PEDIATRIC SURGICAL SERVICE DESCENTRALIZED UDELAR -ASSE 2003 -2015. EXPERIENCE ANALIZING

On the ​​health area, a contribution to improve the quality of life of the people would be the result of an efficient, effective and equitable system. In children with surgical pathology of high prevalence, the access to a pediatric surgery service nearby to the area in which they reside, contributes to these objectives. This is how, in a context of national economic crisis, the Pediatric Surgical Clinic sees the opportunity to decentralize the service and begins to lead the process. Our objective is to describe the decentralized Service of Pediatric Surgery dependent to the Pediatric Surgical Clinic in the period 2003-2015. Following our objective, we made a documentary analysis of the decentralization process and a description of the service in these 12 years of operation. The documentary analysis shows this consolidated process, with the inter-institutional work experience between the academia and the public health sub-sector. With the installation and operation of 10 units of pediatric surgery scheduled. It has been made between 2003 and 2015 a total of 1369 clinics, corresponding to 11265 consultations, with 335 surgical dates that concluded in 1979 children operated. We conclude that this process has been very important and positive in the decentralization of service, and at the same time fulfilled with the objectives of providing an equal assistance, covering an unsatisfied demand and solving the pathology of high prevalence in a properly manner, highlighting the clinical leadership and the commitment of officials and authorities.