title: [An operative primary health care services model including physicians and technicians].
abstract: The operative Model of Primary Health Care, was developed to offer health services to a population living under conditions of extreme poverty in the municipality of Chimalhuacán, State of México. This article describes the theorical framework, organization and operationalization of an innovative model, changing the current paradigm of clinical practice to include allied health personnel with and especial training. At the core of the model is the Basic Unit of Primary Care that includes one physician and five allied health technicians for each 15,000 habitants. This model offer an alternative to improve the utilization of available personnel and infrastructure. Finally this paper emphasizes the importance of the permanece, surveillance and evaluation of the model.
authors.affiliation: Instituto Nacional de Diagnóstico de Referencia Epidemiológica (SSA), México D.F.
authors.forename: J
authors.initials: J
authors.lastname: Santacruz
authors.forename: J L
authors.initials: JL
authors.lastname: Valdespino
authors.forename: V
authors.initials: V
authors.lastname: Guarner
authors.forename: R
authors.initials: R
authors.lastname: Pérez-Cuevas
authors.forename: V
authors.initials: V
authors.lastname: Libreros
authors.forename: R
authors.initials: R
authors.lastname: Serrano
authors.forename: G
authors.initials: G
authors.lastname: Gutiérrez
mesh_terms: D000328:Adult; D000488:Allied Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D010820:Physicians; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration; D000078329:Workforce
vernacular_title: Un modelo operativo de servicios de atención primaria a la salud con médicos y técnicos.