Evaluación de la Situación Actual de Sistemas de Información en Salud de Instituciones Asistenciales en el Estado Tachira

Irkjyk`dðg oi jk Pdtyk`dðg k`tykj oi Pdptifkp oi Dgbnsfk`dðg ig Pkjyo oi Dgptdty`dngip Kpdptig`dkjip ig ij Iptkon _ë`hdsk 3=;3

Os' Npfëg oi Eipõp Ksaúijjn P' Ip}' DFP @nnsodgkons oij Pdptifk Siadngkj oi Dgbnsfk`dðg ig Pkjyo @ns}npkjyo _k`hdsk

9tk Krigdok* Pkg @sdptðckj' Iptkon _ë`hdsk' Rigiuyijk* tijibkx =3120?;4233'

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KG_I@IOIG_IP Ig jnp Hnp}dtkjip  @igtsnp @jægd`np Kfcyjktnsdnp oij Iptkon _k`hdsk* `nfn ig jk fknsæk oi jnp iptkcji`dfdigtnp oi pkjyo oi gyiptsn }kæp* jk hdptnsdk `jdgd`k* jnp odbisigtip }snaskfkp oi Pkjyo  ig aigiskj tnok on`yfigtk`dðg kofdgdptsktdrn& kpdptig`dkj pi fkgiek ig bnsfktn fkgykj (}k}ij$* `ng askrip dg`ngrigdigtip* kjtn `nptn ig py `ngbi``dðg* kjfkìgkfdigtn* k`tykjduk`dðg* `ngpisrk`dðg  kod`dngkjfigti sdipanp jkcnskjip }ksk {ydigip tskckekg odsi`tkfigti `ng yg fktisdkj {yi }yioi iptks `ngtkfdgkon }ns pyp `ngod`dngip oi kjfkìgkfdigtn' Igtsi jkp }sdg`d}kjip oiprigtkekp oi ipti fätnon iptë {yi ij on`yfigtn }disoi pyp `ksk`tisæptd`kp }sdfnsodkjip* jk `ykj iptk ckpkok ig }sn}ns`dngks dgbnsfk`dðg {yi }isfdtk jk dgriptdak`dðg* jk iptkoæptd`k* jk onìg`dk  jk kofdgdptsk`dðg oi jnp pisrd`dnp }õcjd`np* }ksk kpæ aigisks }jkgip {yi }isfdtkg jk tnfk oi oi`dpdðg  jk }jkgdbd`k`dðg }sipy}yiptksdk }ksk ipti pi`tns' Jk `ksig`dk oi yg risokoisn `ngtsnj  fkgien oi jk dgbnsfk`dðg Kofdgdptsktdrn&Kpdptig`dkj n`kpdngk odrispdoko oi }sncjifkp {yi rkg oipoi jk sioy``dðg oi jk ibi`tdrdoko  ibd`dig`dk ig jk ktig`dðg  `ydokonp oij }k`digti* hkptk jk odptnspdðg oi jnp kgëjdpdp oi dgbnsfk`dðg `jægd`k si`nadok ig jnp odbisigtip ìgtsnp oi pkjyo' ]ns ijjn* ij iptkon pi hk }jkgtikon oigtsn oi py }snaskfk oi sibnsfk oij pi`tns pkjyo* jk iei`y`dðg oi ygk pisdi oi iptsktiadkp {yi dg`jyi Jk Kytnfktduk`dðg oij Pdptifk oi Pkjyo oij Iptkon* jk `ykj ip ygk giìpdoko dgfiodktk `yk pnjy`dðg sioygoksk ig fienskp ig jnp odbisigtip gdrijip oi ktig`dðg oi jk pkjyo }ycjd`k' Jn {yi kgkjdukfnp ig ipti iptyodn ip jk }sdfisk itk}k oi ygk pisdi oi k``dngip {yi pi oicig iei`ytks ig tdif}n&ip}k`dn* }ksk jnasks jk Kytnfktduk`dðg oi jnp odbisigtip igtip oi Pkjyo {yi hi`hnp oi bnsfk `nnsodgkok i dgodrdoykjfigti* k fiodkgn }jkun jnasifnp igjkuksgnp ig yg pnjn pdptifk odp}yiptn }ksk jnasks jk fiens si`nji``dðg oi Oktk  py }snìpkfdigtn `nfn Dgbnsfk`dðg* tskgpbnsfkon ig @ngn`dfdigtnp {yi sioygoig ig ygk pkcdoysdk `k}ku oi hkìsgnp ris jk fiens bnsfk oi odptsdcyds* i{ydjdcsks  iptkcjiìs }njdtd`kp oi pkjyo {yi pikg }ksk cigibd`dn odsi`tn oi tnonp jnp `dyokokgnp oij Iptkon _k`hdsk*  jnaskgon `ng ijjn ygk @kjdoko oi ktig`dðg ig Pkjyo oi ]sdfis FYGON•















IRKJYK@DÐG Ipti Onppdis hkì yg kgëjdpdp oi tnon jn sibisigti k jk Dgbskiptsy`tysk* I{yd}kfdigtn* `k}k`dtk`dðg oij SSHH  odp}ngdcdjdoko oi si{ydpdtnp fægdfnp }iodonp oipoi jk `nnsodgk`dðg oij PSDP* }ksk kytnfktduks tnonp jnp }snìpnp KPDP_IG@DKJIP {yi png ëfcdtn odsi`tn oi jk fdpfk' Hkìfnp ägbkpdp ig {yi jn ig`ngtskon* iptk fkp sijk`dngkon `ng ij ëfcdtn Kpdptig`dkj* kyg{yi }yodfnp `ngptktks `ðfn iptkck jn kofdgdptsktdrn* }ns jk sijk`dðg odsi`tk {yi kfcnp td}np oi pdptifkp tdigig ig ij tskcken `nfõg' Pi irkjyksng rksdnp kp}i`tnp tkgtn k gdrij oi si{yisdfdigtnp* `nfn oi sip}yiptkp oi ypyksdnp {yi tdigig {yi sijk`dngkspi odsi`tkfigti `ng ij ypn oij fdpfn' Jnp oitkjjksifnp `nfn pi ip}i`dbd`k ig jnp pdaydigtip }ygtnp5 ;'& ]ksëfitsnp irkjykonp5 Oipoi ij }ygtn oi rdptk _ä`gd`n (Dgpt' Irkj' Gµ ;$5 k$ c$ `$ o$ i$ b$ a$

Piaysdoko oi Oktnp K}jd`k`dngip ig Byg`dngkfdigtn K}jd`k`dngip ig Oipkssnjjn I{yd}np oi @nf}ytn @nfygd`k`dngip ]snaskfkp `ng jdìg`dk Dgbskiptsy`tysk ongoi pi ig`yigtskg jnp Pdptifkp

Ig iptk ]sdfisk }ksti pi irkjõkg kp}i`tnp {yi png Ncpisrkcjip }ns ij Dgriptdakons ix}istn }ns jn `ykj ip yg kgëjdpdp `ykjdtktdrn {yi k }nptisdnsd `ngristdfnp ig `ykgtdtktdrn }ksk nctigis sipyjtkonp ig `ykgtn k jk n}isktdrdoko oi jnp pdptifkp df}jifigtkonp ig ygk Nsakgduk`dðg' Jn oipikcji png jnp ægodìp oi Cyign k Ixìjigti {yi iptëg }kskfitsdukonp ig jk fdpfk tkcjk oi irkjyk`dðg' Jk irkjyk`dðg ip ig Ckpi k 03 }ygtnp ip}i`æbd`np* oipoi = hkptk ;== ig }ygtyk`dðg doikj* pdigon ygk }ygtyk`dðg igtsi =  39 Gn ixdptigti* 32 k 09 oibd`digti* 02 k ?= fkjk* ?; k 2= Siayjks* 2; k 19 Oipikcji* 12 k 89 Cyigk  82 k ;== ixìjigti' Oipoi ij }ygtn oi Rdptk oi Gdrijip oi @ngtsnj (Dgpt' Irkj' Gµ 3$5 k$ @ngtsnj oi ]snìpnp c$ @ngtsnj pncsi Pnbtqksi dgptkjkon `$ @ngtsnj pncsi Hksoqksi o$ @ngtsnj N}isktdrn pncsi tnon ij Pdptifk















@kok ygn pi oitkjjk k `ngtdgyk`dðg }ksk igtigoisjnp  pkcis `ðfn pi k}jd`kg piaõg gnsfkp tä`gd`kp' ;'k$ @ngtsnj oi ]snìpnp5 Kgëjdpdp Si{yisdfdigtnp {yi hkìg jnp Ypyksdnp oij Pdptifk*  {yi png jk ckpi }ksk ij oipkssnjjn oi pnjy`dngip  gyirkp k}jd`k`dngip* piaõg pik ij `kpn* iptkcji`digon `sdtisdnp `jksnp oi Rdkcdjdoko }ksk ij oipkssnjjn oi jnp fdpfnp' Jnp `sdtisdnp oi Rdkcdjdoko png5 ;$ Rdkcdjdoko I`ngðfd`k 3$ Rdkcdjdoko _ä`gd`k 0$ Rdkcdjdoko N}isktdrk ;'c$ @ngtsnj pncsi ]snìpnp5 Oipkssnjjn Rkjnsks jnp pdptifkp oipkssnjjkonp  }sn}yiptnp piaõg Kgëjdpdp* `ng jnp i{yd}np oi tskcken oiptdgkonp k tkj bdg' Ipti piaydfdigtn pi hkì `ng5 ;$ @sngnaskfkp 3$ Siygdngip oi }sipigtk`dðg 0$ Dgbnsfi oi Piaydfdigtn 3$ @ngtsnj pncsi Pnbtqksi Dgptkjkon5 @ngtsnjk jk fkgd}yjk`dðg* K`ìpn  jdìg`dk oij Pnbtqksi dgptkjkon' Ip df}nstkgti k {yi ij pnbtqksi ip oi rkjns iptsktäad`n }ksk `ykj{ydis if}sipk*  ig `kpnp ixtsifnp* }ksk ij siadptsn* k`ìpn n dgbnsfk`dðg oi }k`digtip ig ësikp `sdtd`kp 0$ @ngtsnj pncsi ij Hksoqksi5 Risdbd`k ij Hksoqksi* py byg`dngkjdoko*  Piaysdoko* kpæ `nfn tkfcdäg `ngod`dngip oi tskcken oi i{yd}np  pyp Ypyksdnp* `ng pdptifkp ig `kpn oi bkjjkp ijä`tsd`kp  pdptifkp oi sip}kjon oi dgbnsfk`dðg `ngbdkcjip kj fnfigtn oi jkp `ngtdgaig`dkp' ?$ @ngtsnj N}isktdrn pncsi tnon ij Pdptifk5 Ij Oi}kstkfigtn oi Dgbnsfëtd`k Fiod`k oici Kpiaysks {yi jnp }snìodfdigtnp }snaskfkonp png `ngpdptigtip  cdig k}jd`konp ig ij kjfkìgkfdigtn* }snìpkfdigtn oi oktnp  piaysdoko oi jnp fdpfnp* iptnp dg`jyig5 ;$ ]yiptnp oi ]snìpkfdigtn oi oktnp 3$ ]yiptnp oi }snìpkfdigtn oi Pnbtqksi 0$ N}isk`dngip oi @nf}ytn















oipkptsip  k``doigtip' _nokp iptkp fiodokp oicig iptks }ns ip`sdtn  k}snckokp }ns ij byg`dngksdn sip}ngpkcji oij oi}kstkfigtn' 2$ @ngtsnj pncsi jk Piaysdoko oi Oktnp5 @ng iptn pi kpiaysk jk @kjdoko  `ngtigdon oi jnp oktnp* }ksk gn ix}ngisjnp k `kfcdnp* n oiptsy``dðg dgtig`dngkj n gn oi jnp fdpfnp* koifëp oi jnp odbisigtip ypyksdnp {yi k`ìokg kj pdptifk' Ieif}jn oi ijjn png ij dgasipn oi oktnp k hdptnsdkp `jægd`kp }ns }ispngkj gn kytnsdukon* {yi }yodiskg ypksjn `ng bdgip gn oipikonp' Jnp Ypyksdnp oij pdptifk oicisëg tigis k`ìpn piaõg gdrijip oi piaysdoko }si&iptkcji`donp* {yi akskgtdìg {yi ij fdpfn iptksë piaysn ig tnonp jnp gdrijip' 1$ @ngtsnj pncsi jnp ]snìpnp Kofdgdptsktdrnp5 Png jnp {yi pi hkìg k tskräp oi jk Kyodtnsdk oij Pdptifk* `yn nceitdrn ip pis ij pn}nsti ibd`ku  ibi`tdrn oi jnp }snìpnp oi dgbnsfk`dðg oi jkp Nsakgduk`dngip `ng fätnonp {yi jip }isfdtk gnsfktduks py byg`dngkfdigtn  hkìsjn k`nsoi k jkp giìpdokoip sikjip {yi od`hk nsakgduk`dðg tigak' Oipoi ij }ygtn oi rdptk oi SSHH (Igtsirdptkp kjiktnsdkp k }ispngkj$ k$ @k}k`dokoip ig ij ypn oi ]@—p

c$ Giìpdokoip ig `ykgtn k py tskcken }kstd`yjks o$ giìpdokoip }ns ësik oi tskcken sikjip Jkp }siaygtkp byisng fy pig`djjkp  `nf}sigoækg jnp kp}i`tnp oi ypn  bk`djdoko oi jnp fdpfnp ig pyp jkcnsip odksdkp* koifëp oi giìpdokoip }ygtykjip {yi tigækg kj tskckeks `ng jnp i{yd}np' Byisng k}snxdfkokfigti 3= }ispngkp ig jnp odbisigtip pdtdnp rdpdtkonp* }sdg`d}kjfigti oij ksik kpdptig`dkj  oi siadptsnp  iptkodptd`kp' Ygk Riu kgkjdukon tnonp iptnp Dgptsyfigtnp* }snìoifnp k Oitkjjks `kok ygn oi jnp Odptsdtnp*  bdgkjfigti yg Odkagnptd`n oi tnokp jkp dgptdty`dngip Dgriptdakokp }ksk }jkgtiks jkp Pnjy`dngip }ygtykjip  aigiskjip k kpyfds oipoi jk @ns}nsk`dðg oi Pkjyo* oi tkj Bnsfk {yi jnasifnp bdgkjfigti gyiptsn Nceitdrn5 Kytnfktduks jnp }snìpnp kpdptig`dkjip ig tnonp jnp gdrijip* dg`jyigon jnp kofdgdptsktdrnp sijk`dngkonp odsi`tkfigti `ng PKJYO* gyiptsk skuðg oi pis bygokfigtkj'















Odptsdtnp Irkjykonp (Dgptdty`dngip Df}jd`kokp$ ;'& Odptsdtn Pkgdtksdn Gµ ; (dg`jydfnp k{yæ Hnp}dtkj @igtskj  Kgtdtycis`yjnpn$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ ;5 k }ipks oi iptks ig dgptdty`dngip {yi pi ji hkg hi`hn rksdkp sifnoijk`dngip* tdigig ygk pisdi oi bkjjkp ig jn {yi k dgbskiptsy`tysk pi sibdisi* {yi png oibd`dtksdkp* `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn ; = (G'I'$

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Risdbd`k`dðg oi Si{yisdfdigtnp Igtsigkfdigtn  `k}k`dtk`dðg ]jkgip oi Fkgtigdfdigtn ]jkgip oi @ngtdgaig`dk @ngtsnjip oi oi Hksoqksi @ngtsnj  Piaysdoko

Dgoyptsdkj Piaysnp `ngtsk Dgìgodnp* Oipkptsip n Okûnp K`ìpn }ns ]yistnp K`ìpn k @nfygd`k`dngi _isfdgkjip p Odkaskfk oi sioip @ngtsnjip oi K`ìpn k Sio Jdìg`dkp oi Pnbtqksi Ypn oi Pnbtqksi oi bnsfktn Jdcsi * ]snaskfkp `ng Ypn oi Phksiqksi Ntsnp Pnb tqksi Jdìg`dk Ypn oi Bsiiqksi Pydtip Nbdfktd`kp pdg Jdìg`dk (Ptksnbbdì* n}ignbbdì$ Pdptifkp oi Sibsdaisk`dðg }ksk Dgbskiptsy`tysk I{yd}np ongoi pi @ngtsnj oi ig`yitskg jnp Hyfioko  Pdptifkp _if}isktysk oij Jn`kj _ntkjip

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Sipyjtkonp piaõg dgptsyfigtn oi Irkj' O;

T `ng jn `ykj dgbisdfnp {yi rksdnp kp}i`tnp hkìg {yi iptk pdtyk`dðg pi fkgtigak  kyg kaskri* tkjip bk`tnsip png5 k$ ]njætd`np c$ ]sipy}yiptksdnp `$ SSHH ix}istn ig ij Ësik o$ Py}isrdpdðg oi dgbskiptsy`tysk }ns }ksti oi @ns}npkjyo i$ Bkjtk oi fntdrk`dðg ig ij }ispngkj df}jd`kon ig jnp }snìpnp Igtsi ntskp `npkp `ngpiaydfnp {yi `yigtkg `ng }i{yiûkp sioip fy syodfigtksdkp }isn n}isktdrkp }ksk `kok ësik* `ng ygk `ngixdðg oi Dgtisgit ig jk nbd`dgk oi I}doifdnjnadk Odptsdtkj* {yi }yodisk kf}jdkspi k ntskp ungkp* pd hycdisk jk rnjygtko  fntdrk`dðg k hkìs jnp `kfcdnp hk`dk jk kytnfktduk`dðg' Rifnp `ng }sin`y}k`dðg {yi gn hk bnstkjiuk }ksk fntdrks k iptnp `kfcdnp tkg giìpksdnp k bytysn' Ij piaygon Kp}i`tn `nssip}ngodð k jnp Gdrijip oi @ngtsnj pncsi `kok }snìpn tkgtn ig jn {yi sip}i`tk k jkp k}jd`k`dngip ypkokp `nfn k jnp igtnsgnp n}isktdrnp* ij hksoqksi* jkp sioip  jnp `ngtsnjip oi piaysdoko  pncsi ij }snìpn kofdgdptsktdrnp ig Pd* ig`ngtskgon pisdkp oibd`dig`dkp ig

















Kygkon k iptn  ig ckpi yg kgëjdpdp BNOK* tigifnp jn pdaydigti5 k$ Bnstkjiukp5 Dgptdty`dðg oi kjtk `kjdcsi doikj }ksk hkìs jk iptkgoksduk`dðg oi tnonp jnp }ksëfitsnp irkjykonp pd pi }sn}ngi yg }sni`tn dgtiaskon `ng k``dngip `ngoyìgtip k fiensks tnok jk Dgbniptsy`tysk }ksk jk dgptdty`dðg' @ng ygk cyigk }jkgdbd`k`dðg* }ns itk}kp*  }ns }sni`tnp }i{yiûnp igjkukonp ig ij tdif}n  ip}k`dn* png fy`hkp jkp `npkp {yi pi }yioig ds hk`digon ig cigibd`dn oi jkp dgptdty`dngip df}jd`kokp' Tk jk dgptdty`dðg `yigtk `ng ij }sdfis pdptifk oi siadptsn oi ks`hdrnp }kpdrnp* {yi pi }yioi ypks tkfcdäg `nfn bd`hk `jægd`k }ksk jk cõp{yiok k`tdrk oi }k`digtip* }isn {yi k`tykjfigti  }ns bkjtk oi }ispngkj* gn hk pdon ypkon oi ygk fkgisk fëp ibd`digti }ns jk dgptdty`dðg' @yigtk `ng Dgtisgit ig ygk oi pyp ësikp' c$ N}nstygdokoip5 Gyirnp }sipy}yiptnp* kpdagk`dðg oi }ksti oi si`yspnp kod`dngkjip (9 )$ }ksk }sni`tnp oi I{yd}kfdigtn  sioip dgtskdgptdty`dngkjip* {yi kyokg k oks }kpn k }kpn jnp `kfcdnp giìpksdnp ig `ykgtn k i{yd}kfdigtn pi sibdisi' Kod`dngkjfigti SSHH bnsfkon ig ij Ësik* {yi iptë }snfnrdigon ij ypn k`tdrn oi jnp Pdptifkp oi Dgbnsfk`dðg ig Pkjyo' `$ Oicdjdokoip5 K}ktæk oij }ispngkj oi jkp dgptdty`dngip* oipiptdfks }sni`tnp ig fiodkgn  jksan }jkun* ypks ij ibi`tdræpdfn tif}nskj*  gn ygk }jkgdbd`k`dðg ig tdif}n ip}k`dn k jksan }jkun* Gn `nf}snfitis k jk pn`dioko `drdj* Ancdisgn i dgptdty`dngip }sdrkokp ig ij ]sni`tn* kpæ `nfn tkfcdäg k jkp Ygdrispdokoip  `ykj{ydis igti {yi kyoi k }snfnris fiensip }së`td`kp oi pisrd`dnp  ktig`dðg ig Pkjyo `ng tkgtkp n}nstygdokoip pd pi hkì ygk `kf}kûk ibi`tdrk }ksk fiensks jkp fdpfkp' o$ Kfigkukp5 Ij `nf}ngigti ]njætd`n* {yi iptë dgtisbdsdigon _NONP jnp }snìpnp oi Pkjyo oi bnsfk pdagdbd`ktdrk* okgon }sdnsdoko k jk `kgtdoko  oiekgon jk `kjdoko oi pisrd`dnp fy }ns oicken oi iptëgoksip dgtisgk`dngkjip i dgod`konsip Hnp}dtkjksdnp cdig `ngn`donp* jn `ykj ncrdkfigti si}is`yti ig tnon ij }snìpn Kofdgdptsktdrn kpdptig`dkj oi jkp dgptdty`dngip' Bdgkjfigti }ns jkp ig`yiptkp kjiktnsdkp  }ns jnp odbisigtip nbd`dnp tskfdtkonp* pkcifnp {yi hk yg oäbd`dt oi SSHH ip}i`dkjdukon ig ij Ësik (Gn ixdpti yg Fiod`n ig`ksakon oij ësik oi _D@ —p ig Pkjyo$  kod`dngkjfigti }sipigtkg }sncjifkp oi ip}k`dn Bæpd`n {yi pi iptëg sipnjrdigon `ng ij ypn oij Pdptifk oi siadptsnp }kpdrnp* {yi byi ijkcnskon hkì k yg kûn*  {yi k jk bi`hk hk jnaskon si`y}isks oi 8 k ;= fitsnp `ykoskonp oi py}isbd`di* {yi isk n`y}kok }ns }k}ij {yi k }noæk `ngpdoiskspi oiphi`hn }ns ij tdif}n  jk bkjtk oi ypn oij fdpfn }ns }ksti oi siadptsnp  iptkoæptd`kp'

















3'& Odptsdtn Pkgdtksdn Gµ 3 (Hnp}' ]kosi Eyptn Ksdkp$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ 3 tigifnp ygk dgptdty`dðg {yi pi {ydisi `nfn fnoijn }ksk df}jifigtks ij pdptifk oi siadptsnp }kpdrnp* {yi tdigi kfcdigtip doikjip* tdigi tkfcdäg pyp }sncjifkp oi odrispn td}n {yi pi ip}i`dbd`kg `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn 3 = (G'I'$ Gdrijip Gdrijip oi k`ìpn

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Risdbd`k`dðg oi Si{yisdfdigtnp Igtsigkfdigtn  `k}k`dtk`dðg ]jkgip oi Fkgtigdfdigtn ]jkgip oi @ngtdgaig`dk @ngtsnjip oi Hksoqksi

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@n}dkp oi Fi`kgdpfnp oi Piaysdoko oi K`tykjduk`dðg Jdfdtk`dðg oi Oktnp Oisi`hnp @sik`dðg* Ypn @ng`yssigti oi oktnp ]jkgip oi @ngtdgaig`dk K}jd`k`dngip ig Pn}nsti Byg`dngkfdigtn Fkgykjip Gdrijip Gdrijip oi K`` ipn ns Snj Rdkcdjdoko i`ngnfd`k* ti`gd`k

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@kjdbd`k`dðg O3 ; 3 0

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Sipyjtkonp O3

Sipyjtkonp piaõg dgptsyfigtn oi Irkj' O3

T `ng jn `ykj dgbisdfnp {yi rksdnp kp}i`tnp hkìg {yi iptk pdtyk`dðg pi fkgtigak* tkjip bk`tnsip png5 k$ ]njætd`np c$ ]sipy}yiptksdnp `$ SSHH ix}istn ig ij Ësik o$ Py}isrdpdðg oi dgbskiptsy`tysk }ns }ksti oi @ns}npkjyo i$ K}ktæk ig Eibktyskp kop`sdtkp k I}doifdnjnadk  Siadptsn  Iptkoæptd`kp ig ij }ispngkj df}jd`kon ig jnp }snìpnp Iptk dgptdty`dðg `yigtk `ng py `ngixdðg k Dgtisgit*  tdigi ygk }i{yiûk sio }ksk `ngi`tks `distnp oi}kstkfigtnp (Kofdgdptsk`dðg* ]ispngkj* igbisfisæk* Odsi``dðg  I}doifdnjnadk$* }isn hk {yi iptsy`tysks jk sio `nf}jitk ig jkp ësikp }ygtykjip  giìpksdkp }ksk `nfiguks jk Df}jifigtk`dðg oi _D@—p ig Pkjyo'

Ij piaygon Kp}i`tn `nssip}ngodð k jnp Gdrijip oi @ngtsnj* ig`ngtskgon pisdkp oibd`dig`dkp ig tnonp iptnp `ngtsnjip* `nfn pi oitkjjkg ig ij pdaydigti `ykosn oi irkjyk`dðg5

















Kygkon k iptn  ig ckpi yg kgëjdpdp BNOK* tigifnp jn pdaydigti5 k$ Bnstkjiukp5 Dgptdty`dðg doikj }ksk hkìs jk iptkgoksduk`dðg oi tnonp jnp }ksëfitsnp irkjykonp pd pi }sn}ngi `nfn yg }sni`tn dgtiaskon `ng k``dngip `ngoyìgtip k fiensks tnok jk Dgbniptsy`tysk }ksk jk dgptdty`dðg' @ng ygk cyigk }jkgdbd`k`dðg* }ns itk}kp*  }ns }sni`tnp }i{yiûnp igjkukonp ig ij tdif}n  ip}k`dn' Jk dgptdty`dðg `yigtk `ng kjaygkp }ispngkp {yi iptëg igtsigkokp ig ij ypn  k}jd`k`dðg oi }snìodfdigtnp kytnfktdukonp*  ipti }ispngkj iptk Pycytdjdukon  ig ësikp ongoi sikjfigti pi }disoig jkp `k}k`dokoip oi ipti si`yspn hyfkgn tkg rkjdnpn' @yigtk `ng Dgtisgit' c$ N}nstygdokoip5 Gyirnp }sipy}yiptnp* kpdagk`dðg oi }ksti oi si`yspnp kod`dngkjip (9 )$ }ksk }sni`tnp oi I{yd}kfdigtn  sioip dgtskdgptdty`dngkjip okonp odsi`tkfigti oipoi ij F]]]P* {yi kyokg k oks }kpn k }kpn jnp `kfcdnp giìpksdnp ig `ykgtn k i{yd}kfdigtn pi sibdisi' Kod`dngkjfigti SSHH bnsfkon ig ij Ësik* {yi iptë }snfnrdigon ij ypn k`tdrn oi jnp Pdptifkp oi Dgbnsfk`dðg ig Pkjyo' `$ Oicdjdokoip5 K}ktæk oi Eibip oi I}doifdnjnadk  Siadptsnp Fäod`np* n cdig }ns bkjtk oi `ngn`dfdigtnp n }ns fkgtigis k}tdtyoip oi oipk`yison hk`dk ij ypn oi ti`gnjnaækp ig ij Ësik pkjyo*  {yi gn `ngoyìg k gdgaõg }snasipn ig iptk ësik oi tskcken' o$ Kfigkukp5 Ij `nf}ngigti ]njætd`n* {yi `nfn kgtip gnfcskfnp }yioi pis }iseyod`dkj pd gn `ngoyì jnp }snìpnp oi Pkjyo hk`dk jk kytnfktduk`dðg oi }snìpnp {yi }kpn k }kpn pi oici iptks iei`ytkgon' Bdgkjfigti }ns jkp ig`yiptkp kjiktnsdkp* pkcifnp {yi hk yg oäbd`dt oi SSHH ip}i`dkjdukon ig ij Ësik (Gn ixdpti yg Fiod`n ig`ksakon oij ësik oi _D@—p ig Pkj yo$ T hk kjaygkp pdtyk`dngip oi td}n }ispngkj* fëp {yi }snbipdngkj* {yi dgtisbdisig ig ij fiens k}snri`hkfdigtn oi jkp _D@—p ig Pkjyo ig kjaõg }ispngkj oi jk dgptdty`dðg'



















0'& Odptsdtn Pkgdtksdn Gµ 0 (Hnp} Pkfyij Oksæn Fkjongkon$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ 0 tigifnp ygk dgptdty`dðg {yi iptë pdigon sifnoijkok ig fy`hkp ësikp*  {yi tnokræk bkjtk yg tdif}n oi k}snxdfkokfigti 3 n 0 fipip }ksk }nois ig risoko df}jifigtks yg cyig pdptifkp oi sioip  i{yd}kfdigtn }ksk jnasks ij }snìpn oi kytnfktduk`dðg `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn 0 = (G'I'$ Gdrijip oi k`ìpn @n}dkp oi Fi`kgdpfnp oi Piaysdoko oi K`tykjduk`dðg Jdfdtk`dðg oi Oktnp Oisi`hnp @sik`dðg* Ypn @ng`yssigti oi oktnp ]jkgip oi @ngtdgaig`dk K}jd`k`dngip ig Pn}nsti Byg`dngkfdigtn Fkgykjip Gdrijip oi K`ìpn ns Snj Rdkcdjdoko i`ngnfd`k* ti`gd`k Ixdptig`dk  piaydfdigtn oi @sngnaskfkp ]sipy}yiptn K}jd`k`dngip ig iei`ytkon Oipkssnjjn Ixdptig`dk oi }jkg pncsi `k}k`doko `nf ytk`d ytk`dngk ngkjj Risdbd`k`dðg oi Si{yisdfdigtnp Igtsigkfdigtn Igtsigkfdigtn  `k}k`dtk`dðg ]jkgip oi

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@kjdbd`k`dðg @kjdbd`k`dðg O0 O0 ; 3 0

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T `ng jn `ykj dgbisdfnp {yi rksdnp kp}i`tnp hkìg {yi iptk pdtyk`dðg pi fkgtigak* tkjip bk`tnsip png5 k$ ]sipy}yiptksdnp c$ SSHH ix}istn ig ij Ësik `$ Py}isrdpdðg oi dgbskiptsy`tysk }ns }ksti oi @ns}npkjyo



















}ispngkj fntdrkon kj tskcken `ng rn`k`dðg  py Odsi`tns ip yg kjdkon iptsktäad`n* }ns{yi }ksti oi jk doik oi {yi pd fienskg ig fy`hn tnonp jnp }snìpnp }ns jk kytnfktduk`dðg' Kpæ {yi k bytysn {yduëp pik ygk oi jkp dgptdty`dngip }djntn fiens fntdrkokp }ksk hkìs ipti tskcken* tkgtn ig ij ësik oi igbisfisæk* `nfn jk Odsi``dðg* kofdgdptsk`dðg*  oi ijjn sipyjtksk tkfcdäg jk fntdrk`dðg kj }ispngkj kpdptig`dkj {yi gn }yodfnp `ngtk`tks ig jk rdpdtk' @yigtk `ng Dgtisgit' c$ N}nstygdokoip5 Gyirnp }sipy}yiptnp* kpdagk`dðg oi }ksti oi si`yspnp kod`dngkjip (9 )$ }ksk }sni`tnp oi I{yd}kfdigtn  sioip dgtskdgptdty`dngkjip okonp odsi`tkfigti oipoi ij F]]]P* {yi kyokg k oks }kpn k }kpn jnp `kfcdnp giìpksdnp ig `ykgtn k i{yd}kfdigtn pi sibdisi' Kod`dngkjfigti SSHH bnsfkon ig ij Ësik* {yi iptë }snfnrdigon ij ypn k`tdrn oi jnp Pdptifkp oi Dgbnsfk`dðg ig Pkjyo' `$ Oicdjdokoip5 _dif}n {yi bkjtk }ns tisfdgks jkp iptsy`tyskp ig `ngptsy``dðg*  kygkon k ipn jk bkjtk oi }sirdpdðg oij igti `ngptsy`tns ig tnfks ig `yigtk jnp }ksëfitsnp }ksk iptkcjiìs jk Dgtskgit  jnp si`yspnp giìpksdnp }ksk py df}jifigtk`dðg' o$ Kfigkukp5 Gn pi ncpisrkg kfigkukp {yi pikg `ngtsk}snoyìgtip k jk df}jifigtk`dðg oi pdptifkp oi dgbnsfk`dðg* pdgn jnp oip`sdtnp ig `ykgtn kj tdif}n oi `ngptsy``dðg  jn gn }sirdptn }ksk jk `sik`dðg oi jk dgtskgit' Bdgkjfigti }ns jkp ig`yiptkp kjiktnsdkp* pkcifnp {yi hk yg oäbd`dt oi SSHH ip}i`dkjdukon ig ij Ësik (Gn ixdpti yg Fiod`n ig`ksakon oij ësik oi _D@—p ig Pkjyo$ ' Hk }ispngkj fntdrkon }ksk tskckeks  hk fy`hn {yi hkìs* ig `ykgtn k `k}k`dtk`dðg* {yi fy`hnp oipikg hkìs ig `kok ësik oij Hnp}dtkj'



















?'& Odptsdtn Pkgdtksdn Gµ ? (Hnp} Isgiptn Piaygon ]knjdgd$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ ? tigifnp ygk dgptdty`dðg {yi iptë pdigon sifnoijkok _kfcdäg* (`nfn ij odptsdtn 0$  {yi tnokræk bkjtk yg tdif}n oi k}snxdfkokfigti 3 n 0 fipip }ksk }nois ig risoko df}jifigtks yg cyig pdptifkp oi sioip  i{yd}kfdigtn }ksk jnasks ij }snìpn oi kytnfktduk`dðg `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn ? = (G'I'$ Gdrijip oi k`ìpn `ng `jkri @n}dkp oi Piaysdoko oi Oktnp

oi oktnp ]jkgip oi @ngtdgaig`dk K}jd`k`dngip ig Pn}nsti Byg`dngkfdigtn Fkgykjip Gdrijip oi K`ìpn }ns Snj Rdkcdjdoko i`ngnfd`k* ti`gd`k Ixdptig`dk  piaydfdigtn oi @sngnaskfkp ]sipy}yiptn K}jd`k`dngip ig iei`ytkon Oipkssnjjn Ixdptig`dk oi }jkg pncsi `k}k`doko `nf ytk`dng ytk`dngkj kj Risdbd`k`dðg oi


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Sipyjtkonp piaõg dgptsyfigtn oi Irkj' O?

T `ng jn `ykj dgbisdfnp {yi rksdnp kp}i`tnp hkìg {yi iptk pdtyk`dðg pi fkgtigak* tkjip bk`tnsip png5 k$ ]sipy}yiptksdnp c$ SSHH ix}istn ig ij Ësik `$ Py}isrdpdðg oi dgbskiptsy`tysk }ns }ksti oi @ns}npkjyo





















cigibd`dn kod`dngkj oi }nois `ngtks `ng ësikp fiens kfcdigtkokp  odp}yiptkp }ksk jk `njn`k`dðg oi py Dgtskgit hnp}dtkjksdk  {yi oicisæk iptks cdig iptsy`tyskokp' @yigtkg `ng yg }ispngkj fntdrkon kj tskcken `ng rn`k`dðg  fy`hn `sii {yi kytnfktduks jnp }snìpnp ip fy `ngrigdigti }ksk py tskcken odksdn  hkg sip}ngodon fy cdig k jnp tkjjisip oi `k}k`dtk`dðg od`tkonp oipoi jk @ns}nsk`dðg* }ns jn {yi ip yg cy ig }sngnptd`n k jk hnsk oi hkìs jk df}jifigtk`dðg oi jkp _D@—p ig Pkjyo' @yigtk `ng Dgtisgit* kyg{yi fy jdfdtkon' c$ N}nstygdokoip5 Gyirnp }sipy}yiptnp* kpdagk`dðg oi }ksti oi si`yspnp kod`dngkjip (9 )$ }ksk }sni`tnp oi I{yd}kfdigtn  sioip dgtskdgptdty`dngkjip okonp odsi`tkfigti oipoi ij F]]]P* {yi kyokg k oks }kpn k }kpn jnp `kfcdnp giìpksdnp ig `ykgtn k i{yd}kfdigtn pi sibdisi' Ij }ispngkj fntdrkon ip ygk oi jkp askgoip bnstkjiukp oi iptk Dgptdty`dðg*  ip}iskfnp {yi oij odptsdtn tkfcdäg' `$ Oicdjdokoip5 _dif}n {yi bkjtk }ns tisfdgks jkp iptsy`tyskp ig `ngptsy``dðg*  kygkon k ipn jk bkjtk oi }sirdpdðg oij igti `ngptsy`tns ig tnfks ig `yigtk jnp }ksëfitsnp }ksk iptkcjiìs jk Dgtskgit  jnp si`yspnp giìpksdnp }ksk py df}jifigtk`dðg'





















9'& Odptsdtn Pkgdtksdn Gµ 9 (Hnp} Os' @ksjnp Snk Fnsign$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ 9 tigifnp ygk dgptdty`dðg {yi pi }yioi hkìs jk df}jifigtk`dðg oi jnp pdptifkp }sdfksdnp* ygk riu iptkcji`dok py Dgtskgit }ksk jnasks ij }snìpn oi kytnfktduk`dðg `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn 9 = (G'I'$ Gdrijip oi k`ìpn

Piaysdoko oi Oktnp

@n}dkp oi Fi`kgdpfnp oi K`tykjduk`dðg Jdfdtk`dðg oi Oisi`hnp (@sik`dðg* Ypn @ng`yssigti oi oktnp

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askg sio oi Pkjyo oij Iptkon _ë`hdsk' @yigtkg `ng yg }ispngkj fntdrkon kj tskcken `ng rn`k`dðg  fy`hn `sii {yi kytnfktduks jnp }snìpnp ip fy `ngrigdigti }ksk py tskcken odksdn  hkg sip}ngodon fy cdig k jnp tkjjisip oi `k}k`dtk`dðg od`tkonp oipoi jk @ns}nsk`dðg* }ns jn {yi ip yg cyig }sngnptd`n k jk hnsk oi hkìs jk df}jifigtk`d ðg oi jkp _D@—p ig Pkjyo' c$ N}nstygdokoip5 Gyirnp }sipy}yiptnp* kpdagk`dðg oi }ksti oi si`yspnp kod`dngkjip (9 )$ }ksk }sni`tnp oi I{yd}kfdigtn  sioip dgtskdgptdty`dngkjip okonp odsi`tkfigti oipoi ij F]]]P* {yi kyokg k oks }kpn k }kpn jnp `kfcdnp giìpksdnp ig `ykgtn k i{yd}kfdigtn pi sibdisi' Ij }ispngkj fntdrkon ip ygk oi jkp askgoip bnstkjiukp oi iptk Dgptdty`dðg' `$ Oicdjdokoip5 _dif}n ig {yi pi oici iptkcjiìs jk Dgtskgit* {yi oi}igoisë oi jnp si`yspnp pyfdgdptskonp oipoi @ns}npkjyo* }ksk }npt isdnsfigti hkìs ypn ibi`tdrn oi jkp _D@—p {yi pi df}jifigtig ig od`hn ìgtsn' o$ Kfigkukp5 Jk bkjtk oi @nnsodgk`dðg igtsi ij igti si`tns  py }ispngkj kop`sdtn k jk Aisig`dk oi Pdptifkp* }ksk `nfiguks jnp }sni`tnp oi kytnfktduk`dðg* ig `ykgtn k }sipy}yiptn





















2'& Odptsdtn Pkgdtksdn Gµ 2 (Hnp}dtkj Pkg Sn{yi$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ 2 tigifnp ygk dgptdty`dðg {yi pi }yioi hkìs jk df}jifigtk`dðg oi jnp pdptifkp }sdfksdnp* ygk riu iptkcji`dok py Dgtskgit }ksk jnasks ij }snìpn oi kytnfktduk`dðg `nfn jn fyiptsk ij iptyodn ckpkon ig ij dgptsyfigtn oi irkjyk`dðg* {yi k `ngtdgyk`dðg }sipigtkfnp5 ]kskfitsnp oi irkjyk`dng Aigiskj ig Pdptifkp oi Dgbnsfk`dðg Ottn 2 = (G'I'$

Piaysdoko oi Oktnp

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k$ Bnstkjiukp5 Dgptdty`dðg {yi ji bkjtk py dgtskgit }ksk }nois sikjduks ij }snìpn oi kytnfktduk`dðg* ip bygokfigtkj* kj daykj {yi ig tnonp jnp odptsdtnp* `njn`ks pyp sioip dgtskdgptdty`dngkjip  }nois ibi`tdrkfigti `nfygd`ks tnonp jnp gdrijip kofdgdptsktdrnp kpdptig`dkjip k jk askg sio oi Pkjyo oij Iptkon _ë`hdsk' @yigtkg `ng yg }ispngkj fntdrkon kj tskcken `ng rn`k`dðg 























1'& Odptsdtn Pkgdtksdn Gµ 1 (Hnp} Ij ]dûkj$ Pdtyk`dðg K`tykj5

Ig ij odptsdtn pkgdtksdn Gµ 1 tigifnp ygk dgptdty`dðg {yi pi }yioi hkìs jk df}jifigtk`dðg oi jnp pdptifkp }sdfksdnp* ygk riu iptkcji`dok py Dgtskgit }ksk jnasks ij }snìpn oi























= (G I $

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Evaluación de la Situación Actual de Sistemas de Información en Salud de Instituciones Asistenciales en el Estado Tachira

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