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Related Concept Videos

High-Level and Low-Level Awareness01:19

High-Level and Low-Level Awareness

Controlled processes in human consciousness represent high-alert mental states where individuals deliberately focus their attention on achieving specific goals. Controlled processes can be seen in situations like mastering new technology, where a person might become so absorbed that they ignore surrounding distractions. Such processes involve selective attention, requiring one to concentrate on particular elements of experience while disregarding others. These are governed by executive...

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Measuring Attention and Visual Processing Speed by Model-based Analysis of Temporal-order Judgments
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[Experience of implementing a primary attention model].

Myriam Ruiz-Rodríguez1, Naydú Acosta-Ramírez, Laura A Rodríguez Villamizar

  • 1Departamento de Salud Pública, Universidad Industrial de Santander, Bucaramanga, Colombia. myriam@uis.edu.co

Revista De Salud Publica (Bogota, Colombia)
|May 29, 2012
PubMed
Summary
This summary is machine-generated.

Implementing primary health care (PHC) in Santander faced significant barriers. Market segmentation and fragmentation hindered an integral PHC model, requiring improved human resource management and evaluation.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Qualitative Health Research

Context:

  • Santander department, Colombia
  • Last decade
  • Primary Health Care (PHC) model implementation

Purpose:

  • Identify barriers and dynamic factors in PHC model setup
  • Analyze limitations and value judgments in PHC implementation
  • Critically evaluate the appropriation of PHC attributes

Summary:

  • Qualitative study using pluralism and triangulation revealed conceptual and operational management problems.
  • PHC model design was not realized in practice; strategy was selective, state-led, rural-focused, and managed by nursing assistants.
  • Structural market barriers, institutional segmentation, and operational fragmentation were key constraints.

Impact:

  • Identified national, state, and local difficulties applicable to international contexts.
  • Highlights need for improved human resource management, local health management, and systematic evaluation.
  • Suggests operational elements for an integral PHC model in Colombia.