Abstract

SEGREDO PEREZ, Alina María. Characterization of the management system in the primary health care. Rev Cubana Salud Pública [online]. 2009, vol.35, n.4, pp. 78-109. ISSN 1561-3127.

Objectives To characterize the organizational conditions of the Management System in the Primary Health Care. Methods The universe of study was made up of the managers of the polyclinics of 11 provinces for a total number of 335; the participants in the study amounted to 301 for 89.9%. The questionnaires explored variables such as age, sex, marital status, length of time in performing the managing post, the way of access to the post, working conditions to perform their work, work planning, time devoted to personal upgrading, and perceptions on the organizational environment in which they perform their functions. Results The 30-35 age group was the most representative for 59,5% of the sample; 79.8% of the group hold their managing positions for less than year or for 1-3 years. Of the participants, 42.1% were promoted from another post to the managing position, 42.5% have their full management team. Regarding meetings, 81.7% hold meetings during and out of the working hours whereas 55.2% reported that these meetings had to do with the institutional objectives. In the study group, 40.55 devoted time to their personal upgrading, mainly to that related to their profession. Perceptions on the organizational environment granted the dimension Motivation scorings of 2.9 - 1.3, figures below the allowable average lower limit. Conclusions The organizational conditions of the management system in the primary health care are not the most suitable, so it will be advisable to design a preparation program in management that responds to the requirements of each managing post in the primary health care, where cadres and their replacements are involved.

Keywords : Management System in the Primary Health Care; Cuba.

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