Dec 6, 2015 21:13
8 yrs ago
12 viewers *
Spanish term
unidad resolutiva
Spanish to English
Medical
Medical: Health Care
Hello, I am translating a document about Mexico's UN Millennium Development Goals program. The section in question in about improving obstetric care and care in general for pregnant women to lower the maternal death ratio. Several times, the term "hospital resolutivo" or "unidad (médica) resolutiva" appears. Here are some examples:
"Otro factor importante es la frecuente desarticulación a nivel de los estados entre el primer nivel de atención y los hospitales *resolutivos*, que son unidades que cuentan con infraestructura, equipamiento y recursos humanos suficientes para la atención obstétrica incluida la emergencia obstétrica, lo que conlleva la aparición de las tres demoras en la atención: el tiempo de traslado, el tiempo para recibir atención y la atención intrahospitalaria."
"En el primer nivel de atención, uno de los retos es fortalecer el inicio temprano de la atención de la mujer desde la etapa pregestacional, el control prenatal con intervenciones efectivas e integrales en la detección de riesgo y la referencia adecuada a las unidades médicas *resolutivas*."
"Aun con el sistema de salud y las parteras tradicionales, estas cifras evidencian lo heterogéneo de la distribución de personal por zonas, unidades y turnos de atención. En particular, el personal es insuficiente en las zonas alejadas, donde se envía a los médicos pasantes que carecen de competencias para la atención de calidad del embarazo, parto y puerpe rio y requieren de la referencia de las pacientes a centros de atención *resolutivos*."
And finally:
“Para atender el compromiso de brindar calidad en la atención que permita un mejor resultado con el menor riesgo se requiere garantizar la capacidad resolutiva de la unidad médica, situación que no cubren todas las unidades médicas en operación, sino solamente aquellas que cuentan con especialistas, áreas clínicas y equipamiento adecuado para ello, a esto se le llama *‘resolutividad’*. Al amparo del convenio se deben cumplir los siguientes requisitos:
1.Unidad que cumpla con los criterios de resolutividad establecidos por la Comisión para la coordinación de acciones del convenio general de colaboración de emergencias obstétricas (nivel alto, medio y básico),
2. Acreditación de las unidades médicas conforme a lo establecido por la DGCES, y
3. Solicitud formal de la institución para su incorporación al Anexo 1, la cual se somete a la Comisión para su aprobación o rechazo.”
I hope this gives you some idea of what it is. I have searched far and wide for a translation, to no avail. Thanks for your time and effort!
"Otro factor importante es la frecuente desarticulación a nivel de los estados entre el primer nivel de atención y los hospitales *resolutivos*, que son unidades que cuentan con infraestructura, equipamiento y recursos humanos suficientes para la atención obstétrica incluida la emergencia obstétrica, lo que conlleva la aparición de las tres demoras en la atención: el tiempo de traslado, el tiempo para recibir atención y la atención intrahospitalaria."
"En el primer nivel de atención, uno de los retos es fortalecer el inicio temprano de la atención de la mujer desde la etapa pregestacional, el control prenatal con intervenciones efectivas e integrales en la detección de riesgo y la referencia adecuada a las unidades médicas *resolutivas*."
"Aun con el sistema de salud y las parteras tradicionales, estas cifras evidencian lo heterogéneo de la distribución de personal por zonas, unidades y turnos de atención. En particular, el personal es insuficiente en las zonas alejadas, donde se envía a los médicos pasantes que carecen de competencias para la atención de calidad del embarazo, parto y puerpe rio y requieren de la referencia de las pacientes a centros de atención *resolutivos*."
And finally:
“Para atender el compromiso de brindar calidad en la atención que permita un mejor resultado con el menor riesgo se requiere garantizar la capacidad resolutiva de la unidad médica, situación que no cubren todas las unidades médicas en operación, sino solamente aquellas que cuentan con especialistas, áreas clínicas y equipamiento adecuado para ello, a esto se le llama *‘resolutividad’*. Al amparo del convenio se deben cumplir los siguientes requisitos:
1.Unidad que cumpla con los criterios de resolutividad establecidos por la Comisión para la coordinación de acciones del convenio general de colaboración de emergencias obstétricas (nivel alto, medio y básico),
2. Acreditación de las unidades médicas conforme a lo establecido por la DGCES, y
3. Solicitud formal de la institución para su incorporación al Anexo 1, la cual se somete a la Comisión para su aprobación o rechazo.”
I hope this gives you some idea of what it is. I have searched far and wide for a translation, to no avail. Thanks for your time and effort!
Proposed translations
(English)
| 4 +2 | referral/tertiary-/third-level facility |
Muriel Vasconcellos
|
| 3 | problem-solving unit/decision-making unit |
liz askew
|
Proposed translations
+2
17 mins
Muriel Vasconcellos
United States
United States
Native in English
Specializes in field
United States
Each translation a gem!
Native in: English (Variant: US) 
Works in: Spanish to English, Portuguese to English
Related KudoZ points
:
262
Selected
referral/tertiary-/third-level facility
The definition in your text corresponds to what they call the 'third level of health care'. The idea is that 'the buck stops here' - this is the highest level of health care.
A Framework for a Systems Approach to Health Care Delivery
www.ncbi.nlm.nih.gov/...
National Center for Biotechnology Information
by PP Reid - 2005 - Cited by 3 - Related articles
The third level of the health care system is the organization (e.g., hospital, clinic, nursing home) that provides infrastructure and other complementary resources to support the work and development of care teams and microsystems. The organization is a critical lever of change in the health care system because it can “provide an overall climate and culture for change through its various **decision-making systems**, operating systems, and human resource practices” (Ferlie and Shortell, 2001). The organization encompasses the decision-making systems, information systems, operating systems, and processes (financial, administrative, human-resource, and clinical) to coordinate the activities of multiple care teams and supporting units and manage the allocation and flow of human, material, and financial resources and information in support of care teams. The organization is the business level, the level at which most investments are made in information systems and infrastructure, process-management systems, and systems tools.
https://books.google.com/books?isbn=0826107516
Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, Meredith Kazer, PhD, APRN, A/GNP-BC - 2011 - Medical
Health service delivery is embedded within a health care system. ... **U.S. health care delivery system has focused on services at the secondary and tertiary level**
How **tertiary hospitals** can strengthen primary health care in ...
www.ncbi.nlm.nih.gov/.../P...National Center for Biotechnology Information
by R Oyedeji - 2014 - Cited by 1 - Related articles
How tertiary hospitals can strengthen primary health care in Nigeria ... distribution of patients such that the bulk of patients are seen at **the tertiary level**.
Rex Healthcare Unveils New Name: UNC REX Healthcare
www.rexhealth.com/.../rex-healthcare-unveils-new-name-un...
Rex Hospital
Oct 19, 2015 - In recent years, Rex has evolved from a community hospital that mostly served patients from Wake County, into a** tertiary-leve**, regional **referral **...
--------------------------------------------------
Note added at 20 mins (2015-12-06 21:33:52 GMT)
--------------------------------------------------
The secondary level can also be a referral level (from the primary level), but typically it refers to the third/tertiary level. So 'referral' is not the most precise option.
A Framework for a Systems Approach to Health Care Delivery
www.ncbi.nlm.nih.gov/...
National Center for Biotechnology Information
by PP Reid - 2005 - Cited by 3 - Related articles
The third level of the health care system is the organization (e.g., hospital, clinic, nursing home) that provides infrastructure and other complementary resources to support the work and development of care teams and microsystems. The organization is a critical lever of change in the health care system because it can “provide an overall climate and culture for change through its various **decision-making systems**, operating systems, and human resource practices” (Ferlie and Shortell, 2001). The organization encompasses the decision-making systems, information systems, operating systems, and processes (financial, administrative, human-resource, and clinical) to coordinate the activities of multiple care teams and supporting units and manage the allocation and flow of human, material, and financial resources and information in support of care teams. The organization is the business level, the level at which most investments are made in information systems and infrastructure, process-management systems, and systems tools.
https://books.google.com/books?isbn=0826107516
Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, Meredith Kazer, PhD, APRN, A/GNP-BC - 2011 - Medical
Health service delivery is embedded within a health care system. ... **U.S. health care delivery system has focused on services at the secondary and tertiary level**
How **tertiary hospitals** can strengthen primary health care in ...
www.ncbi.nlm.nih.gov/.../P...National Center for Biotechnology Information
by R Oyedeji - 2014 - Cited by 1 - Related articles
How tertiary hospitals can strengthen primary health care in Nigeria ... distribution of patients such that the bulk of patients are seen at **the tertiary level**.
Rex Healthcare Unveils New Name: UNC REX Healthcare
www.rexhealth.com/.../rex-healthcare-unveils-new-name-un...
Rex Hospital
Oct 19, 2015 - In recent years, Rex has evolved from a community hospital that mostly served patients from Wake County, into a** tertiary-leve**, regional **referral **...
--------------------------------------------------
Note added at 20 mins (2015-12-06 21:33:52 GMT)
--------------------------------------------------
The secondary level can also be a referral level (from the primary level), but typically it refers to the third/tertiary level. So 'referral' is not the most precise option.
4 KudoZ points awarded for this answer.
Comment: "Selected automatically based on peer agreement."
1 hr
problem-solving unit/decision-making unit
seems to be more about decision making and problem solving
La atención primaria y el poder resolutivo del sistema de ...
www.elsevier.es › Inicio › Atención Primaria - Translate this page
Aug 8, 2007 - Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, ... La capacidad resolutiva de la atención primaria de salud deseada ... To identify professionals' view of the problem-solving capacity of primary care in the health system. ... división del texto en unidades autónomas de sentido, la agrupación ...
REDES LOCALES DE SERVICIOS DE SALUD - Secretaría ...
www.salud.gob.mx/unidades/cdi/.../DOCSAL7755.pdf
•
•
Translate this page
integración y articulación en redes de las unidades de salud de atención ... potenciar la capacidad resolutiva y la cobertura de las unidades para poner al ...
ACUERDO por el que la Secretaría de Salud da a conocer ...
www.salud.gob.mx/unidades/cdi/nom/.../a140300.htm...
•
•
Translate this page
7.3 Unidad Coordinadora Estatal del Programa de Ampliación de Cobertura ... Durango, Guanajuato, Guerrero, Hidalgo, Jalisco, México, Michoacán, Nayarit, Oaxaca, ... Fortalecer la capacidad resolutiva de los estados, las jurisdicciones ...
http://www.proz.com/kudoz/spanish_to_english/medical/374771-...
The Mexican Health Care Solution? - Huffington Post
www.huffingtonpost.com/.../mexico-health-care-tou...
•
•
The Huffington Post
Aug 22, 2012 - While the U.S. Department of Health and Human Services has ... to those who see Mexico as the only viable option to a medical system that ... While those problems could happen in the U.S. (although much less likely), ...
The Health Commons and Care of New Mexico's Uninsured
www.ncbi.nlm.nih.gov/...
•
National Center for Biotechnology Information
by A Kaufman - 2006 - Cited by 26 - Related articles
Intractable health problems in our society, such as health disparities between .... the often harsh health system trigger creative approaches to problem solving.
[PDF]Strengthening New Mexico Healthcare: Access, Coverage ...
nmfirst.org/LiteratureRetrieve.aspx?ID=52256
•
•
New Mexico First
A town hall convened by New Mexico First. >When: May 3-5, ... Covenant Health System. Eastern New ...... Approaches to Solving the Problem. No one doubts ...
Mexico. Problem-solving by local health teams. The ...
www.popline.org/node/312193
•
The district team problem-solving (DTPS) methodology was created to strengthen local health systems by promoting management capacity. Health teams ...
--------------------------------------------------
Note added at 1 hr (2015-12-06 22:54:27 GMT)
--------------------------------------------------
08.pdf - SciELO
www.scielosp.org/pdf/rpsp/v28n5/08.pdf
Translate this page
by B Peñaloza - 2010 - Cited by 6 - Related articles
ventivo y promocional, resolutividad, participación, y enfoque biopsicosocial y ...... and promotional clinical approach, problem-solving capability, participation, ...
--------------------------------------------------
Note added at 1 hr (2015-12-06 22:59:02 GMT)
--------------------------------------------------
Cirugía percutánea de la litiasis renal. Experiencia inicial
www.actamedica.sld.cu/r1_12/litiasis_renal.htm
Translate this page
by JCM Rey - 2012 - Related articles
... disminuyó la estadía post operatoria y hubo un alto poder de resolutividad y ... operative stay with a high problem-solving capacity and patient satisfaction.
--------------------------------------------------
Note added at 13 hrs (2015-12-07 10:29:08 GMT)
--------------------------------------------------
Unidad De Medicina Familiar Con Módulo Resolutivo Tipo I ...
hospitalesmexico.com/.../unidad-de-medicina-familiar...
•
Translate this page
Encuentra información sobre mas de 148 colegios, escuelas, jardines infantiles, instituciones y demas establecimientos educativos en.
Clinical Trail Outcomes of the Mexican American Problem ...
www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
•
by JM Cowell - 2009 - Cited by 10 - Related articles
In a review of 21 parenting interventions adapted for Latino families, Dumka, ... The intervention consists of health information (in this case the problem solving information and practice), ... Mexican American Problem Solving Model (MAPS Model) .....Nurses had freedom to apply the appropriate module content of the home ...
--------------------------------------------------
Note added at 13 hrs (2015-12-07 10:35:22 GMT)
--------------------------------------------------
La atención primaria y el poder resolutivo del sistema de ...
www.sciencedirect.com/science/.../S02126567077093...
Translate this page
by XC Costa - 2007 - Related articles
La atención primaria y el poder resolutivo del sistema de salud: un estudio desde ... Primary care and the power of the health system to solve problems: a study ...
La atención primaria y el poder resolutivo del sistema de ...
www.elsevier.es › Inicio › Atención Primaria - Translate this page
Aug 8, 2007 - Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, ... La capacidad resolutiva de la atención primaria de salud deseada ... To identify professionals' view of the problem-solving capacity of primary care in the health system. ... división del texto en unidades autónomas de sentido, la agrupación ...
REDES LOCALES DE SERVICIOS DE SALUD - Secretaría ...
www.salud.gob.mx/unidades/cdi/.../DOCSAL7755.pdf
•
•
Translate this page
integración y articulación en redes de las unidades de salud de atención ... potenciar la capacidad resolutiva y la cobertura de las unidades para poner al ...
ACUERDO por el que la Secretaría de Salud da a conocer ...
www.salud.gob.mx/unidades/cdi/nom/.../a140300.htm...
•
•
Translate this page
7.3 Unidad Coordinadora Estatal del Programa de Ampliación de Cobertura ... Durango, Guanajuato, Guerrero, Hidalgo, Jalisco, México, Michoacán, Nayarit, Oaxaca, ... Fortalecer la capacidad resolutiva de los estados, las jurisdicciones ...
http://www.proz.com/kudoz/spanish_to_english/medical/374771-...
The Mexican Health Care Solution? - Huffington Post
www.huffingtonpost.com/.../mexico-health-care-tou...
•
•
The Huffington Post
Aug 22, 2012 - While the U.S. Department of Health and Human Services has ... to those who see Mexico as the only viable option to a medical system that ... While those problems could happen in the U.S. (although much less likely), ...
The Health Commons and Care of New Mexico's Uninsured
www.ncbi.nlm.nih.gov/...
•
National Center for Biotechnology Information
by A Kaufman - 2006 - Cited by 26 - Related articles
Intractable health problems in our society, such as health disparities between .... the often harsh health system trigger creative approaches to problem solving.
[PDF]Strengthening New Mexico Healthcare: Access, Coverage ...
nmfirst.org/LiteratureRetrieve.aspx?ID=52256
•
•
New Mexico First
A town hall convened by New Mexico First. >When: May 3-5, ... Covenant Health System. Eastern New ...... Approaches to Solving the Problem. No one doubts ...
Mexico. Problem-solving by local health teams. The ...
www.popline.org/node/312193
•
The district team problem-solving (DTPS) methodology was created to strengthen local health systems by promoting management capacity. Health teams ...
--------------------------------------------------
Note added at 1 hr (2015-12-06 22:54:27 GMT)
--------------------------------------------------
08.pdf - SciELO
www.scielosp.org/pdf/rpsp/v28n5/08.pdf
Translate this page
by B Peñaloza - 2010 - Cited by 6 - Related articles
ventivo y promocional, resolutividad, participación, y enfoque biopsicosocial y ...... and promotional clinical approach, problem-solving capability, participation, ...
--------------------------------------------------
Note added at 1 hr (2015-12-06 22:59:02 GMT)
--------------------------------------------------
Cirugía percutánea de la litiasis renal. Experiencia inicial
www.actamedica.sld.cu/r1_12/litiasis_renal.htm
Translate this page
by JCM Rey - 2012 - Related articles
... disminuyó la estadía post operatoria y hubo un alto poder de resolutividad y ... operative stay with a high problem-solving capacity and patient satisfaction.
--------------------------------------------------
Note added at 13 hrs (2015-12-07 10:29:08 GMT)
--------------------------------------------------
Unidad De Medicina Familiar Con Módulo Resolutivo Tipo I ...
hospitalesmexico.com/.../unidad-de-medicina-familiar...
•
Translate this page
Encuentra información sobre mas de 148 colegios, escuelas, jardines infantiles, instituciones y demas establecimientos educativos en.
Clinical Trail Outcomes of the Mexican American Problem ...
www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
•
by JM Cowell - 2009 - Cited by 10 - Related articles
In a review of 21 parenting interventions adapted for Latino families, Dumka, ... The intervention consists of health information (in this case the problem solving information and practice), ... Mexican American Problem Solving Model (MAPS Model) .....Nurses had freedom to apply the appropriate module content of the home ...
--------------------------------------------------
Note added at 13 hrs (2015-12-07 10:35:22 GMT)
--------------------------------------------------
La atención primaria y el poder resolutivo del sistema de ...
www.sciencedirect.com/science/.../S02126567077093...
Translate this page
by XC Costa - 2007 - Related articles
La atención primaria y el poder resolutivo del sistema de salud: un estudio desde ... Primary care and the power of the health system to solve problems: a study ...
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