SAN EDUARDO-TRUJILLO HIGHER

EDUCATIONAL INSTITUTE

COURSE. HEALTH DOCUMENTATION

ISSUE. IMPORTANCE OF THE ORGANIZATION OF HEALTH

SERVICES.

PROFESSOR.LIC. TERESA DE JESUS MELENDEZ VILCHEZ.

TRUJILLO, FEBRUARY 13, 2023 .
 TERMS TO DEAL WITH
ORGANIZATION, Organizations “as social units or human groupings deliberately
constructed or reconstructed to achieve specific ends.”

RESOLUTIONAL ABILITY, one of the actions that keeps a company

afloat is the ability to serve customers and capture their interest, without them there are no
sales and without sales the business is destined for complete failure.
EFFICIENCY refers to achieving the greatest possible contribution to the "maximum level
of health" with the available resources.
EFFECTIVENESS refers to achieving the greatest possible contribution to the "maximum
level of health" with the available resources.
COMPREHENSIVE HEALTH CARE, Organizations “as social units or human groupings
deliberately constructed or reconstructed to achieve specific purposes.”

Level of Care, Set of Health Establishments with levels of complexity

necessary to effectively and efficiently resolve health needs of different
magnitude and severity
HEALTH CARE

HIGH COMPLEXITY OR LEVEL OF COMPLEXITY It is the degree of differentiation and

development of health services, achieved thanks to the specialization and
modernization of their resources.
PRESENTATION ORGANIZATION OF HEALTH
SERVICES

Huge challenge, we have a fairly fragmented health system, which

generates serious problems for the population to attend to health
needs or demands. If we say a fragmented system because they are
organized through a set of health care points, subsystems isolated and
incommunicated with each other, and which, therefore, are incapable
of providing continuous care to the population. In its functional
dimension, a lack of responsibility can be observed in those who
provide health services to the population.
We say a fragmented health system

Given the difficulties in accessing services faced by the

population, services of poor technical quality, irrational and
inefficient use of resources, low user satisfaction, are some of
the consequences generated by fragmentation by itself or in
combination. together with other factors.
The General Organization of the country's health services are
grouped into two subsectors, public and non-public. The first is
made up of the MINSA, EsSalud, and the services of the Armed
Forces and the National Police.
 HEALTH ORGANIZATION

"The Health Organization is defined as the set of human, material, and technological
elements organized in an appropriate manner to provide medical assistance:
Preventive, curative, and rehabilitation, to a defined population, under conditions of
maximum efficiency and optimal economic profitability." .

The health sector in the country includes the Ministry of Health (MINSA), EsSalud,.
Health of the Armed Forces, Health of the Police Forces and the services...
IMPORTANCE OF THE ORGANIZATION OF
HEALTH SERVICES

Providing social health protection and equal access to quality

health care has significant positive effects on individual and
public health , as well as enhancing economic growth and
development.
 HEALTH SECTOR

The health sector is defined as the set of values, norms, institutions and actors that carry
out production, distribution and consumption activities of goods and services whose main or
exclusive objectives are to promote the health of individuals or population groups. The
health sector in
The country includes the Ministry of Health (MINSA), EsSalud,. Health of the Armed
Forces, Health of the Police Forces and services..
 HEALTH SERVICE

Set of services provided to the individual to prevent, treat or rehabilitate an illness. It is the set of
resources that systematically intervene for the prevention and cure of diseases that affect
individuals, as well as their rehabilitation.

Health Units, called primary care or basic services, offer comprehensive care that includes among
their functions, health promotion and disease prevention , always from an area closer to the place
of residence of the population they serve. they attend
THE IMPORTANCE OF THE ORGANIZATION OF
HEALTH SERVICES IN THE HOSPITAL

Among the necessary transformations in the provision of health services, one

of the most important is that of hospitals, the position and power they
currently occupy in health systems and the importance assigned to them by
communities, decision makers and media.
Hospital work in the network is expressed as a field of interprofessional
practices and collaborative work whose final result should be not only the
addressing of the disease, but also the maintenance of the health of the
population. In this sense, the organization of work, staffing and distribution
constitutes a structuring factor in the health production and financing
processes of each country.
PRIMARY CARE
OF HEALTH
□ Primary Health Care guarantees people
comprehensive quality care from promotion and
prevention to treatment, rehabilitation and palliative
care—as close as possible to their usual places.
□ What is primary care and who makes it up?
□ - It is a strategy that includes three
integrated and interdependent components:
intersectoral/transectoral action for health, social,
community and citizen participation, and health
services. It adjusts to the political, economic and
social context of the country.
The organic structure of health services .
The public subsector has 51% of the

to hospitals, concentrates 69% of

ahealth99%
centers
of UD positions, located in dispersed MINSA
yn rural areas and
edurban marginal areas. The MINSA Its
sinstitution with greater number the
EsSalu
z establishments and greater national d
presence

Armed forces
services

National Police
Structure of the Health System in Peru
OBJECTIVE HEALTH SERVICES

□ It is to strengthen health systems based on Primary Care of

.
Health, supporting progress towards universal health coverage and

universal access to health

 FUNCTIONS OF HEALTH SERVICES

The four main functions of a health system have been defined as:
service provision, resource generation, financing and management.
The Department of Health designs and implements public health
policies and strategies that promote, evaluate and achieve healthy
communities, comprehensively considering people and the factors
that influence their health.
Functions and objectives of a Health System
WHO, World Health Report 2000, Mejorare! Performance of Health Systems. Geneva, Switzerland, 2000.

Chapter2 page 27
© Organization
Pan American Health

FUNCTIONS OF THE HEALTH

SECTOR

Functions of the health sector LET'S END VIOLENCE AGAINST

Offer comprehensive health services to those who
survive violence THE
Collect data on prevalence, risk factors and
health impacts
WOMAN
Support policies aimed at addressing violence against
women

Promote the recognition of violence against women as a

public health problem
-■•..**

Prevent violence by promoting and publicizing

prevention programs

। World Health
Organization'
“ The objective of health systems in the world is to promote the health of the
population, the way in which each country executes its financial, human
resources and health organizations has an impact on the service it will provide to
society.”
LEVELS OF CARE?
□ □ Classically three levels of care are distinguished. The first level is the level closest to the population, that
is, the level of first contact. At the second level are the reference hospitals, and the third level is made up of high-
tech hospitals and specialized institutes.

□ The first level of Complexity refers to polyclinics, health centers, offices and others, where professionals such
as Family and Community Physicians, Pediatricians, Gynecologists, General Physicians attend.

□ The First Level of Health Care (PNAS) seeks to satisfy the health needs of the person, family
and community, on an outpatient basis.

□ For this, it has low complexity establishments such as health clinics and health centers with
basic care clinics, as indicated by Ministerial Resolution No. 546-2011-MINSA .

□ Establishments of the second level of care category II-1 are establishments with the resolution
capacity to satisfy the health needs of the population, through outpatient, emergency and hospitalization care.
□ The Regional Teaching Hospital of Trujillo is a health establishment, third level III-1 care with the
resolution capacity to meet the health needs of the population that comes to this hospital, with emphasis on the
treatment of complex injuries and diseases.

□ Hopital Belen is a specialized teaching care referral hospital, categorized at level III-1 , committed to
providing comprehensive care to the population, with solidarity and equity, articulated to the national health
system.

□ The Virgen de la Puerta Hospital is considered Level IV-1 of high complexity.

How do users perceive the quality of health care?

The National Health Quality Policy document states that "despite the country not having studies evaluating the quality of care that are sufficiently comprehensive and
rigorous, in light of the partial results of the self-evaluation process of maternal-perinatal care and to a lesser
extent from other types of attention, it is possible to deduce that, despite the efforts deployed by the

Ministry of Health and other health provider organizations, the level of quality is far from satisfactory.
Additionally, the population perceives low quality in the care they receive as concluded from the studies carried
out annually by the University of Lima where only a low level of quality perception is appreciated, but also a
tendency to continue declining, both for hospitals of the MINSA, as for those of EsSalud."
In 2004, just over 80% of users declared they were "satisfied" or "very satisfied" with the
services received by social security, a figure that increased to 93.6% in 2007. This last year,
88.5% of those surveyed declared the services offered by EPS to be "better" than those of
EsSalud because they offer good and fast care and quality medicines.
 QUALIFICATION OF HEALTH UNITS

Regarding the location of health units, around 90% of MINSA hospitals and
health institutes are located in urban areas, marginal urban areas and 3% in
rural areas. In rural areas, the health services infrastructure basically consists
of health centers and posts that provide primary care. The most
complex cases refer to hospital establishments.
HOSPITAL

The Hospital is defined by the World Health Organization in the following way: "It is

an important part of a medical and social organization, whose mission is to provide

the population with complete medical-health care, both curative and preventive, and

whose external services radiate towards the scope...

 ADDRESS
ORGAN nr CONTROL
INSTITUTIONAL GENERAL

OFFICE
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EXECUTIVE OF
EXECUTION OF
ADMINISTRATION PLANNING
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TRUJILLO REGIONAL TEACHING
SPITAL
□□ The Trujillo Regional Teaching Hospital is a tertiary care health
establishment with the capacity to resolve the health needs of the
population that comes to this hospital, with emphasis on the treatment
of complex injuries and diseases. The HRDT develops functions,
activities and interventions in health promotion, prevention, recovery,
rehabilitation and management, with emphasis on the latter three.
REGIONAL HOSPITAL LEVEL OF CARE
TEACHER TRUJILLO

□ The Trujillo Regional Teaching Hospital is a third-level

health care facility with the capacity to resolve the health
needs of the population that comes to this hospital, with
emphasis on the treatment of complex injuries and diseases .
 HEALTH SECTOR REFORM IN ELPERÚ

Governess

Prevention, detection and rapid response capacity

specialized technical organizations
Protection of Strategic programs and interventions
Public health

Universal coverage
Protection of ■ Universal insurance
and response to ■ Provision of services with
individual health
health risks opportunity and quality

Protection of ■ Supervision and inspection

rights ■ User defense

Source: Adapted from Health Sector Reform Guidelines and Measures . Lima: National Health Council; 2013

Figure 1. Objectives of the Reform of the Health Sector in Peru

ORGANIZATION OF THE HEALTH SYSTEM FOR
ENSURE TIMELY HEALTH SERVICES-
FUNCTIONS
IPAE
0RUT Peru BUSINESS ASSOCIATION

Organization of the health system to

guarantee timely and quality services to
the citizen.

Strengthen Improve the Enhance the To improve in

the organization of coverage of digital health
rectory of t provision of assurance to transform
the h health citizen. the sector.
Ministry of services.
Health. e

- Create a Strategic
Management Secretariat.
- Reincorporate functions
related to categorization and
accreditation of Ipress in
SuSalud.
-Assign the provision of health - Create a SIS directory -Accelerate the implementation
services to Ugipress. - Reduce the fragmentation of public of electronic medical records
- Implement benefit exchange funds so that the SIS has adequate
mechanisms.
financing.
-Expand the offer of health services
(APP or Government to Government).
“HEALTH FOR ALL WITH EQUITY AND GENDER EQUALITY – A BETTER
HEALTH SERVICE”
https://www.youtube.com/watch ?
v=HpXggp6Hcso
BIBLIOGRAPHIC REFERENCES

1. National Institute of Statistics and Informatics. Demographic indicators Peru 1950-2050. [accessed 2010 June 5].
Available at: http://wwwl.inei.gob.pe/perucifrasHTM/inf-dem/cuadro.asp!cod=3643&name=po03&ext=gif [ Links ]

2. National Institute of Statistics and Informatics. Peru: Demographic indicators estimated by five-year periods 1950-
2025. [accessed 2010 June 15]. Available at: http://wwwl.inei.gob.pe/biblioineipub/bancopub/Est/Lib0006/ANEX002.htm
[Links]

3. National Institute of Statistics and Informatics. National Censuses 2007: XI of Population and VI of Housing. [ consulted
2010 July 5] http://www.unfpa.org.pe/infosd/adultomayor/adultomayor_01.htm [ Links ]

4. Chavez L. The evolution of age structures of populations and their consequences for development.
[accessed 2010 June 10]. Available at: http://unclef.com/esa/population/cpd/cpd2007/Country_Statements/Peru.pdf
[ Links ].

5. TECHNICAL HEALTH STANDARD “CATEGORIES OF SECTOR ESTABLISHMENTS

HEALTH” V.02
6. TECHNICAL STANDARD FOR HEALTH FACILITIES.
 ACIAS

“ THE NATURE OF THE HEALTH ORGANIZATION MUST HAVE A VISION

AND MISSION OF EQUITY, EFFICIENCY AND EFFECTIVENESS,
PROVIDING BETTER QUALITY CARE
AND REDUCING HEALTH RISKS FOR
THE PERSON, THE INDIVIDUAL AND
THE COMMUNITY AS A WHOLE,
PROMOTING THEIR WELL-BEING AND
SOCIAL PARTICIPATION.”