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Bibliographic Details
Main Author:	Armando Rodríquez Salvá
Format:	Artículo científico
Language:	es
Published:	Sociedad Cubana de Administración de Salud 2006
Subjects:	Salud Cuba costos totales atención de urgencia costos por caso visto Atención primaria de salud
Online Access:	https://www.redalyc.org/articulo.oa?id=21432103
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Costos del subsistema de urgencias en la atención primaria de salud en Cuba, 1999-2000 Armando Rodríquez Salvá Pol De Vos Rodolfo Jova Morel Mariano Bonet Gorbea René García Roche Anai García Fariñas Patrick Van der Stuyft Salud Cuba costos totales atención de urgencia costos por caso visto Atención primaria de salud El sistema de salud cubano, en la década de los años noventa, desarrolló un subsistemaque se orientó a estratificar el servicio de urgencia por niveles de atención. Este tuvocomo premisas establecer una atención inmediata, próxima y regionalizada de tipoescalonado e integrado con otros niveles de atención. El presente trabajo caracterizó loscostos asociados a la implantación de este durante un año. Se seleccionaron 5municipios de tres provincias del país, a partir de una muestra opinática que incluyóurbanos-metropolitanos, urbanos-no metropolitanos, rurales y de montaña, así comolugares donde estaba implantado el sistema y donde no. Se calcularon los costos totalesy por caso. El costo en el municipio urbano-metropolitano fue 5 veces superior al resto.La mayor contribución al costo lo aportaron los centros de costos finales. El costo porcaso visto fluctuó entre los 6 y los 27 pesos. Los mayores costos coincidieron con losmunicipios representativos de las zonas urbanas, independientemente de la organizaciónde los servicios de urgencias 2006 artículo científico 0864-3466 https://www.redalyc.org/articulo.oa?id=21432103 es http://www.redalyc.org/revista.oa?id=214 Revista Cubana de Salud Pública application/pdf Sociedad Cubana de Administración de Salud Revista Cubana de Salud Pública (Cuba) Num.1 Vol.32

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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