BOOKS OF RtfiDIfGS - PAHO/WHO

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matrix (Figure 1) was constructed relating the sequences of care
to the health problems found to be important.
Job Design
Following the methodology delineated in the Anesthesiology
studies [14] modifications of job evaluation techniques were used
to design new job descriptions for health personnel. Using the
downward delegation of tasks principle, the needed health
personnel profiles were thus clearly defined. All tasks that were
actually performed by personnel were identified a.d delegated to
the least expensive and/or least trained professional capable of
performing the task adequately.
According to the scheme shown in Table 1, each box described
the functions that each level of professional has to perform with
respect to each problem in order to maintain and/or preserve a
health outcome. As in anesthesia, this resulted in job profiles
not in existence at the time. This,: an additional. benefit of the
analysis, lead to a more integrated approach to health care
delivery.
Ra.her than going to the field where the tasks were actually
performed as called for by the traditional job evaluation
technique, and as done in the Anesthesia curriculum study, panels
from each of the professional levels in practice at