Browsing by Author "Peñaloza Hidalgo, Blanca Elvira"

Now showing 1 - 9 of 9
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    Governance arrangements for health systems in low-income countries: An overview of systematic reviews
    (2017) Herrera Riquelme, Cristian Alberto; Lewin, Simon; Paulsen, Elizabeth; Ciapponi, Agustín; Opiyo, Newton; Pantoja Calderón, Tomás; Rada G., Gabriel; Wiysonge, Charles S; Bastías, Gabriel; Garcia Marti, Sebastian; Okwundu, Charles I.; Peñaloza Hidalgo, Blanca Elvira; Oxman, Andrew D.
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    Hacia un nuevo modelo de atención primaria en salud. Evaluación del proyecto de salud familiar Ancora UC
    (2013) Puschel Illanes, Klaus; Tellez, Alvaro; Montero Labbé, Joaquín; Brunner, Astrid; Peñaloza Hidalgo, Blanca Elvira; Rojas Villar, María Paulina; Poblete A., Fernando; Pantoja Calderón, Tomás
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    Interventions to reduce emigration of health care professionals from low- and middle-income countries
    (2011) Peñaloza Hidalgo, Blanca Elvira; Pantoja Calderón, Tomás; Bastias, Gabriel; Herrera Riquelme, Cristián Alberto; Rada G., Gabriel
    Background The emigration of skilled professionals from low- and middle-income countries (LMICs) to high-income countries (HICs) is a general phenomenon but poses particular challenges in health care, where it contributes to human resource shortages in the health systems of poorer countries. However, little is known about the eHects of strategies to help regulate this movement. Objectives To assess the eHects of policy interventions to regulate emigration of health professionals from LMICs. Search methods We searched the Cochrane EHective Practice and Organisation of Care (EPOC) Group Specialised Register (searched 15 March 2011), the Cochrane Register of Controlled Trials (CENTRAL) (searched 2 March 2011), MEDLINE (searched 5 March 2011), EMBASE (searched 2 March 2011), CINAHL (searched 5 March 2011), LILACS (searched 7 March 2011), WHOLIS (searched 20 March 2011), SocINDEX (searched 11 March 2011), EconLit (searched 8 March 2011), Science and Social Science Citation Index (searched 8 March 2011), NLM Gateway (searched 31 March 2011) and ERIC (searched March 3 2011). We reviewed reference lists of included studies and selected reviews on the topic, contacted authors of included studies and experts on the field, and reviewed relevant websites. Selection criteria Randomised controlled trials (RCT), non-randomised controlled trials (NRCT), controlled before-and-aMer studies (CBA) and interrupted time series (ITS) studies assessing any intervention in_the source, the recipient or both countries that could have an impact on the number of professionals that emigrate from a LMIC. Health professionals, such as physicians, dentists, nurses or midwives, should be nationals of a LMIC whose graduate training was in a LMIC. Data collection and analysis One review author extracted data onto a standard form and a second review author checked data. Two review authors assessed risk of bias. Main results Only one study was included. This time series study assessed the migration of Philippine nurses to the United States of America (USA) from 1954 to 1990. We re-analysed it as an interrupted time series study. The intervention was a modification of migratory law in the US, called the 'Act of October 1965', which decreased the restrictions on Eastern hemisphere immigrants to the USA. The analysis showed a significant immediate increase of 807.6 (95% confidence interval (CI) 480.9 to 1134.3) in the number of nurses migrating to the USA annually aMer the intervention. This represents a relative increase of_5000% over the underlying pre-intervention trend. There were no significant diHerences in the slopes of the underlying trends for the number of nurses migrating between the pre- and postintervention periods. Authors' conclusions There is an important gap in knowledge about the eHectiveness of policy interventions in either HICs or LMICs that could regulate positively the movement of health professionals from LMICs. The only evidence found was from an intervention in a HIC that increased the movement of health professionals from a LMIC. New initiatives to improve records on the migration of health professionals from LMICs should be implemented, as a prerequisite to conducting more rigorous research in the field. This research should focus on whether the range of interventions outlined in the literatura could be eHective in retaining health professionals in LMICs. Such interventions include financial rewards, career development and continuing education,
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    Pharmaceutical policies : effects of policies regulating drug insurance schemes
    (2015) Pantoja Calderón, Tomás; Peñaloza Hidalgo, Blanca Elvira; Cid Pedraza, Camilo; Herrera, Cristián A.; Bigdeli, Maryam
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    Pharmaceutical policies : effects of sales and dispensing policies (Protocol)
    (2015) Peñaloza Hidalgo, Blanca Elvira; Pantoja Calderón, Tomás; Herrera, Cristián A.; Torres Robles, Romina; Cid Pedraza, Camilo
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    El sistema GRADE : un cambio en la forma de evaluar la calidad de la evidencia y la fuerza de recomendaciones
    (2014) Neumann Burotto, Gonzalo Ignacio; Pantoja Calderón, Tomás; Peñaloza Hidalgo, Blanca Elvira; Cifuentes, Lorena; Rada G., Gabriel
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    Topical corticosteroids for treating phimosis in boys
    (2014) Moreno Gómez, Gladys Angélica; Corbalán, Javiera; Peñaloza Hidalgo, Blanca Elvira; Pantoja Calderón, Tomás
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    Volvamos Juntos: evaluation of the implementation of a Social Health Intervention to mitigate the impact of Covid-19 in businesses in Antofagasta, Chile
    (2025) Sapag Muñoz, Jaime; Molina Aiquel, Mónica; Martínez Pérez, Mayra; Cordón Slowing, Paola; Cespedes Maturana, Patricio Ignacio; Concha, Mauro; Fuentes, Marcelo; Fernández, Andrea; Zuzulich Pavéz, María Soledad; Repetto, Paula; Echeverría Errázuriz, Guadalupe; Cáceres, Hernán; Peñaloza Hidalgo, Blanca Elvira
    Abstract Background The COVID-19 pandemic has had an impact not only on healthcare but also on labor and socioeconomic sectors worldwide, leading to the development of strategies to mitigate the crisis’ widespread repercussions. In Antofagasta, Chile, an innovation project entitled Volvamos Juntos (“Let’s Return Together”) was developed to support a diverse group of micro and small businesses. The project consisted of accompanying companies in the process of reopening safely and included interventions ranging from educating and testing employees for COVID-19 to developing protocols to avoid contagion and other preventive measures. The evaluation of the project’s implementation is presented here. Methods A mixed-methods, collaborative study was conducted, adhering to the Consolidated Framework for Implementation Research (CFIR) and Proctor’s Implementation Outcomes, with an online survey, interviews, and focus groups with businesses’ representatives, the implementation team, and program stakeholders. Quantitative analyses were descriptive: frequencies and means were calculated, along with dispersion measures as appropriate, and in some cases, ANOVA tests were performed to assess differences. Qualitative information was processed with content analysis. Finally, an integrated hybrid analysis was conducted, guided by the study’s objectives and theoretical framework. Results A total of 156 leaders from 203 participating businesses answered the online survey (response rate: 76.8%), and 46 people participated in the qualitative component (31 in interviews, 15 in focus groups). Overall, the program’s implementation according to different CFIR dimensions and certain outcomes was evaluated satisfactorily. In the survey, 96.7% participants rated the program’s suitability as satisfactory to maximum (grades 5 to 7 out of 7), 92.3% rated the feasibility with an average of 6.0, 97.4% rated the sustainability with an average of 5.9, and 94.3% indicated that they would favorably recommend (grades 6 or 7) the program to other institutions. Strengths and weaknesses were identified, and lessons learned include the need to plan for changing contexts, the relevance of collaborative and interdisciplinary work, and the importance of flexible support processes that promote autonomy and sustainability. Conclusions Volvamos Juntos met its proposed implementation objectives, despite several challenges. Reflections from this innovative social health program are relevant for the development of other interventions in times of crisis. Trial registration N/A.