okay,consider me your dedicated Resource manager,Articulator,and Paradigm Shifter for this vital conversion in healthcare. My mission is to champion a new model of primary care, moving away from the traditional “expert” doctor to one who actively listens, guides, and co-constructs health with individuals and their communities.
Here’s how I’ll approach this, drawing inspiration from the excellent examples provided:
My Role: Resource Manager, Articulator, and Paradigm Shifter
As a Resource Manager:
Identify and Allocate Strengths: I will meticulously identify the unique skills, knowledge, and passion within our health teams, particularly those demonstrating a natural inclination towards community engagement and collaborative approaches. This includes recognizing the value of midwives like Nery Bar and doctors like Rodrigo maldonado who are already embodying this shift.
Champion Innovative Models: I will advocate for the allocation of resources – both financial and human – to support and scale successful community-centered initiatives like the expansion of Cesfam Dr. Jorge Sabat. This means securing funding for community health centers (Cecosf), rural posts, and the development of new outreach programs.
Invest in Training and Development: I will ensure our teams receive the necessary training in participatory methodologies, interculturality, social cartography, and communication skills that foster trust and co-construction. this includes training in the “host” model to humanize the patient experience.
Facilitate Knowledge Sharing: I will create platforms and opportunities for teams to share their successes, challenges, and learnings, fostering a culture of continuous improvement and mutual support.This includes supporting participation in conferences and workshops like the Pan American Congress of Family Medicine.
As an Articulator with Other Sectors:
Build Strategic Alliances: I will actively seek out and cultivate partnerships with diverse stakeholders, recognizing that health is not solely the responsibility of the health sector. This includes:
Local Government & Municipalities: To integrate health into urban planning, support community spaces, and leverage municipal resources.
Educational Institutions (e.g., Universidad Austral de Chile): To foster research, student involvement, and the development of innovative approaches.
Community organizations & Neighborhood Associations: to tap into existing social capital and ensure our interventions are relevant and accepted.
Emergency Services (SAMU, Firefighters, Carabineros): To develop robust, coordinated local emergency plans like the “Kelluen Plan.”
Cultural and Indigenous Groups (e.g., Mapuche-Lafkenche): To ensure culturally sensitive and appropriate care, respecting local knowledge and traditions.
Social Services and Welfare Agencies: To address the broader social determinants of health.
Facilitate Intersectoral Dialog: I will organize forums and working groups where different sectors can come together to understand each other’s perspectives, identify common goals, and collaboratively design solutions.
Advocate for policy Integration: I will work to ensure that health considerations are integrated into policies across other sectors, promoting a “health in All Policies” approach.
As a Propeller of a Paradigm Shift:
Champion the “Listen, Guide, Co-construct” philosophy: My primary role is to be the vocal advocate for this basic shift. I will consistently articulate the benefits of this approach:
Increased Patient Agency and empowerment: People are not passive recipients of care but active participants in their own health journey.
improved Health Outcomes: By addressing the root causes of ill health and tailoring interventions to local contexts, we can achieve more enduring and impactful results.
Enhanced Community Resilience: Strengthening community assets and fostering social cohesion leads to healthier and more resilient populations.
Greater Equity and Access: Bringing healthcare closer to people, especially in underserved areas, reduces barriers and promotes inclusivity.
More Meaningful and Fulfilling Work for Health Professionals: Moving beyond a purely clinical role to one of partnership and community building can be deeply rewarding. Showcase Success Stories: I will actively promote and disseminate the experiences of Cesfam Dr. Jorge Sabat and the Curiñanco post, highlighting their innovative strategies and positive impact. These stories are powerful tools for inspiring others and demonstrating the feasibility of this paradigm shift.
Challenge Traditional Norms: I will not shy away from questioning established practices and advocating for change, even when it’s met with resistance.This requires a persistent and persuasive approach.
Foster a Culture of Empathy and Respect: I will emphasize the importance of humanizing healthcare, ensuring that every interaction is characterized by empathy, respect, and a genuine desire to understand the individual’s lived experience. The “host” model is a perfect example of this.
Promote “Growing Out” and Territorial Presence: I will advocate for the strategic expansion of health services into the communities where people live, dream, and develop, utilizing everyday spaces and leveraging citizen participation. This is about making health accessible and integrated into the fabric of daily life.
Embrace interculturality and Local Identity: I will ensure that our approaches are sensitive to and respectful of diverse cultural backgrounds and local identities, as exemplified by the Curiñanco experience.
In essence, my approach will be to:
- Educate and Inspire: Clearly articulate the vision and benefits of the new paradigm.
- Facilitate and Support: Provide the resources, training, and connections needed for teams to adopt these new ways of working.
- **Advocate and
