Title
Shared decision making and the promise of a respectful and equitable healthcare system in Peru
Other title
Partizipative Entscheidungsfindung und das Versprechen eines von Respekt und Gerechtigkeit getragenenen Gesundheitssystems in Peru
Date Issued
01 June 2017
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Elsevier GmbH
Abstract
Peru has achieved sustained development in the last two decades. However, despite this achievement, it has not been matched with improvements in the quality of education and health; investment in both sectors is among the lowest in the region. This situation perpetuates huge gaps in infrastructure and also conditions a poor literacy level of the population specifically in health. Currently, there is a fragmented model of patient care, in which the systems are exclusive of each other. They do not cooperate or communicate with each other; and if there is no vertical communication within the system, preventing referral of patients directly from the basic level to the complex level of care when needed. In addition, there has been no progress in the development of an empathetic, respectful or person-centered clinical practice; instead, economic, social and educational differences perpetuate a paternalistic clinical practice. The task of orienting medical training towards the development of humanism is pending. The patient is the center of the medical act and the main objective of doctors’ actions. A humanistic care approach will not only empower the person in the clinical encounter – to participate and make decisions related to his/her health care - but it will allow us to move towards an empathetic, caring, respectful and kind model of clinical practice. © 2017
Start page
81
End page
84
Volume
123-124
Language
English
OCDE Knowledge area
Ciencias del cuidado de la salud y servicios (administración de hospitales, financiamiento)
Scopus EID
2-s2.0-85019897839
PubMed ID
Source
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
ISSN of the container
18659217
Sources of information: Directorio de Producción Científica Scopus