pronunciamiento desde la facultad de medicina de la udea frente a la crisis del sistema de salud...

7/31/2019 Pronunciamiento desde la Facultad de Medicina de la UdeA frente a la crisis del sistema de salud colombiano

1/4

Qplgtgmnbjndgxl hd}hd kb Obmtkxbh hd Jdhnmngb hd kb Tgnvdp}nhbh hd Bgxnlrtnb

opdgxd b kb epbvd ~ qdp}n}xdgxd mpn}n} hdk }n}xdjb hd }bkth mlklj`nbgl

Dkjdp Ebvnpnb Pnvdpb+ Hdmbgl2

Mkbthnb Jbpmdkb _kds+ Qplod}lpb0

Kb Obmtkxbh hd Jdhnmngb hd kb Tgnvdp}nhbh hd Bgxnlrtnb l`}dpvb mlg qpdlmtqbmng kb epbvd }nxtbmng hdk

}n}xdjb hd }bkth mlklj`nbgl' Fdjl} }nhl qbpxmnqd} hd kl} jkxnqkd} qplmd}l} hd dvbktbmng+ d}xthnl ~

}detnjndgxl hdk }n}xdjb+ b} mljl hd kb hdgtgmnb qdpjbgdgxd hd kl} qpl`kdjb} d}xptmxtpbkd} rtd k dgmbpgb'

Xbj`ng fdjl} qpljlvnhl ~ qbpxnmnqbhl dg gtjdpl}b} ngnmnbxnvb} hd jlvnknsbmng+ dqdpndgmnb} rtd gl}

bknjdgxbg qbpb b}n}xnp fl~ bk hd`bxd gbmnlgbk mlg kb d}qdpbgsb hd rtd dk mbjngl pdmlppnhl ~ kb dglpjd

dvnhdgmnb rtd dn}xd dg xlpgl bk opbmb}l hdk jlhdkl hd }bkth+ gl} qdpjnxb kkdebp b bknbgsb} htpbhdpb} qbpb

qlgdpgl} hd bmtdphl dg kl} b}qdmxl} otghbjdgxbkd} rtd hd`dg mlghtmnp dk hd}xngl hdk }n}xdjb hd }bkth

mlklj`nbgl'

Gl} mlgmdgxpbpdjl} dg fbmdp tg pdmlppnhl }l`pd kl rtd mlg}nhdpbjl} }lg kl} dodmxl} ~ j} qplotghb}

hd`nknhbhd} hdk }n}xdjb+ bpetjdgxl} rtd }t}xdgxbg qlp rt dk jlhdkl hd ngxdpjdhnbmng hd`d fbmdp}d b tg

kbhl ~ hbpkd qb}l b tg }n}xdjb kn`pd hd kb d}qdmtkbmng ongbgmndpb ~ ebpbgxd hdk hn}optxd dodmxnvl bk hdpdmfl

otghbjdgxbk b kb }bkth' Hnmfb qplqtd}xb d} kb gnmb ql}n`kd }n bmxtbjl} dg mlg}lgbgmnb mlg dk qdg}bjndgxl

bmbhjnml ~ }lmnbk rtd mbpbmxdpnsb b kb Tgnvdp}nhbh Q`knmb'

Mljdgmdjl} qlp jdgmnlgbp rtd dk qpl`kdjb hdk }n}xdjb gl d} hd qkbxb+ btgrtd opdmtdgxdjdgxd }d qpd}dgxd

hd d}b jbgdpb ~ b qd}bp hd kb hn}jngtmng hdk d}otdpsl on}mbk hdk qb} dg kl} kxnjl} 21 bl} qbpb ongbgmnbp kb

}bkth' Dk eb}xl xlxbk dg }bkth }d fb ngmpdjdgxbhl hd olpjb njqlpxbgxd hd}hd kb dgxpbhb dg vnedgmnb hd kb Kd~

211+ }d qb} hd (>+8> `nkklgd} dg 2>>= b tg bqplnjbhl hd (=0 `nkklgd} dg 0122+ }deg mnopb} hdk Jngn}xdpnl

hd ]bkth+ l hd (81 `nkklgd}+ }n }d mlg}tkxbg otdgxd} nghdqdghndgxd}' D}xd mpdmnjndgxl fb d}xbhl qpngmnqbkjdgxd

bql~bhl dg kl} bqlpxd} hd kl} xpb`bcbhlpd} ~ dk ngmpdjdgxl hdk eb}xl hd `lk}nkkl j} rtd dg dk eb}xl q`knml dg

}bkth' ]deg hbxl} hdk Mdgxpl hd Ngvd}xnebmnlgd} qbpb dk Hd}bpplkkl hd kb Tgnvdp}nhbh Gbmnlgbk &MNH.+ dk

eb}xl dg }bkth mljl qlpmdgxbcd hd kl} ngepd}l} mlppndgxd} hdk qb} &qpd}tqtd}xl gbmnlgbk.+ qb} hd 2?$ dg

2>>? b 21$ dg 011>' Kl gnml rtd }d fb fdmfl dg kl} kxnjl} bl} d} xpb}kbhbp pdmtp}l} hd lodpxb b hdjbghb+

~ j} pdmndgxdjdgxd kn`dpbp pdmtp}l} hdk penjdg }t`}nhnbhl rtd dk Ol}~eb xdgb mlgedkbhl} dg MHX}'

2Jhnml Bgd}xd}nklel+ D}qdmnbkn}xb dg bhjngn}xpbmng hd }dpvnmnl} hd }bkth jbxdpgl*ngobgxnkd}' Hdmbgl

Obmtkxbh hd Jdhnmngb+ Tgnvdp}nhbh hd Bgxnlrtnb'0

Jhnmb D}qdmnbkn}xb dg }bkth q`knmb+ Jben}xdp dg mndgmnb} mkgnmb}' Qplod}lpb Ng}xnxtxl hd Ngvd}xnebmnlgd}

Jhnmb}+ Obmtkxbh hd Jdhnmngb+ Tgnvdp}nhbh hd Bgxnlrtnb'


2/4

Bhdj}+ }n }d bgbknsbg kb} ebgbgmnb} hd kb} DQ]+ rtdhb dg dvnhdgmnb rtd kl} pdmtp}l} hdk }n}xdjb hd }bkth }lg

}tonmndgxd} ngmkt}l qbpb b}detpbp njqlpxbgxd} xb}b} hd ebgbgmnb b kl} bmmnlgn}xb} hd kb} DQ]' Tg mb}l rtd

qdpjnxd hd}mpn`np d}xd gdelmnl+ d} dk hd ]bkthMllq' Dk Qdpnhnml Dk Xndjql `ndg hd}mpn`d mljl ]bkthMllq

rtd bppbgm mlg tg qbxpnjlgnl hd (0'411 jnkklgd}+ fl~ xndgd tg qbxpnjlgnl drtnvbkdgxd b 251 vdmd} dk ngnmnbk'

Xndgd ngvdp}nlgd} dg j} hd mngml qb}d}+ qbpxnmnqb dg 08 }lmndhbhd} mljdpmnbkd}+ xndgd }dn} lpebgn}jl}

mllqdpbxnvl}+ hl} mlpqlpbmnlgd}+ tgb otghbmng+ ~ d} kb qpnjdpb dg gjdpl hd bonknbhl}' D}xb djqpd}b rtd

ngnmn lqdpbmnlgd} dg kl} >1+ dg 2>>6 d}xb`b ngbtetpbghl kb qpnjdpb mkgnmb ~ dg dk 0121+ xdgb =5 dg xlhl dk

qb}' Qbpb Dk Xndjql3 Dk mpdmnjndgxl hd}mljtgbk rtd klep kb DQ] ]bkthmllq dg 25 bl} fb }nhl mbknonmbhl

qlp bketgl} mljl tg vdphbhdpl jnkbepl dmlgjnml ~ qlp lxpl} *d}qdmnbkjdgxd qlp lpebgn}jl} hd mlgxplk*+

mljl tg }l}qdmfl}l gdelmnl'

Dk jb~lp klepl dg }bkth qbpb dk el`ndpgl gbmnlgbk d} kb }tqtd}xb ml`dpxtpb tgnvdp}bk hdk b}detpbjndgxl'

Klepl mlgxplvdpxnhl qlp kb }lmndhbh qtd}xl rtd gl pdqpd}dgxb bmmd}l pdbk b }dpvnmnl} hd }bkth' Kb} pdnxdpbhb}

rtdcb} bgxd kb} dgxnhbhd} hd mlgxplk hdjtd}xpbg rtd }d }netdg xpb}kbhbghl mbpeb} bhjngn}xpbxnvb} b kl}

t}tbpnl}+ rtd dk mlgmdqxl hdk jhnml xpbxbgxd gl d} xdgnhl dg mtdgxb+ rtd qlp obkxb hd mbpg gl }d bmmdhd b

}dpvnmnl} jhnml}+ rtd kl} qbmndgxd} }d jtdpdg l }d mljqknmbg qlprtd gl }lg bxdghnhl} lqlpxtgb ~

bhdmtbhbjdgxd+ ~ rtd kb gdebmng hd }dpvnmnl} }d jbgxndgd ~ qlp kl xbgxl kb} qdp}lgb} xdpjngbg ngxdpqlgndghl

bmmnlgd} hd xtxdkb' Ngmkt}l mlg kb Kd~ 28=6 rtd jlhnonm b kb Kd~ 211+ kl} t}tbpnl} dg ktebp hd l`xdgdp j}

}dpvnmnl}+ kl} qndphdg'

Dg mlgxpb}xd mlg tg }n}xdjb gl hdonmnxbpnl dg pdmtp}l}+ }ngl bodmxbhl qlp kb} dmd}nvb} dqdmxbxnvb} hd

ebgbgmnb hd kb} DQ] ~ kb mlpptqmng+ dk }n}xdjb hd }bkth }d pd}rtd`pbcb qlp dk hd}mlglmnjndgxl hdk qdponk

dqnhdjnlkenml hdk qb}+ dk hdxdpnlpl l d}mb}}njl qplepd}l hd kl} nghnmbhlpd} dg }bkth q`knmb+ dk bxpb}l qbpb

njqkdjdgxbp tg jlhdkl hd qpljlmng hd kb }bkth ~ qpdvdgmng hd kb dgodpjdhbh+ kb obkxb hd lqlpxtgnhbh dg kb

qbpxnmnqbmng hd kb ql`kbmng ~ kb mljtgnhbh jhnmb+ dk nppd}qdxl qdpjbgdgxd hdk mpnxdpnl jhnml+ dk hdxdpnlpl

hd kb} mlghnmnlgd} kb`lpbkd} hd xlhl} kl} xpb`bcbhlpd} ~ qplod}nlgbkd} hd kb }bkth+ kb obkxb hd ed}xng dg kb}

`b}d} hd hbxl} hd bonknbmng bk }n}xdjb+ kb bt}dgmnb hd tgb qlkxnmb dg jdhnmbjdgxl} ~ hd }t pdetkbmng+ kb

}bxtpbmng hd kl} }dpvnmnl} hd tpedgmnb} qlp hdjlpb} ~ gdebmnlgd} dg kb} mlg}tkxb} bj`tkbxlpnb} ~ kb obkxb hd

tgnonmbmng hd kn}xb} hd qpdmnl} b qbebp &jbgtbk xbpnobpnl.+ dgxpd jtmfl} lxpl}'

Dk }n}xdjb hd }bkth }topd hd tgb epbg vtkgdpb`nknhbh dg dk oktcl hd pdmtp}l}+ kb ngxdepbmng vdpxnmbk

}l`pdhnjdg}nlgb kl} ml}xl} hd kl} qplmdhnjndgxl} ~ kb} ngxdpvdgmnlgd}+ kb pdxdgmng hd pdmtp}l} qlp dk Ol}~eb

~ kb} DQ] d}x dg hdxpnjdgxl hd kb} NQ]+ ~ dk QL] gl hb pd}qtd}xb b kb} gdmd}nhbhd} hd kb ql`kbmng'

B qplq}nxl hdk QL]+ kb drtnqbpbmng+ qpnjdpl dg gnl}+ ktdel dg bgmnbgl} ~ bflpb hd kb ql`kbmng edgdpbk+ gl

fb qb}bhl hd d}xbp dg qbqdk ~ dg ngxdgmnlgd}+ qtd}xl rtd gl }d fb hbhl mtjqknjndgxl lqlpxtgl ~ bhdmtbhl b

kb} phdgd} hd kb Mlpxd Mlg}xnxtmnlgbk' ]d ng}n}xd dg rtd dk qpl`kdjb hdk QL] d} dk hd kb} slgb} epn}d}

&qplmdhnjndgxl}+ jdhnmbjdgxl} ~ hn}ql}nxnvl} gl mlgxdjqkbhl} hd jbgdpb d}qdmonmb dg dk QL].+ ~ rtd kb}


3/4

xtxdkb} ~ kl} pdml`pl} qlp kl gl QL] }lg kl} mbt}bgxd} hd kb obkxb hd knrtnhds hdk }n}xdjb ~ kb mpn}n} ongbgmndpb'

]ng dj`bpel+ qbpb dk D Hdodg}lp hdk Qtd`kl+ _lkjbp Qpds+ d}xd gl d} dk qpl`kdjb+ qtd}xl rtd kb} mlghtmxb}

j} pdmtppdgxd} }lg kb} gdebmnlgd} hd kl} }dpvnmnl} mkbpbjdgxd mlgxdgnhl} dg dk QL]+ rtd l`knebg b kl}

t}tbpnl} b ngxdpqlgdp bmmnlgd} hd xtxdkb' Mlgxpbpnl b kb} qpdvn}nlgd} hd kb }dgxdgmnb X*5?1+ dg dk bl 0122 kb

qplqlpmng hd xtxdkb} pdmkbjbghl dk hdpdmfl b kb }bkth pdqpd}dgx dk 0?+0$ hdk tgnvdp}l hd xtxdkb}

ngxdpqtd}xb}+ hd d}xb} dk ?8+2?$ pdmkbjb`bg kb qpd}xbmng hd }dpvnmnl} mlgxdgnhl} dg dk QL]'

B qd}bp hd kb bmxtbknsbmng hdk l`}lkdxl ~ pd}xpnmxnvl qkbg hd `dgdonmnl}+ bmxtbknsbmng rtd ngmkt~ kb

bjqknbmng hd d}xd dg =11 qplmdhnjndgxl}+ d}xd qplmd}l mlg}nhdp qlml kl} mlgmdqxl} dqnhdjnlkenml} ~

mkgnml} hd }negnonmbgmnb qbpb kb ql`kbmng+ ~ }d mlgmdgxp dg hbp pd}qtd}xb b kb} qpd}nlgd} hd kb nght}xpnb rtd

`t}mb`b ql}nmnlgbp }t} qplhtmxl}' Kl} jdhnmbjdgxl} mbt}bgxd} hdk 64$ hd kl} pdml`pl} gl otdplg ngmktnhl}

dg dk QL]+ qdpl xbjqlml }d dodmxtbplg kl} d}xthnl} mkgnml} l dmlgjnml} rtd hncdpbg }n d}xb} xdmglkleb} }lg

ngbhdmtbhb}+ ngdonmbmd} l jt~ qlml ml}xl*dodmxnvb}' D} b} mljl }d }netd qdpjnxndghl dk }n}xdjb qbpbkdkl hd

pdml`pl}+ btg mtbghl }d mlglmd dvnhdgmnb mndgxonmb dg dk jtghl rtd hdjtd}xpb rtd kl} }n}xdjb} mlg pdml`pl}d}xnjtkbg dk eb}xl ~ kl} }l`pdml}xl}'

Bhnmnlgbk b xlhl} d}xl} qpl`kdjb}+ }d }tjb kb ngdonmndgmnb hd kl} }n}xdjb} hd ngolpjbmng' Gl fb~ pdqlpxd

lqlpxtgl hd kl} bmxlpd} hdk }n}xdjb ~ d}xl njqnhd bpxnmtkbp bmmnlgd} mlgctgxb} qbpb ebpbgxnsbp dk bmmd}l b kl}

}dpvnmnl} ~ dk mtjqknjndgxl hd glpjb}'

Kl rtd d} mkbpl d} rtd kl} opdmtdgxd} d}mghbkl} hd mlpptqmng qplxbelgnsbhl} qlp kb DQ] qlgdg hd

jbgnond}xl rtd fbg dn}xnhl fb}xb mlgob`tkbmnlgd} hd kb} DQ] beptqbhb} dg BMDJN qbpb gdebp

}n}xdjxnmbjdgxd }dpvnmnl} mlgxdgnhl} dg dk QL]+ hdgtgmnb fdmfb dg dk ]dgbhl hd kb Pdq`knmb qplhtmxl hdkb} ngvd}xnebmnlgd} dg kb} bmxb} ~ mlppdl} dkdmxpgnml} dgxpd kl} hnpdmxnvl} hd kb} DQ]'

Dg kb On}mbkb d}xg dg mtp}l gtjdpl}l} qplmd}l} qlp hdknxl} mlgxpb kb }bkth q`knmb+ qdmtkbhl qlp

bqplqnbmng+ dgpnrtdmnjndgxl nkmnxl ~ mdkd`pbmng nghd`nhb hd mlgxpbxl} dg dk }n}xdjb hd }bkth' Kb on}mbkb fb

jbgnod}xbhl rtd3 kl} jtdpxl} }d dgodpjbg j} ~ xndgdg dgodpjdhbhd} j} epbvd}' Qlp d}xb }nxtbmng fb~

vbpnl} hdknxl} hd opbthd qplmd}bk hd`nhl} b pdml`pl} rtd }d fbmdg hd qdp}lgb} rtd gl d}xg bonknbhb} b kb DQ]+

gl }d kd} dgxpde dk jdhnmbjdgxl+ l gn }nrtndpb d}xg vnvb}' Dg kb qplmtpbhtpb }d bhdkbgxb vbpnb}

ngvd}xnebmnlgd} b DQ] hd`nhb} b ngmtjqknjndgxl pdkbxnvl} b obkkl} hd xtxdkb+ dg qbel} b NQ] ~ dg

mlgmnknbmnlgd} hd jd}b} hd xpb`bcl+ bhdj} hd ngvd}xnebmnlgd} qlp ljn}nlgd} dg xpbxbjndgxl}+ obmxtpb} nkmnxb}

pdjnxnhb} bk ol}~eb+ ljn}nlgd} dg dcdmtmng hd bmmnlgd} hd }bkth q`knmb+ obkxb hd mlgxpbxbmng mlg kb pdh

q`knmb fl}qnxbkbpnb+ jtkxnbonknbmng hdkn`dpbhb ~ pdxnpl} tgnkbxdpbkd} hd t}tbpnl} hd kb} DQ]'

Qbpb mljqkdxbp+ kb Mlgxpbklpb fb hdgtgmnbhl rtd3 Tgb vds kl} pdmtp}l} ngepd}bg b kb} mbcb} hd kl}

lqdpbhlpd} qpnvbhl} xndghdg b mlgotghnp}d mlg kl} pdmtp}l} qplqnl} ~ }d fbmd mb}n njql}n`kd hdjl}xpbp rtd

}d t}bg pdmtp}l} q`knml}+ on}mbkd} ~ qbpbon}mbkd} dg ngvdp}nlgd} qpnvbhb}'


4/4

Xlhl} kl} d}mghbkl} hd mlpptqmng+ kb jb~lp vnenkbgmnb hd kb} dgxnhbhd} hd mlgxplk ~ kb qpd}ng hd kb lqngng

q`knmb mlklj`nbgb+ fbg qplvlmbhl rtd dg 0122 dk `bkbgmd dmlgjnml hd kb} DQ] gl fb~b }nhl xbg `l~bgxd

mljl dg bl} bgxdpnlpd}+ qtd}xl rtd }kl dk 8?$ hd dkkb} mtjqkn mlg dk jbpedg hd }lkvdgmnb dnenhl'

Bhdj}+ hd kb} 08 DQ] dg dk penjdg mlgxpn`txnvl+ 8 d}xb`bg mlg _nenkbgmnb D}qdmnbk &Mbod}bkth+ Objn}bgbp+

Elkhdg Epltq ]'B' DQ]+ ]dpvnmnl} Lmmnhdgxbk hd ]bkth ]'L'].+ ~ 8 ngxdpvdgnhb} &]bkthmllq+ ]bkth Mlklj`nb

&dg knrtnhbmng.+ Pdh ]bkth &knrtnhbmng vlktgxbpnb.+ Jtkxnjhnmb} &knrtnhbmng vlktgxbpnb.'

Kl qpdlmtqbgxd d} rtd qbpb hbp pd}qtd}xb b tgb mpn}n} d}xptmxtpbk hdk }n}xdjb+ dk Qpd}nhdgxd ]bgxl} glj`pd dg

kb mbpxdpb hd ]bkth b tg jt~ `tdg bmbhjnml qdpl mlg tg qdponk qtpbjdgxd ongbgmndpl+ ~ rtd kb qpl~dmmng hd

ngxdpvdgmng hd d}xd El`ndpgl dg }bkth }db kb mlg}lknhbmng hd kl} jlglqlknl} hdk b}detpbjndgxl ~ }t

olpxbkdmnjndgxl dmlgjnml'

Kb mlgmkt}ng d} rtd dk }n}xdjb hd }bkth otgmnlgb jbk qlp hlghd }d kd jnpd+ gl pd}n}xd tgb dvbktbmngmlgmndgsthb qlprtd }d hd}jlplgb' Dk lqdpbhlp qpnvbhl qpd}xb jdgl} }dpvnmnl} qbpb rtdhbp}d mlg jb~lp

ebgbgmnb ~ kb onhtmnb gl bepdeb vbklp bk jlhdkl ~ gl mlgxplkb kl} }l`pdml}xl} dg dk }n}xdjb'

D} njqdpbxnvl rtd kl} dmdhdgxd} hdk jbgdcl hd kl} pdmtp}l} hd kb }bkth }d bqknrtdg b gdmd}nhbhd} hdk }n}xdjb

~ gl }d rtdhdg mljl ebgbgmnb} hd kb} DQ]+ rtd dn}xbg xbpnob} ct}xb} hdk qkbg hd `dgdonmnl} qbpb gl mbpebp dg

kl} fl}qnxbkd} ~ mkgnmb}+ rtndgd} pdbk ~ dodmxnvbjdgxd fbmdg kb bxdgmng dg }bkth+ kl} dodmxl} hd kb} pdekb} hd

mljqdxdgmnb njqtd}xb} qlp kb} DQ]' ]d fbmd gdmd}bpnb tgb pdolpjb ngxdepbk bk }n}xdjb+ dg kenmb b kl}

hdpdmfl} otghbjdgxbkd} ~ gl b kb donmndgmnb dmlgjnmb qtd}xl rtd dg kb bmxtbknhbh gl dn}xdg qlkxnmb}

q`knmb} dg }bkth rtd jbxdpnbknmdg dk elmd dodmxnvl hd }xb'

Kl} qpl~dmxl} hd Kd~ D}xbxtxbpnb pbhnmbhl} dg dk Mlgepd}l hd kb Pdq`knmb+ }lg qplqtd}xb} }dpnb} ~ `ndg

}t}xdgxbhb} rtd }d }ljdxdg b hd`bxd gbmnlgbk dg d}xd njqlpxbgxd jljdgxl fn}xpnml hd kb }bkth dg dk qb}'

D}qdpbjl} rtd bk jljdgxl hd hdmnhnp dg dk Mlgepd}l+ }d mlg}nhdpdg d}xb} qplqtd}xb} dg kb} rtd qpdvbkdmd dk

hdpdmfl otghbjdgxbk b kb }bkth+ ~ gl rtd }d xdpjngd bqpl`bghl tg dgedghpl rtd olpxbkdsmb kb ngxdpjdhnbmng

ongbgmndpb ~ kb ebgbgmnb hd kl} bmmnlgn}xb} hd kb} DQ]'

pronunciamiento desde la facultad de medicina de la udea frente a la crisis del sistema de salud...

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