SciELO - Scientific Electronic Library Online

vol.78 issue3Decrease of central venous catheter-related infections by implementing simple lowcost interventions in a pediatric intensive critical care unitMedicinal plants used for treatment of skin diseases in rural communities in Los Ríos province, Ecuador author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Anales de la Facultad de Medicina

Print version ISSN 1025-5583


SACO-MENDEZ, Santiago Máximo  and  ZAVALA-SARRIO, Salomón. Influence of teaching-health care integration on the quality of first level health services and medical education at San Antonio Abad del Cusco National University. An. Fac. med. [online]. 2017, vol.78, n.3, pp.309-314. ISSN 1025-5583.

Introduction: The Pan American Health Organization (PAHO) promotes medical education with emphasis on the social component, through teaching care integration (TCI) defined as the process of articulation between health service and education institutions to contribute to improving the living conditions of the community by provision of adequate services to the real needs of the population. Objective: To determine whether if the teaching care integration influences in improving the quality of health services in the community and in the integral training of physicians. Design: Observational, descriptive study. Setting: Faculty of Medicine of San Antonio Abad del Cusco National University and first level of health attention establishments in extreme poverty communities of Cusco, Peru. Participants: Users of health facilities, community families, health facility workers, local authorities, and internal medicine students. Interventions: Application of patients' satisfaction survey to the care received in the establishments and communities where the teaching care integration was implemented; also surveys on knowledge, attitudes, and practices were applied. Results: The communities where the TCI was implemented showed greater satisfaction with the services received, in 48% of the users. Families (64%), health care workers (95%), and local authorities (86%) valued the work performed by the medical students through the rural intership as good. The students valued the rural boarding school as a contribution to their training in 81%. Conclusions: The teaching care integration contributed to improving health and quality of health services in the communities, and influenced the training and performance of the future physicians.

Keywords : Pan American Health Organization; Teaching Care Integration Services; Health Services; Medical Education; Patient Satisfaction.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License