LIMINATE THE BARRIERS OF ACCESS TO HEALTH SERVICES

ELIMINATE THE BARRIERS OF ACCESS TO HEALTH SERVICES, ACHIEVING EFFECTIVE, EFFICIENT AND SAFE ACCESS, RESPECTING THE INTERCULTURALITY AND HUMAN RIGHTS OF THE WHOLE POPULATION.

To fulfill this conceptual approach, it is necessary to make joint efforts to seek continuous improvement in the provision of health services to the person, families and communities, guaranteeing timely access with efficient, effective care with equity, security, comprehensiveness, respecting interculturality of the entire population of the country; for which it is necessary to design a tracer instrument for health care and a section for Maternal and Child Care, which will concentrate efforts on the mission of reducing the risks inherent in health care and improving user satisfaction.

It is considered an unavoidable responsibility of the government and an inherent commitment to the social function of the State, the continuous improvement of the QUALITY and SECURITY of the services offered in the health dispensing organizations. That is why it is necessary to Strengthen the Health Authority, understanding it as: "the set of actors / institutions of the State responsible for ensuring the public good in health, where its primary objective is the protection and promotion of health of the population, and it is expressed as the power of the State to influence the functions, responsibilities, and substantive powers that are proper and non-delegable, to effectively ensure the public good in health. (PAHO / USAID, Role of the Health Authority, Conceptual Framework, Methodological Instrument, 2007)

Strengthening governance and accountability consists of promoting transparency in decision making and the generation of solid systems for the collective responsibility of health providers and system managers through alignment, governance and accountability. . It is imperative that the different authorities assume the responsibility of protecting and improving the wellbeing of the Venezuelan population, emphasizing the child population in the female population of childbearing age; by building scenarios of trust and legitimacy with citizens through the effective administration of resources. The mechanisms that the state implements with citizens and communities in the rendering of accounts are necessary to improve the dialogue on health policies at the national level.

The development of mutual accountability among those who live and work in the community should be promoted; since they provide essential information on the local situation, achieving with this plan the appropriate health services. The accountability structures must have three characteristics: first, that there are mechanisms through which the service providers are responsible; second, that there must be adequate information to evaluate the services provided; and third, that patients have the power to take action.

Strengthening transformational leadership, distributed leadership and management for change are fundamental to consolidate successful management of change within a health system. The development of an organizational culture that supports monitoring and evaluation, exchange of knowledge and demand for data in decision-making is also a prerequisite for transformation. The team of leaders must keep in force the actors the need to improve the quality and safety in organizations in both the technical aspects and the perceived by users.

The management of organizational change should start from the exhaustive review of clinical management and quality assurance and the continuous improvement of the organization. The workforce will be reoriented so that the team of health workers approaches patients, users and communities more openly to work as a team, to obtain more effective use data; besides being willing to innovate in their practice. In addition, they must receive training to form multi-professional teams that work across organizational boundaries and organizations must guarantee the improvement of working conditions and compensation mechanisms.

Regulation plays a key role in establishing the rules within which professionals and organizations will feel compelled to operate within more integrated and people-centered health systems - for example, in terms of establishing new quality standards and / or the payment of performance objectives.

It seeks to improve the provision of maternal and child care through the alignment and harmonization of the processes of the different services. A key part of providing maternal and child care involves the continuous improvement of care; regulating waiting times for obtaining clinical care and even performing interconsultations and / or required auxiliary tests, determination of clinical and social risk factors.

New technologies, including information and communication technologies, such as the use of electronic medical records that can be accessed at any point in the health network and can be a tool for the reorganization of health services around the needs of the patient; which will result in the achievement of quality clinical management.

Successful coordination involves multiple actors both within and outside the health system, and requires the functional alignment of activities and communication. Coordination does not do it by itself; it necessarily requires the merging of different services or workflows.