Browsing by Author "Herrera, Cristian"
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- ItemCOVID-19 Disruption To Routine Health Care Services: How 8 Latin American And Caribbean Countries Responded(2023) Herrera, Cristian A.; Juárez-Ramírez, Clara; Reyes-Morales, Hortensia; Bedregal, Paula; Reartes-Peñafiel, Diana L.; Díaz-Portillo, Sandra P.; Klazinga, Niek; Kringos, Dionne S.; Veillard, Jeremy; Herrera, CristianLatin America and the Caribbean was one of the regions hardest hit globally by SARS-CoV-2. This qualitative exploratory study examined how the COVID-19 pandemic disrupted the delivery of routine health services from the perspective of health care system decision makers and managers. Between May and December 2022, we conducted forty-two semistructured interviews with decision makers from ministries of health and health care managers with responsibilities during the COVID-19 pandemic in eight countries in Latin America and the Caribbean. On the basis of these interviews, we identified themes in three domains: impacts on the provision of routine health services, including postponed and forgone primary care and hospital services; barriers to maintaining routine health services due to preexisting structural health care system weaknesses and difficulties attributed to the pandemic; and innovative strategies to sustain and recover services such as public-private financing and coordination, telemedicine, and new roles for primary care. In the short term, policy efforts should focus on recovering postponed services, including those for noncommunicable diseases. Medium- and long-term health care system reforms should strengthen primary care and address structural issues, such as fragmentation, to promote more resilient health care systems.
- ItemMeasuring the educational environment in health professions studies: A systematic review(INFORMA HEALTHCARE, 2010) Soemantri, Diantha; Herrera, Cristian; Riquelme, ArnoldoBackground: One of the determinants of the medical student's behaviour is the medical school learning environment.
- ItemPsychometric analyses and internal consistency of the PHEEM questionnaire to measure the clinical learning environment in the clerkship of a Medical School in Chile(TAYLOR & FRANCIS LTD, 2009) Riquelme, Arnoldo; Herrera, Cristian; Aranis, Carolina; Oporto, Jorge; Padilla, OslandoBackground and aims: The Spanish version of the Postgraduate Hospital Educational Environment Measure (PHEEM) was evaluated in this study to determine its psychometric properties, validity and internal consistency to measure the clinical learning environment in the hospital setting of Pontificia Universidad Catolica de Chile Medical School's Internship.