The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City

From the first months of the Covid-19 pandemic in Mexico, health workers reported to the media various problems in the management of hospitals and health authorities, which affected the adequacy and quality of care provided and their perception of risk of potential nosocomial infection. Based on sem...

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Autores principales: Muñoz Martínez, Rubén, Cortez Gómez , Renata Gabriela
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Antropología - FHyA 2021
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Acceso en línea:https://revistadeantropologia.unr.edu.ar/index.php/revistadeantropologia/article/view/mu%C3%B1oz.cortez
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spelling I15-R207-article-1392022-11-22T23:28:09Z The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City La producción de la cultura organizacional epidémica en la atención al Covid-19 : una aproximación antropológica a los hospitales de la Ciudad de México Muñoz Martínez, Rubén Cortez Gómez , Renata Gabriela Covid-19 médicos cultura organizacional atención hospitalaria pandemias Covid-19 doctors organizational culture hospital care pandemics From the first months of the Covid-19 pandemic in Mexico, health workers reported to the media various problems in the management of hospitals and health authorities, which affected the adequacy and quality of care provided and their perception of risk of potential nosocomial infection. Based on semi-structured interviews with doctors from “covid” and “hybrid” hospitals in Mexico City, in this article we propose the category of epidemic organizational culture of health care, with the aim of analyzing the new reorganization of hospital care from the social representations and practices of these social actors. For this purpose we analyze their representations regarding certain dimensions that they consider significant in the management of the pandemic, at the government and hospital level, and related to the cultural behavior of the population; as well as their self-organized practices to face the absence of protocols and material means for adequate medical care, and mitigate the risk of nosocomial infections. Recovering the point of view and practices of the actors involved in medical care allows to highlight the contradictions of the healthcare system and improve current and future responses to health emergencies. Desde los primeros meses de la pandemia de Covid-19 en México, personal de salud denunció ante los medios de comunicación diversos problemas en la gestión de las autoridades hospitalarias y sanitarias, que afectaban a la adecuación y calidad de la atención proporcionada y a su percepción de riesgo ante una potencial infección nosocomial. A partir de entrevistas semiestructuradas realizadas a médicas y médicos de hospitales “Covid” e “híbridos” de la Ciudad de México, en este artículo se propone la categoría cultura organizacional epidémica de atención en salud, con el objetivo de analizar cómo se produce esta nueva reorganización de la atención hospitalaria desde las representaciones sociales y prácticas de estos actores sociales. Para ello se analizan sus representaciones respecto a ciertas dimensiones que consideran significativas en la gestión de la pandemia, a nivel gubernamental y hospitalario, y del comportamiento de la población; así como sus prácticas autoorganizadas para enfrentar la ausencia de protocolos y de medios materiales para una atención médica adecuada, y mitigar el riesgo de infecciones hospitalarias. Recuperar el punto de vista y las prácticas de los actores implicados en la atención médica, permite visibilizar las contradicciones del sistema de salud y mejorar las respuestas, actuales y futuras, ante emergencias sanitarias. Escuela de Antropología - FHyA 2021-06-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistadeantropologia.unr.edu.ar/index.php/revistadeantropologia/article/view/mu%C3%B1oz.cortez 10.35305/revistadeantropologia.v0iXXVIII.144 Revista de la Escuela de Antropología; Núm. XXVIII (2021): enero-junio 2618-2998 1852-1576 spa https://revistadeantropologia.unr.edu.ar/index.php/revistadeantropologia/article/view/mu%C3%B1oz.cortez/174 https://revistadeantropologia.unr.edu.ar/index.php/revistadeantropologia/article/view/mu%C3%B1oz.cortez/175 Derechos de autor 2021 Rubén Muñoz Martínez, Renata Gabriela Cortez Gómez  https://creativecommons.org/licenses/by-nc-sa/4.0
institution Universidad Nacional de Rosario
institution_str I-15
repository_str R-207
container_title_str Revista de la Escuela de Antropología
language Español
format Artículo revista
topic Covid-19
médicos
cultura organizacional
atención hospitalaria
pandemias
Covid-19
doctors
organizational culture
hospital care
pandemics
spellingShingle Covid-19
médicos
cultura organizacional
atención hospitalaria
pandemias
Covid-19
doctors
organizational culture
hospital care
pandemics
Muñoz Martínez, Rubén
Cortez Gómez , Renata Gabriela
The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
topic_facet Covid-19
médicos
cultura organizacional
atención hospitalaria
pandemias
Covid-19
doctors
organizational culture
hospital care
pandemics
author Muñoz Martínez, Rubén
Cortez Gómez , Renata Gabriela
author_facet Muñoz Martínez, Rubén
Cortez Gómez , Renata Gabriela
author_sort Muñoz Martínez, Rubén
title The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
title_short The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
title_full The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
title_fullStr The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
title_full_unstemmed The production of epidemic organizational culture in the care of Covid-19: an anthropological approach to hospitals in Mexico City
title_sort production of epidemic organizational culture in the care of covid-19: an anthropological approach to hospitals in mexico city
description From the first months of the Covid-19 pandemic in Mexico, health workers reported to the media various problems in the management of hospitals and health authorities, which affected the adequacy and quality of care provided and their perception of risk of potential nosocomial infection. Based on semi-structured interviews with doctors from “covid” and “hybrid” hospitals in Mexico City, in this article we propose the category of epidemic organizational culture of health care, with the aim of analyzing the new reorganization of hospital care from the social representations and practices of these social actors. For this purpose we analyze their representations regarding certain dimensions that they consider significant in the management of the pandemic, at the government and hospital level, and related to the cultural behavior of the population; as well as their self-organized practices to face the absence of protocols and material means for adequate medical care, and mitigate the risk of nosocomial infections. Recovering the point of view and practices of the actors involved in medical care allows to highlight the contradictions of the healthcare system and improve current and future responses to health emergencies.
publisher Escuela de Antropología - FHyA
publishDate 2021
url https://revistadeantropologia.unr.edu.ar/index.php/revistadeantropologia/article/view/mu%C3%B1oz.cortez
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