FAMILY MEDICINE IN SOCIAL SECURITY HEALTH SYSTEM: OSPECON CASE

Introduction and objetives: OSPeCon, the health care system of the construction workers union, launched in November 1992 its Primary Care National Program (PNAPS), based on Family Medicine as main tool to preserve and optimize services for its patients. Today, with 24 years of experience and 51 primary care centers (CeMAPs) that serve approximately 900,000 beneficiaries along all the country, this work has two objetives: 1) To Evaluate the PNAPS through health rating of 5 axes set for the period 2012-2015. 2) To Assess the PNAPS through evaluation primary care attributes. Method: Evaluative research with clipping baseline and evaluation of health axes and attributes of primary care (PC), theoretical goals were established pretending meet 70% or more of them. Cross Section 2012 - 2015. Surveys and observations were made after evaluation of 1,836 monthly reports of 51 CeMAPs, and a random sample of 11,475 family medical records. Results and Conclusions: Preliminarily improvement is observed in the period compared to baseline drawn in 2012. Regarding the health axes tangible improvement was in Family Medicine with 30% increase of meeting the target; Cancer Prevention axis was less evolution (+10%). PC attributes showing the greatest evolution are Intersectoral Approach (+28%), Community Participation, Health Promotion (+26% each) and the lowest increase was in secondary prevention and accessibility (2 and 4% respectively). The changes achieved from the design, implementation and efficient management were positive. This work means data and information production in PC and Social Security fields, and a strong contribution to decision-making in health management.