar skerd.
2. Pepol cant get beisic helth ker jir becoz of de conflicts, distanc; de vulnerabiliry of
the commiunities is diu tu de fact dad de helth services in de eria hav not been
provaidid for very long taim.
3. Logistically its a bit of a naitmer, as you kud imagin and toking oll medications
from Bogota and with about 10 or 15 personnel tim teiks about eight auars to get to
de destineishions and hav tu discharge everything you hav to pripeir the jul set ap,
of cors der not meny helth infrastructure so everything has to bi don from scratch.
4. One of the ky concerns de haigh number of teeneig pregnancis, dis is a low-
intensity conflict de beisic services for de commiunities hav actually been destroyd,
commiunities ar not eibol tu function properly without proper helthker and without
beisic education.
5. Commiunities hav waise dey ar living in a despereit situation they ruilly dont hav
access tu a doctor, a nurse so they dont hav access to medikeitions, the smollest risk
kud actually bicom a big thing.

PERSONAL APPRECIATION

I think dad somtaims de smollest can bicom de moust enormous and iven mor, if its helth,
dads why I completely agree with the entair populeishion, regardless of anywhere in the
world, mast work together tu avoid needs and in dis wey avoid corrupt governments dad
meet ebry need dad is required in diu keis.
 https://www.youtube.com/watch?v=EQH0BWJ-LSE – Colombia battles
corruption within healthcare system.

1. The city of Quito in the poverty-stricken region called Chaco, the few resources that
reach this region have been lost through corruption and nowhere is this more
evident that at its hospital San Fransisco de assis.
2. They have a terrible health system because the money destined for health gets lost
or get stolen, for decades keep those hospital has been a victim of corruption
embezzlement and poor management practices some health officials say the money
lost to corruption has affected more than just the infrastructure it has debilitated the
health services provided.
3. Colombian officials say in 2017 the country’s health care system lost 160 million
dollars in fraud authorities have uncovered 18 different ways money was stolen
from the health care system across the country.
4. Sometimes the health care provides want to pocket more money so they put
restrictions on services that is another corruption phenomenon, they delay services,
restrict opportunities for patients and they don’t provide the medicine nor
equipment, said the dr. Jorge Even Ospina.
5. According to the Prosecutor General’s Office more than two hundred and three
people including public officials and private contractors have been involved in cases
related to corruption while those responsible are brought to justice patients are still
suffering.

PERSONAL APPRECIATION

I think that corruption is evident, therefore, I insist that we must manage and understand
a little more morals, really be more human every day, health isn’t a game, and it doesn’t
give place or much less wait for a government and a corrupt mandate.
PRONUNCIATION

– Colombia berels corruption within helthker system.

1. The city of Quito in de poverty-stricken region colld Chaco, the fiw risources dad
ruich dis region hav been lost throo corruption and nowjir is dis mor evident dad at
its hospital San Fransisco de assis.
2. They hav a terribol helth system bicos de mony destind for helth gets lost or get
stoulen, for decads kip dous hospital has been a victim of corruption embezzlement
and pur management practices som helth officials sey the mony lost to corruption
has affectid mor dan yast the infrastructure it has debilitated the helth services
provaided.
3. Colombian officials sey in 2017 the country’s helth ker system lost 160 million
dollars in fraud authorities hav ancoverd 18 different weys mony was stoulen from
the helth ker system across the country.
4. somtaims the helth ker provaids want tu pocket mor mony so they put restrictions
on services that is another corruption fenomenon, they diley services, restrict
opportunities for patients and they dont provaide the medicine nor equipment, seid
the dr. Jorge Even Ospina.
5. According tu de Prosecutor General’s Offis mor dan two jandred and three people
including public officials and priveit contractors hav been involvd in keises relatid
tu corruption whail dous responsibol ar brought tu justice patients ar still suffering.

PERSONAL APPRECIATION

I think dad corruption is evident, derfor, I insist dad we mast manag and understend a
lirol mor morals, rilly bi mor hiuman ebry dey, helth isent a geim, and it dasent giv pleis
or much less weit for a government and a corrupt mandeit.