La Jornada – A new model of health care takes care of individual and collective well-being

The time and distance people travel to reach medical facilities, the available means of communication and transportation, environmental pollution or risk factors such as the sale of adulterated alcohol or to minors, are social determinants and determinants of justice that will be served by the new Healthcare Model of Welfare Care (Mas -Wellbeing).

From this new structure that rethinks health care in the country, it includes the context of human, individual and collective well-being; therefore, it promotes actions to realize the rights of the population.

In addition, it takes over the basic functions of public health again. Therefore, Mas-Bienestar also proposes to change the curricula for medical careers, which currently focus on the treatment of diseases and limit the effectiveness of doctors in training within medical units.

Based on a concept that prioritizes primary health care (PHC), the model indicates that there must be an emphasis on the health needs of communities, which does not mean limiting specialized training.

The new academic vision must take into account that a large part of high school and university students will work in public health and their vision must be in line with better well-being, which goes beyond the care of diseases.

New doctors, the document says, should possess skills on guaranteeing rights, interculturality, dignified treatment with respect, social responsibility, humanism and quality of care, among other things.

In the case of undergraduate PhDs, who are in the final year of their studies, contact with different clinical and social areas should be encouraged during the early stages of training.

As for people’s access to medical units, Mas-Bienestar points out that in the usual means of transport, arriving and walking should not take longer than half an hour, the route should be a maximum of 7 kilometers, except in rural areas. with a large population dispersion.

It also includes working hours that should be extended – not just mornings – and include weekends.

In the future, says Model, progress will be made towards the use of information and communication technologies for the provision of telemedicine services.

The guidelines contained in the Mas-Bienestar must be taken over by health services that remain under the operational responsibility of state governments, i.e. those that do not comply with the IMSS Bienestar, as well as social security institutions. With this, the state will achieve the goal of achieving universal health services.

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