Modelo de asignación de cuadrillas en el Servicio Atención Primaria de Salud “APS” mediante la integración de herramientas de simulación

Abstract

Given the importance in the determining factors of the health in the economic and social’s develop of a country, and the emergence of a radical change in the health service provision through the APS, in which it was proposed to change the focus of the predominance between curative services and the promotion and prevention of the disease; from hospital services to services in the community; from centralized services to decentralized services; and the sole responsibility of the government for the health of the population, to shared responsibility with people for their health. The main theme of this research aims to support the coordinated and continuous supply of such services through the efficient allocation of PHC crews through simulation techniques, given that the epidemiological vectors, particular conditions of each population (in terms of health status) and composition of the crews will be treated in subsequent investigations. Schedule techniques, optimization techniques and simulation techniques will be integrated, and cost composition and some social variables will be considered during the development of the investigation. This comprehensive model of simulation techniques for the allocation of PHC crews will be a first step for a larger project that is intended to be addressed in a doctoral research project.