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Noticias / Eventos
Llamada la puerta de entrada al sistema de salud en el país, el Primer Nivel de Atención en Salud es el contacto inicial en la atención médica, por lo que constituye un elemento clave para poder brindar atención integral y de calidad a la población. Lamentablemente, en este Primer Nivel de Atención las personas no reciben los servicios de salud que requieren; por el contrario, la infraestructura deficiente, el desabastecimiento de medicamentos y la falta de personal son solo algunas de las falencias que presenta. Entonces, se hace necesario potenciar este Primer Nivel, a fin de que los usuarios del sistema encuentren respuesta a sus necesidades de salud.
El Primer Nivel de Atención comprende establecimientos de baja complejidad como postas médicas y centros de salud, que suman un total de 8 mil 279 a nivel nacional, bajo la jurisdicción del Minsa y gobiernos regionales. En este nivel se llevan a cabo servicios de prevención, promoción, consultas ambulatorias, atención de urgencias cotidianas y diagnóstico de enfermedades crónicas, entre otros. Estas situaciones constituyen el 85 % de los problemas en salud y podrían ser atendidas adecuadamente si se contara con un Primer Nivel de Atención con capacidad resolutiva; sin embargo, las deficiencias de equipamiento, infraestructura, horarios de atención inadecuados, falta de medicinas y déficit de personal traen como consecuencia que, ante un problema de salud, las personas acudan a resolverlo en las farmacias y boticas (en 51 % de los casos, según la Encuesta Nacional de Hogares), dejando como segunda opción a los centros de salud.
Esta situación no solamente atenta contra la calidad en la atención de salud, si no que genera el gasto de bolsillo (pago directo realizado por la persona que hace uso de un servicio de salud y que no es financiado por el Estado o seguros de salud), que coloca a la población en riesgo de empobrecimiento por estos pagos. Ante esta coyuntura, el Gobierno anunció una inversión de 840 millones de soles para mejorar las condiciones de los establecimientos del Primer Nivel de Atención que presentan deficiencias hasta en un 94 % de los mismos, haciendo una proyección de mejoras en mil centros de salud hasta el 2026. Si bien es cierto, es un paso inicial para recuperar la capacidad de atención, será necesario tomar otras medidas para que estos centros puedan brindar las respuestas a las necesidades de salud de la población.
Tengamos en cuenta que un Primer Nivel de Atención óptimo no solo mejora la calidad de los servicios de salud, sino que también, mediante la prevención, promoción y eficiencia en el manejo de los recursos sanitarios, fortalece el sistema de salud en su conjunto. Ante ello es necesario incrementar el financiamiento en el sector mejorando la asignación presupuestaria y orientándola a las prioridades de salud en cada territorio; facilitar la adquisición de equipos médicos e insumos, flexibilizando la normativa vigente; distribuir los recursos humanos otorgando incentivos apropiados a los profesionales que laboren especialmente en áreas rurales; e implementar y fortalecer las redes integradas de salud que, mediante un adecuado sistema de referencias y contrarreferencias, permitan ofrecer una atención oportuna a la población.
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