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artículo
Objective: To analyze the development of human resources policies in health in Peru. Methods: Cross-sectional analysis study of Health Human Resources Policies of the Ministry of Health. To this end, various Policy documents developed in Peru were reviewed, before and after the Toronto Call to Action and its degree of implementation, through three implementation tools: controls (sticks), persuasion (sermons) and incentives (carrots). The historical analysis considered: political action, civil society response and state adaptation. Results: 11 Sector Policy Guidelines were identified (five with a human resource guideline) and two specific Policy Guidelines by Line Directions; both groups not necessarily coincident. In its implementation, mainly control and persuasion policy tools were used, as well as mixed tools. Mostly control and persuasion policy tools (as well as mixed tools) were us...
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artículo
Health systems, based on primary care principles, understood as first contact and continuous, comprehensive, integrated, and coordinated healthcare, achieve better results and greater equity in health than systems with a focus only on specialized care. The proposal of Integrated Health Networks (RIS) in Peru indicates that they will operate through a portfolio of comprehensive healthcare in networks, which meet the needs of the population. This review article recognizes that for this, a process of modifying the health system based on Primary Care should be promoted, acknowledging the lessons learned, identifying the values and principles that generate the foundations for the development of state health policies focused on national priorities so that social changes must respond to the needs and expectations of the population. This should promote changes in legislation, in evaluative ...