<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0807</journal-id>
<journal-title><![CDATA[Revista de la Universidad Industrial de Santander. Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Univ. Ind. Santander. Salud]]></abbrev-journal-title>
<issn>0121-0807</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-08072017000200320</article-id>
<article-id pub-id-type="doi">10.18273/revsal.v49n2-2017005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Voces de la academia y los tomadores de decisiones del Oriente Colombiano ante la implementación del Modelo Integral de Atención en Salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Voices of the academy and decision-makers of the East of Colombia in front of the implementation of the Integral Health care Model]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Rodríguez]]></surname>
<given-names><![CDATA[Myriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hormiga Sánchez]]></surname>
<given-names><![CDATA[Claudia Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uribe]]></surname>
<given-names><![CDATA[Luz Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cadena Afanador]]></surname>
<given-names><![CDATA[Laura del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mantilla Uribe]]></surname>
<given-names><![CDATA[Blanca Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solano Aguilar]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud de Santander  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universitaria de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>320</fpage>
<lpage>329</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072017000200320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-08072017000200320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-08072017000200320&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Introducción: En Colombia, a partir del año 2011 ha resurgido el interés por la incorporación de la Estrategia de Atención Primaria en Salud (APS) en los servicios de salud y en los debates académicos. A partir de la promulgación del nuevo Modelo Integral de Atención en Salud en el año 2016, este interés es explícito por los distintos actores del Sistema General de Seguridad Social en Salud. En el marco de la Alianza por la Atención Primaria en Salud para Colombia, se promovieron encuentros regionales que permitieran identificar potencialidades y limitaciones para la implementación de la estrategia de APS en el marco de la nueva política de atención. Objetivo: Socializar las reflexiones que tomadores de decisiones y representantes de la academia realizaron frente a la implementación de la nueva política de atención en el oriente del país. Metodología: Se realizaron tres mesas de trabajo con 30 actores de 11 Instituciones de Educación Superior y 17 tomadores de decisiones de cuatro departamentos del oriente del país. Se utilizó la estrategia de investigación de grupos de discusión. Resultados: Tanto la academia como los tomadores de decisiones identificaron desafíos relacionados con la comprensión de los aspectos conceptuales del enfoque poblacional del modelo, así como la necesidad de hacer una mirada crítica a las competencias y currículos de los nuevos profesionales. Conclusión: Los distintos temas que emergieron del debate incluyen aspectos estructurales y de funcionamiento del sistema de seguridad social en Salud que le plantean a la autoridad sanitaria retos que superan la mera instrumentalización del modelo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Since 2011, there has been an increasing interest to re-incorporate primary health care (PHC) strategy in healthcare services and academic debates. After the promulgation of the new healthcare model (MIAS) in 2016, this interest has been made explicit by all actors involved in the health benefits program of the Social Security System (SGSSS). According to the guidelines proposed by the Colombian PHC Alliance, regional meetings have been held to identify potentialities and limitations for implementing the PHC strategy within the framework of the new healthcare policy. Objective: To socialize the analysis carried out by decision-makers and academics related to the implementation of the new healthcare policy in the east of the country. Methodology: Three workshops were held with the participation of 30 representatives of 11 higher-education institutions and 17 decision makers from four departments of the east of the country. Qualitative research methodology based on focus groups was applied. Results: Academics and decision-makers identified challenges related to understanding the conceptual aspects of the Model&#8217;s population focus and raised awareness about the need of a critical assessment of curricula and professional competencies of health professionals. Conclusion: The discussion topics emerged from the debate included structural and functional aspects of the Health System that represent challenges to health authorities beyond the mere operationalization of the model.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención Primaria de la Salud]]></kwd>
<kwd lng="es"><![CDATA[sistemas de salud, gobierno local, reforma de la atención en salud, Colombia]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Health Systems]]></kwd>
<kwd lng="en"><![CDATA[local government]]></kwd>
<kwd lng="en"><![CDATA[Health care reform]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Aplicación, efectividad y contexto político de la atención primaria integral de salud resultados preliminares de una revisión de la literatura mundial]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Labonté]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sanders]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Baum]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Schaay]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Packer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Laplante]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gerenc Polit Salud]]></source>
<year>2009</year>
<volume>8</volume>
<numero>16</numero>
<issue>16</issue>
<page-range>14-29</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Contribution of primary care to health systems and health]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Starfield]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Shi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Macinko]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Milbank Quarter]]></source>
<year>2005</year>
<volume>83</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>457-502</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<source><![CDATA[Congreso de la República de Colombia]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluación de un modelo de atención primaria en salud en Santander, Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Villamizar]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta-Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Fac Nac Salud Pública]]></source>
<year>2016</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>8895</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Experiencia de implementación de la estrategia de atención primaria en salud en la localidad de BOSA]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mosquera]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vega]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Junca]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gerenc Pol Salud]]></source>
<year>2011</year>
<volume>10</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>124-52</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<source><![CDATA[Congreso de la República de Colombia]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<collab>Ministerio de Salud y Protección Social</collab>
<source><![CDATA[Plan decenal de Salud Pública 2012-2021: La Salud la construyes tú]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Imprenta Nacional de Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vega-Romero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta-Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Mapeo y Análisis de los Modelos de Atención Primaria en Salud en los Países de América del Sur Mapeo de la APS en Colombia]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Panorama de la Atención Primaria de Salud en Suramérica concepciones, componentes y desafíos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giovanella]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[De Almeida]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Vega-Romero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Tejeira]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<source><![CDATA[Saúde Debate]]></source>
<year>2015</year>
<volume>39</volume>
<numero>105</numero>
<issue>105</issue>
<page-range>300-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="book">
<collab>Ministerio de Salud y Protección Social</collab>
<source><![CDATA[Política de Atención Integral en Salud: Un sistema de salud al servicio de la gente]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Imprenta Nacional de Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[El grupo de discusión como aproximación metodológica en investigaciones cualitativas]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arboleda]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Fac Nac Salud Pública]]></source>
<year>2008</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>69-77</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The qualitative content analysis process]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kyngäs]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<source><![CDATA[J Advanc Nurs]]></source>
<year>2008</year>
<volume>62</volume>
<page-range>107-11</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Experiencia de implementación de un modelo de Atención Primaria]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz-Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta-Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[RodríguezVillamizar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Uribe]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[León-Franco]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Salud Pública]]></source>
<year>2011</year>
<volume>13</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>885-96</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chiavenato]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Administración de Recursos Humanos: El capital humano de las organizaciones. 9ed]]></source>
<year>2011</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[McGraw-Hill, Interamericana Editores]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[El enfoque de competencias para los equipos de Atención Primaria en Salud Una revisión de literatura]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rey-Gamero]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta-Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gerenc Pol Salud]]></source>
<year>2013</year>
<volume>12</volume>
<numero>25</numero>
<issue>25</issue>
<page-range>28-39</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Gestión del talento humano en salud pública Un análisis en cinco ciudades colombianas, 2014]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Oquendo-Lozano]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Garzón]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Montoya-Gómez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Vesga-Gómez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[LagosCampos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gerenc Pol Salud]]></source>
<year>2016</year>
<volume>15</volume>
<numero>30</numero>
<issue>30</issue>
<page-range>108-25</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effects of managed care mechanisms on access to healthcare results from a qualitative study in Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Unger]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Mogollón-Pérez]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Health Plann Manage]]></source>
<year>2013</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e13-33</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Dilemas en las decisiones en la atención en salud. Ética, derechos y deberes constitucionales frente a la rentabilidad financiera en el sistema de salud colombiano]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[IF]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sarasti]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Higuita]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Gerenc Polit Salud]]></source>
<year>2010</year>
<volume>9</volume>
<page-range>103-17</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Implementation Research What it is and how to do it]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peters]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Alonge]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Agyepong]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
<name>
<surname><![CDATA[and Tran]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[BMJ]]></source>
<year>2013</year>
<volume>347</volume>
<page-range>f6753</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comprehensive Primary health care in South America contexts, achievements and policy implications]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez-Acosta]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Pollard]]></surname>
</name>
<name>
<surname><![CDATA[Romero-Vega]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Labonté]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Cad Saúde Pública]]></source>
<year>2011</year>
<volume>27</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1875-90</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
