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BOOKS OF RtfiDIfGS - PAHO/WHO

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- 215 -<br />

different health and educational institutions in Mexico were<br />

identified and used in this study. Each panel had a high degree<br />

of expertise in each of the selected health problem areas. The<br />

task assigned to these panels was to fill each of the boxes in the<br />

table. They were asked to write the ideal professional functions<br />

that each level will be performing within the next 10 to 15 years,<br />

and to consider what would be the ideal mix of team<br />

configurations.<br />

As in Anesthesia, this study used the four basic criteria of<br />

job evaluation, namely 1) SKILL, 2) EFFORT, 3) RESPONSIBILITY, 4)<br />

JOB CONDITIONS [15,16,17]. Each of the above factors was in turn<br />

broken down to as many levels as necessary to rate the tasks<br />

necessary for handling each of the selected health problems. The<br />

panels were instrumental in delineating/refining all the factors<br />

and subfactors of this plan. Table 2 - shows the degrees assigned<br />

to each of the subfactors and the description given to each<br />

degree. The panels were able to establish a clear definition for<br />

each of the break points on the scale, avoiding uncertainty and<br />

favoring a more precise rating. The tasks thus delineated and<br />

their ratings with respect to malnutrition, a significant health<br />

problem in Mexico, are presented in Table 3. Currently work is<br />

proceeding in the mental health area, and the same information<br />

will be developed for 25 other major health problems. With all<br />

this information in hand, it will be possible to mix and

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