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Health_Indicators-June18-es.pdf
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- 26. 22 CAPÍTULO DE LA CIE-10 NÚMERO ABSOLUTO (n) MORTALIDAD PROPORCIONALa (POR 100 DEFUNCIONES) TASA DE MORTALIDADb (POR 10 000 HAB.) (QIHUPHGDGHVFDUGLRYDVFXODUHV ,, 1 640 172 17,37 1HRSODVLDV ' 1 131 635 20,2 (QIHUPHGDGHVGHODSDUDWRUHVSLUDWRULR -- 571 686 10,2 6,06 DXVDVH[WHUQDV 9 538 463 5,70 (QIHUPHGDGHVHQGRFULQDVQXWULFLRQDOHVPHWDEyOLFDV (( 336 623 6,0 3,57 (QIHUPHGDGHVGHODSDUDWRGLJHVWLYR .. 273 047 (QIHUPHGDGHVGHOVLVWHPDQHUYLRVR ** 213 173 3,8 2,26 0XHUWHVPDOGHÀQLGDV 55 3,4 2,04 (QIHUPHGDGHVLQIHFFLRVDVSDUDVLWDULDV $% 188 330 3,4 2,00 7UDVWRUQRVPHQWDOHVGHOFRPSRUWDPLHQWR )) 163 266 1,73 (QIHUPHGDGHVGHOVLVWHPDJHQLWRXULQDULR 11 2,7 $IHFFLRQHVRULJLQDGDVHQHOSHUtRGRSHULQDWDO 33 72 358 1,3 0,77 0DOIRUPDFLRQHVFRQJpQLWDV 44 41 787 0,7 0,44 (QIHUPHGDGHVGHOVLVWHPDRVWHRPXVFXODU 00 30 623 0,5 0,32 (QIHUPHGDGHVGHODVDQJUHGHORVyUJDQRVKHPDWRSRpWLFRV '' 27 451 0,5 (QIHUPHGDGHVGHODSLHOVXEFXWiQHDV // 13 110 0,2 0,14 (PEDUD]RSDUWRSXHUSHULR 22 0,1 0,06 (QIHUPHGDGHVGHORtGRGHODDSyÀVLVPDVWRLGHV ++ 266 0,0 0,00 (QIHUPHGDGHVGHORMRORVDQHMRV ++ 137 0,0 0,00 Total 5 589 507 100,0 59,21 Tabla 2. Número absoluto de defunciones, mortalidad proporcionalɛ y tasa de mortalidadɜ por grandes grupos de causas básicas de muerte, Región de las Américas, 2010 ,(ODVLȓFDFL³QLQWHUQDFLRQDOGHHQIHUPHGDGHVDHGLFL³Q a /DPRUWDOLGDGSURSRUFLRQDOSRUFDXVDVVHUHȓHUHDODSURSRUFL³QGHGHIXQFLRQHVVHJºQFDGDFDXVDVHOHFFLRQDGDUHODWLYDDOWRWDOGH GHIXQFLRQHVQRWLȓFDGDVSRUWRGDVODVFDXVDV b /DWDVDGHPRUWDOLGDGSRUFDXVDVHUHȓHUHDODSURSRUFL³QGHGHIXQFLRQHVVHJºQFDGDFDXVDVHOHFFLRQDGDUHODWLYDDODSREODFL³QGHOOXJDU HQHOD±RGHLQWHU©V SREODFL³QVXSXHVWDGHPLOORQHVGHKDELWDQWHVSDUDOD5HJL³QGHODV$P©ULFDVHQHO Fuente:6LVWHPDGH0RUWDOLGDG5HJLRQDOGHOD236206 DFWXDOL]DFL³QGHPDRGHO
- 27. 23 ,1',$'25(66(*š168,17(535(7$,“10$7(07,$(3,'(0,2/“*,$ /RV LQGLFDGRUHV GH VDOXG SXHGHQ WHQHU LQWHUSUHWDFLRQHV EDVWDQWH GLVWLQWDV VHJºQ OD VLWXDFL³Q HSLGHPLRO³JLFDHOWLSRGHHYHQWRTXHVHREVHUYDHQHOQXPHUDGRU(QHVWHVHQWLGRFRQYLHQHKDEODUGH LQGLFDGRUHVEDVDGRVHQODSURSRUFL³QGHHYHQWRVLQFLGHQWHVODSURSRUFL³QGHHYHQWRVSUHYDOHQWHV/DV WDVDVUHVXOWDQWHVFRQVWLWXHQODVGRVWDVDVP¡VXVDGDVSDUDGHVFULELUHQIHUPHGDGHVHQHOFDPSRGHOD VDOXGSºEOLFD 2.2.1 INDICADORES BASADOS EN EVENTOS INCIDENTES $ SDUWLU GH HVRV HYHQWRV LQFLGHQWHV SXHGHQ FUHDUVH YDULRV LQGLFDGRUHV GH PHGLFLRQHV UHODWLYDV /DV PHGLFLRQHV UHODWLYDV TXH SXHGHQ FDOFXODUVH FRQ EDVH HQ HYHQWRV LQFLGHQWHV HQ VDOXG SºEOLFD VRQ OD LQFLGHQFLDDFXPXODGDRSURSRUFL³QGHLQFLGHQFLDMXQWRFRQODWDVDGHLQFLGHQFLDRGHQVLGDGGHLQFLGHQFLD $FRQWLQXDFL³QVHSUHVHQWDODGHȓQLFL³QHLQWHUSUHWDFL³QGHWDVDGHLQFLGHQFLD (Q HVWH GRFXPHQWR VH DQDOL]D VROR OD LQFLGHQFLD DFXPXODGD SURSRUFL³Q GH LQFLGHQFLD TXH VHU¡ GHQRPLQDGDWDVDGHLQFLGHQFLDDTXHHVODWHUPLQRORJDTXHVXHOHXWLOL]DUVHHQHOFDPSRGHODVDOXG SºEOLFD/RPLVPRVHDSOLFDU¡DODVSURSRUFLRQHVGHSUHYDOHQFLDFRQUHVSHFWRDOXVRGHOW©UPLQRWDVD GHSUHYDOHQFLD3RUORWDQWRHQHVWHGRFXPHQWRVHDGRSWDHOXVRlato sensuGHOW©UPLQRŮWDVDůFRPR VLQ³QLPRGHŮSURSRUFL³Qů 7ʞʴʞʢʣʩʯʡʩʢʣʯʡʩʞ Concepto: /DWDVDGHLQFLGHQFLDVHGHȓQHFRPRHOQºPHURGHFDVRVQXHYRVGHXQDHQIHUPHGDGXRWUD FRQGLFL³QGHVDOXGGLYLGLGRSRUODSREODFL³QHQULHVJRGHODHQIHUPHGDG SREODFL³QH[SXHVWD HQXQOXJDU HVSHFȓFRGXUDQWHXQSHURGRHVSHFLȓFR Interpretación matemática:/DWDVDGHLQFLGHQFLDHVODSUREDELOLGDGGHTXHXQLQGLYLGXRSHUWHQHFLHQWHD ODSREODFL³QHQULHVJRVHYHDDIHFWDGRSRUODHQIHUPHGDGGHLQWHU©VHQXQSHURGRHVSHFȓFR Interpretación epidemiológica:(VWDWDVDSHUPLWHFDOFXODUODSUREDELOLGDGGHTXHKDDXQFDPELRGH HVWDGR SRUHMHPSORGHQRWHQHUODHQIHUPHGDGDHQIHUPDUVHGHYLYRDPXHUWRVLQXQHYHQWRGDGR FRQHYHQWRDGYHUVRHQWUHRWURV HQXQLQWHUYDORGHWHUPLQDGR(QW©UPLQRVHSLGHPLRO³JLFRVHVWRVH 8QHYHQWRLQFLGHQWHVHGHȐQHFRPRXQHYHQWRRFDVRQXHYRGHXQDHQIHUPHGDG ROD PXHUWHXRWUDVLWXDFL³QGHVDOXG TXHRFXUUHHQGHWHUPLQDGRSHURGRGHREVHUYDFL³Q
- 28. 24 GHQRPLQDŮULHVJRů(OULHVJRHVHQWRQFHVODSUREDELOLGDGGHFDPELRGHHVWDGR HQIHUPHGDGPXHUWH HIHFWRDGYHUVR HQXQDSREODFL³QGHLQWHU©VHQXQLQWHUYDORGDGR 3 (QHOFDVRGHOHMHPSORFLWDGRHQHO SXQWRVREUHODVSUREDELOLGDGHVGHGHVDUUROODUXQDDOHUJLDHQWUHHOPRPHQWRGHOQDFLPLHQWRORV D±RVGHHGDGSRGHPRVGHFLUTXHODPHGLFL³QGHODLQFLGHQFLD SURSRUFL³Q HQGLH]D±RVFDOFXODHOULHVJR GHTXHXQQL±RQDFLGRYLYRHQHVDSREODFL³QEDVHGHVDUUROOHXQDDOHUJLDDQWHVGHFXPSOLUORVD±RVGH HGDG Método de cálculo:/DWDVDGHLQFLGHQFLDVHFDOFXODGHODVLJXLHQWHPDQHUD 2.2.2 INDICADORES BASADOS EN EVENTOS PREVALENTES $OLJXDOTXHFRQORVHYHQWRVLQFLGHQWHVDSDUWLUGHHVRVHYHQWRVSUHYDOHQWHV PHGLFL³QDEVROXWD SXHGHQ FUHDUVHLQGLFDGRUHVGHVDOXGEDVDGRVHQPHGLFLRQHVUHODWLYDV(QHSLGHPLRORJDODPHGLFL³QUHODWLYDP¡V LPSRUWDQWHFDOFXODGDFRQEDVHHQHYHQWRVSUHYDOHQWHVHVODSURSRUFL³QRWDVDGHSUHYDOHQFLD([LVWHQ RWUDVPHGLFLRQHVGHHYHQWRVSUHYDOHQWHV FRPRODSUHYDOHQFLDGHSHURGR SHURVRQSRFRXVXDOHVSRUOR TXHQRVHWUDWDU¡QHQHVWHGRFXPHQWR 7ʞʴʞʢʣʱʳʣʷʞʬʣʯʡʩʞ Concepto:/DWDVDGHSUHYDOHQFLDVHGHȓQHFRPRHOQºPHURGHFDVRVH[LVWHQWHVGHXQDHQIHUPHGDGX RWURHYHQWRGHVDOXGGLYLGLGRSRUHOQºPHURGHSHUVRQDVGHXQDSREODFL³QHQXQSHURGRHVSHFȓFRDGD LQGLYLGXRHVREVHUYDGRHQXQDºQLFDRSRUWXQLGDGFXDQGRVHFRQVWDWDVXVLWXDFL³QHQFXDQWRDOHYHQWR GHLQWHU©V Interpretación matemática/DWDVDGHSUHYDOHQFLDHVODSUREDELOLGDGGHTXHXQLQGLYLGXRSHUWHQHFLHQWH DODSREODFL³QEDVHVHDDIHFWDGRSRUHOHYHQWR HQIHUPHGDG GHLQWHU©VHQXQPRPHQWRGDGR Interpretación epidemiológica:/DWDVDSUHYDOHQFLDVHUHȓHUHDXQDSUREDELOLGDGHVW¡WLFDGHXQDFRQGLFL³Q GDGD HVWDUHQIHUPR HQGHWHUPLQDGRPRPHQWRHQHOWLHPSR6LQHPEDUJRQRFDOFXODHOULHVJRGHFRQWUDHU ODHQIHUPHGDG(QHOFDVRGHOHMHPSORFLWDGRHQHQHOFXDOGHXQDSREODFL³QGDGDSDGHFHGH KLSHUWHQVL³QORTXHVHPLGHHVODWDVDGHSUHYDOHQFLDGHKLSHUWHQVL³Q(VSRVLEOHHQWRQFHVFDOFXODUTXH 8QHYHQWR RFDVR SUHYDOHQWHVHGHȐQHFRPRXQHYHQWRRFDVRH[LVWHQWHGHXQD HQIHUPHGDG XRWUDFRQGLFL³Q HQXQPRPHQWRGDGR INCIDENCIA = Número de casos nuevos ocurridos en un lugar X en un período dado Total de personas de la población base (en riesgo) en el lugar X y en el período dado * 10 n
- 29. 25 VLVHVHOHFFLRQDDOD]DUDXQVXMHWRGHHVDSREODFL³QODSUREDELOLGDG HVWLPDGDSRUHOFRHȓFLHQWHGH SUHYDOHQFLD GHTXHHVDSHUVRQDVHDKLSHUWHQVDHVGH6LQHPEDUJRFRQHVWRVGDWRVQRHVSRVLEOH DȓUPDUFX¡OHVHOULHVJRGHTXHXQLQGLYLGXROOHJXHDVXIULUGHKLSHUWHQVL³QHQHVDSREODFL³Q Método de cálculo:/DWDVDGHSUHYDOHQFLDVHFDOFXODGHODVLJXLHQWHPDQHUD 2.2.3 RELACIÓN ENTRE LA TASA DE INCIDENCIA Y LA TASA DE PREVALENCIA /DWDVDGHSUHYDOHQFLDGHXQDHQIHUPHGDG XRWURWUDVWRUQR HVGLUHFWDPHQWHSURSRUFLRQDODOSURGXFWRGH VXWDVDGHLQFLGHQFLDSRUODGXUDFL³QPHGLDGHODHQIHUPHGDGVHJºQODI³UPXODVLJXLHQWH 3 6LXQDHQIHUPHGDGWLHQHXQDSUHYDOHQFLDDOWDHQXQDSREODFL³QHOORSRGUDLQGLFDUXQDLQFLGHQFLDHOHYDGD RHOKHFKRGHTXHODHQIHUPHGDGRWUDVWRUQRWLHQHXQDODUJDGXUDFL³QFRPRODVHQIHUPHGDGHVTXHVH KDFHQFU³QLFDVVRQLQFXUDEOHVDXQTXHQRWLHQHQXQDOHWDOLGDGDOWD3RUHOFRQWUDULRVLXQDHQIHUPHGDG WLHQHXQDSUHYDOHQFLDEDMDHOORSRGUDLQGLFDUXQDLQFLGHQFLDEDMDRXQSURFHVRGHGHVDSDULFL³QU¡SLGDGH ODSHUVRQDFRQODHQIHUPHGDGRFRQGLFL³QDVHDSRUTXHHQSRFRWLHPSRVHFXUDRVHPXHUHRQVLGHUDQGR HVWDUHODFL³QYDOHODSHQDPHQFLRQDUTXHFXDOTXLHUDTXHVHDODLQFLGHQFLDVLHOHYHQWRHVWDQDJXGR TXHVXGXUDFL³QPHGLDWLHQGHDFHURODSUHYDOHQFLDGHHVHHYHQWRVHLQFOLQDU¡WDPEL©QKDFLDFHUR6RQ HMHPSORVGHHVWRODUDELDKXPDQDRODPXHUWHSRUFXDOTXLHUFDXVD 2.2.4 USOS DE LOS INDICADORES DE PREVALENCIA E INCIDENCIA 3RUORJHQHUDOVHXVDODSUHYDOHQFLDODLQFLGHQFLDSDUDHQIHUPHGDGHVFU³QLFDVWUDQVPLVLEOHVFRPROD OHSUDODWXEHUFXORVLVDVFRPRSDUDODVHQIHUPHGDGHVFU³QLFDVQRWUDQVPLVLEOHVFRPRODGLDEHWHV6H XVDODLQFLGHQFLDSDUDHQIHUPHGDGHVDJXGDVGHFRUWDGXUDFL³QTXHVRQFXUDEOHVRWHUPLQDQFRQODPXHUWH /DLQFLGHQFLDHVHVHQFLDOSDUDDQDOL]DUODRFXUUHQFLDGHHYHQWRVQXHYRVHQODVSREODFLRQHV VXVIDFWRUHVDVRFLDGRV/DSUHYDOHQFLDHVHVHQFLDOSDUDSODQLȐFDURUJDQL]DUORVVHUYLFLRV UHFXUVRVH[LVWHQWHVREWHQHUDSRRDGLFLRQDOFXDQGRVHDQHFHVDULR TASA DE PREVALENCIA Número de casos existentes en el lugar X y momento en el tiempo Prevalencia = Incidencia * t (duración media de la enfermedad) Número total de personas de la población en el mismo lugar y tiempo * 10 n =
- 30. 26 FRPRODUDELDKXPDQDHOVDUDPSL³QODȓHEUHFKLNXQJX±DHOGHQJXHHQWUHRWUDV6HSUHȓHUHODWDVDGH LQFLGHQFLDFXDQGRHOLQWHU©VHVFDOFXODUHOULHVJR SUREDELOLGDGLQGLYLGXDOGHTXHRFXUUDHOHYHQWRQXHYR HQGHWHUPLQDGRLQWHUYDOR SRUORWDQWRGHWHUPLQDUIDFWRUHVGHULHVJRLQGLYLGXDOHV 4 2.3 TIPOS DE INDICADORES (QHVWDVHFFL³QSRGUDSUHVHQWDUVHXQDDPSOLDOLVWDGHLQGLFDGRUHVFODVLȓFDGRVVHJºQHOHYHQWRTXHVH YDDPHGLU6LQHPEDUJRSDUDSRGHUGHPRVWUDUODXWLOLGDGODVOLPLWDFLRQHVGHORVLQGLFDGRUHVVRORVH LQFOXHXQQºPHUROLPLWDGRGHLQGLFDGRUHVGHFXDWURGRPLQLRVODVLWXDFL³QGHVDOXG PRUELOLGDG OD VLWXDFL³QGHVDOXG PRUWDOLGDG ORVIDFWRUHVGHULHVJRFRPSRUWDPHQWDOHVORVVHUYLFLRVGHVDOXG $OȓQDOGHHVWDVHFFL³QVHSURSRUFLRQDXQDOLVWDGHHQODFHVFRQHMHPSORVȓFKDVW©FQLFDVGHYDULRV LQGLFDGRUHVGHVDOXGFRPROD/LVWDGH5HIHUHQFLD0XQGLDOGHORV,QGLFDGRUHV%¡VLFRVGH6DOXGGHOD 206HOGRFXPHQWRGHOD5,36$ 2.3.1 INDICADORES DE MORBILIDAD (VWRVLQGLFDGRUHVSXHGHQH[SUHVDUVHDOPHGLUODLQFLGHQFLDRODSUHYDOHQFLD3DUDFDOFXODUODVWDVDVGH PRUELOLGDG HV QHFHVDULR UHFXUULU D OD REVHUYDFL³Q GLUHFWD FRQ HQFXHVWDV RWUDV LQYHVWLJDFLRQHV OD QRWLȓFDFL³QGHORVHYHQWRVHQORVVLVWHPDVGHYLJLODQFLDQRWLȓFDFL³QGHHQIHUPHGDGHVHQORVVLVWHPDV DPEXODWRULRVKRVSLWDODULRVRUHJLVWURVHVSHFȓFRVHQWUHRWURV 'LYHUVRVIDFWRUHVSXHGHQDIHFWDUODH[DFWLWXGGHODPHGLFL³QGHHVWRVHYHQWRVGHPRUELOLGDGHQWUHORV FXDOHVVHHQFXHQWUDQ /RV LQGLFDGRUHV GH PRUELOLGDG WLHQHQ OD ȐQDOLGDG GH PHGLU OD RFXUUHQFLD GH HQIHUPHGDGHVOHVLRQHVGLVFDSDFLGDGHVHQODVSREODFLRQHV D La calidad de los datos:/DIDOWDGHFDOLGDGGHORVGDWRVKDFHGLIFLOLQWHUSUHWDUFRPSDUDUGDWRV GHGLIHUHQWHV]RQDVGHXQSDVRGHGLVWLQWRVSDVHV/DFDOLGDGGHORVGDWRVVHYHFRPSURPHWLGD HQWUHRWUDVFRVDVSRUODGLYHUVLGDGGHIXHQWHVGHGDWRVVREUHPRUELOLGDGFRPRORVVLVWHPDV GHYLJLODQFLDORVUHJLVWURVRUGLQDULRVGHORVKRVSLWDOHV SºEOLFRVSULYDGRV VREUHSDFLHQWHV LQWHUQDGRV SDFLHQWHV DPEXODWRULRV DV FRPR ODV HQFXHVWDV HODERUDGDV SRU LQVWLWXFLRQHV QDFLRQDOHVODVLQYHVWLJDFLRQHVHIHFWXDGDVSRUJUXSRVDFDG©PLFRV
- 31. 27 E La validez de los instrumentos de medición:/DH[DFWLWXGGHODVSUXHEDVGHGLDJQ³VWLFRP©GLFR SUREDELOLGDGGHHUURUGHORVGLDJQ³VWLFRVFRPRIDOVRVSRVLWLYRVIDOVRVQHJDWLYRV ODYDOLGH] GHORVLQVWUXPHQWRVGHUHFRSLODFL³QGHGDWRVXVDGRVHQODVHQFXHVWDVDVFRPRODFREHUWXUD OD FDOLGDG GH ORV VLVWHPDV GH LQIRUPDFL³Q XWLOL]DGRV SXHGHQ FRPSURPHWHU OD YDOLGH] GH ORVLQVWUXPHQWRVGHPHGLFL³Q(OXVRGHSUXHEDVGHGLDJQ³VWLFRP¡VSUHFLVDVSXHGHDOWHUDU VREUHPDQHUDODGHWHUPLQDFL³QGHFDVRV LQFLGHQWHVRSUHYDOHQWHV JHQHUDUIDOVDVDOWHUDFLRQHV HQODVWHQGHQFLDVWHPSRUDOHVGHHVRVLQGLFDGRUHV F La gravedad de la enfermedad: (O HVSHFWUR GH OD HQIHUPHGDG DIHFWD OD SUREDELOLGDG GH GLDJQ³VWLFR OD QRWLȓFDFL³Q GHO HYHQWR 8QD HQIHUPHGDG SXHGH PDQLIHVWDUVH FRQ GLVWLQWRV JUDGRV GH JUDYHGDG UHVXOWDQGR HQ LQWHUQDFL³Q LQIRUPDFL³Q FDSWXUDGD R QR LQIRUPDFL³Q QRFDSWXUDGD 7DPEL©QSXHGHRFXUULUP¡VGHXQDYH]HQODYLGDORTXHSXHGHGHWHUPLQDUOD FRQWDELOL]DFL³QGHYDULRVHYHQWRVDXQDPLVPDSHUVRQD G Normas culturales:/DSHUFHSFL³QFXOWXUDODIHFWDORVFRPSRUWDPLHQWRVGHEºVTXHGDGHVDOXG ODPDQHUDHQTXHORVIDPLOLDUHVGHWHFWDQHQIUHQWDQODVGLIHUHQWHVHQIHUPHGDGHV e. RQȓGHQFLDOLGDG (O GHVHR GH FRQȓGHQFLDOLGDG SRU SDUWH GH ORV SDFLHQWHV OD RPLVL³Q GH HYHQWRV HQ ODV QRWLȓFDFLRQHV SRU HMHPSOR FDVRV GH LQIHFFL³Q SRU HO9,+ DERUWRV LOHJDOHV SXHGHQDIHFWDUODH[DFWLWXGGHORVGDWRV I Sistemas de información de salud:/DH[LVWHQFLDRODDXVHQFLDGHVLVWHPDVGHLQIRUPDFL³QGH VDOXGHQFDSDFLGDGGHJHQHUDUGDWRVFRQȓDEOHVSURFHGHQWHVGHKRVSLWDOHVFHQWURVDPEXODWRULRV UHJLVWURVGHHQIHUPHGDGHVGHQRWLȓFDFL³QREOLJDWRULDUHJLVWURVGHSDFLHQWHVFRQF¡QFHURWUDV IXHQWHVGHGDWRVWDPEL©QSXHGHQDIHFWDUODH[DFWLWXGGHORVGDWRV • Método de cálculo: (VWDWDVDHVHOQºPHURGHFDVRVQXHYRVGHLQIHFFL³QSRUHO9,+HQXQD SREODFL³QHQXQSHURGRHVSHFȓFRGLYLGLGRSRUHOQºPHURGHSHUVRQDVHQULHVJRGHFRQWUDHUOD LQIHFFL³QHQHVHPLVPRSHURGR/DVWDVDVGHLQFLGHQFLDGHO9,+SXHGHQFDOFXODUVHSRU GHVJORVDUVHSRUHGDGVH[RRULJHQ©WQLFRRWUDVYDULDEOHV/DGHȓQLFL³QGHFDVRFRQȓUPDGR GHVLGDVHEDVDHQORVFULWHULRVHVSHFȓFRVTXHDGRSWDQORVSDVHV • Fuentes comunes: /RV GDWRV SDUD HO QXPHUDGRU QRUPDOPHQWH SURYLHQHQ GH ORV VLVWHPDV QDFLRQDOHVGHYLJLODQFLDGHVDOXGRWURVVLVWHPDVGHQRWLȓFDFL³QGHHQIHUPHGDGHV • Ejemplos de interpretación:(VWHLQGLFDGRUHVWLPDHOULHVJRGHGHVDUUROODUVLGDHQORVPLHPEURV GHXQDSREODFL³QGHȓQLGDHQXQSHURGRHVSHFȓFR(ODQ¡OLVLVGHHVWDHVWLPDFL³QHQGLIHUHQWHV 6HGHVFULEHQDFRQWLQXDFL³QDOJXQRVHMHPSORVGHLQGLFDGRUHVGHPRUELOLGDGHOP©WRGRGHF¡OFXORODV IXHQWHVGHGDWRVHOSURS³VLWRGHOLQGLFDGRU 7$6$'(',$*1“67,26'(/9,586'(/$,10812'(),,(1,$+80$1$(9,+)
- 32. 28 PRPHQWRVHQHOWLHPSRHQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHVEULQGDLQIRUPDFL³QºWLOSDUD PRQLWRUHDU OD PDJQLWXG GHO LQGLFDGRU (VWH LQGLFDGRU WDPEL©Q SXHGH VXPLQLVWUDU HYLGHQFLD SUHOLPLQDUVREUHODHIHFWLYLGDGGHODVSROWLFDVORVSURJUDPDVODVDFWLYLGDGHVGHSUHYHQFL³Q GHODHQIHUPHGDG3RUHMHPSORSXHGHDSRDUORVHVWXGLRVGHSRVLEOHVDVRFLDFLRQHVHQWUHOD LQFLGHQFLDGHHVWDHQIHUPHGDGSRUXQDSDUWHORVFRPSRUWDPLHQWRVGHULHVJRRHODOFDQFHGH ODFREHUWXUDGHOWUDWDPLHQWRDQWLUUHWURYLUDOSRUODRWUD • Método de cálculo:1ºPHURGHFDVRVH[LVWHQWHVGHKLSHUWHQVL³QDUWHULDO SRU GLYLGLGR SRUHOQºPHURGHSHUVRQDVTXHFRQIRUPDQODSREODFL³QHQXQPRPHQWRHVSHFȓFR/DWDVD SXHGHGHVJORVDUVHSRUVH[RJUXSRHWDULRRULJHQ©WQLFRRWUDVYDULDEOHVGHLQWHU©V • Fuentes comunes: /RV GDWRV SDUD HO QXPHUDGRU QRUPDOPHQWH SURYLHQHQ GH HQFXHVWDV D ODSREODFL³QTXHXVDQPXHVWUDVUHSUHVHQWDWLYDV QDFLRQDOHVRORFDOHV 3RUFRQVLJXLHQWHHO LQGLFDGRUHVXQDHVWLPDFL³QGHXQDPXHVWUDGHEHU¡LUDFRPSD±DGRSRUHOJUDGRGHFHUWLGXPEUH GHODHVWLPDFL³QHOPRQWRGHODYDULDEOHQRH[SOLFDGD LQWHUYDORVGHFRQȓDQ]D • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD OD SUHYDOHQFLD GH OD KLSHUWHQVL³Q HQ OD SREODFL³Q(ODQ¡OLVLVGHHVWDHVWLPDFL³QHQHOWLHPSRHQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHV SHUPLWHPRQLWRUHDUVXPDJQLWXGSURQRVWLFDUODGHPDQGDGHVHUYLFLRVGHVDOXGUHODFLRQDGRV FRQHVWDHQIHUPHGDGDVFRPRSODQLȓFDULQWHUYHQFLRQHVSUHYHQWLYDVSURPRFLRQDOHV • Método de cálculo: 1ºPHURGHLQJUHVRVKRVSLWDODULRVSRUJUXSRVGHFDXVDVH[WHUQDV SRU KDELWDQWHV GLYLGLGRSRUHOQºPHURWRWDOGHLQJUHVRVKRVSLWDODULRVSRUFDXVDVH[WHUQDVHQ XQSHURGRHVSHFȓFR(VWDSURSRUFL³QSXHGHGHVJORVDUVHSRUVH[RJUXSRHWDULRRULJHQ©WQLFR RWUDVYDULDEOHVGHLQWHU©V • Fuentes comunes:/RVGDWRVGHOQXPHUDGRUHOGHQRPLQDGRUGHHVWHLQGLFDGRUQRUPDOPHQWH SURYLHQHQGHORVVLVWHPDVGHLQIRUPDFL³QSURSLRVGHORVKRVSLWDOHV QDFLRQDOHVRORFDOHV 3DUD LQWHUSUHWDUHVWHLQGLFDGRUHVQHFHVDULRDVHJXUDUVHTXHHVW©QUHSUHVHQWDGRVWDQWRORVKRVSLWDOHV SºEOLFRVFRPRORVSULYDGRV • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD OD SURSRUFL³Q GH WRGRV ORV LQJUHVRV KRVSLWDODULRV GHELGRV D FDXVDV H[WHUQDV (O DQ¡OLVLV GH HVWD HVWLPDFL³Q HQ HO WLHPSR HQ GLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD PDJQLWXG GLVWULEXFL³Q GH HVWH LQGLFDGRUPHGLUODUHSHUFXVL³QGHODVLQWHUYHQFLRQHVSUHYHQWLYDV 7$6$'(35(9$/(1,$'(+,3(57(16,“1$57(5,$/ 352325,“1'(,1*5(626+263,7$/$5,26325$86$6(;7(51$6
- 33. 29 2.3.2 INDICADORES DE MORTALIDAD /DPRUWDOLGDGHQXQOXJDUWLHPSRGHWHUPLQDGRVVHSXHGHPHGLUGHGLVWLQWDVPDQHUDVFRPRFLIUDV DEVROXWDVSURSRUFLRQHVWDVDVSRUHMHPSOR$GLIHUHQFLDGHODPRUELOLGDGODPXHUWHHVXQHYHQWRºQLFR FODUDPHQWH LGHQWLȓFDEOH TXH UHȔHMD OD RFXUUHQFLD OD JUDYHGDG GH XQD HQIHUPHGDG 6H UHFRPLHQGD GHVJORVDUORVGDWRVVREUHPRUWDOLGDGSRUFDUDFWHUVWLFDVFRPRFDXVDHGDGVH[ROXJDUGHUHVLGHQFLD RFXUUHQFLDRULJHQ©WQLFRHQWUHRWUDV /DPRUWDOLGDGHVODIXHQWHP¡VDQWLJXDFRPºQGHGDWRVVREUHHOHVWDGRGHVDOXGGHODSREODFL³Q(OUHJLVWUR GHGDWRVVREUHPRUWDOLGDGHVREOLJDWRULRHQWRGRVORVSDVHVGHOD5HJL³QGHODV$P©ULFDVTXHH[LJHQOD XWLOL]DFL³QGHFHUWLȓFDGRVGHGHIXQFL³Q$GHP¡VOD206KDSXEOLFDGRUHFRPHQGDFLRQHVLQWHUQDFLRQDOHV DFHUFDGHODVYDULDEOHVTXHVHGHEHQLQFOXLUHQORVFHUWLȓFDGRVGHGHIXQFL³QDVFRPRGLUHFWULFHVDFHUFD GHODVHFXHQFLDODFRGLȓFDFL³QP©GLFDGHODVHQIHUPHGDGHVTXHGHEHQUHJLVWUDUVHHQHVWRVFHUWLȓFDGRV /DPDRUSDUWHGHORVSDVHVXWLOL]DODODVLȓFDFL³Q,QWHUQDFLRQDOGH(QIHUPHGDGHV ,( SDUDFRGLȓFDUODV FDXVDVGHPXHUWHORTXHSHUPLWHKDFHUFRPSDUDFLRQHVHQWUHSDVHVHQGLVWLQWRVPRPHQWRV 'LYHUVRV IDFWRUHV SXHGHQ DIHFWDU OD H[DFWLWXG GH OD PHGLFL³Q GH OD PXHUWH VXV FDUDFWHUVWLFDV HQ SDUWLFXODUODFDXVDE¡VLFDGHODPXHUWHʇ (5)(QWUHHVWRVIDFWRUHVVHHQFXHQWUDQORVVLJXLHQWHV /RVGDWRVGHPRUWDOLGDGUHSUHVHQWDQXQDIXHQWHIXQGDPHQWDOGHLQIRUPDFL³QGHPRJU¡ȐFD JHRJU¡ȐFDGHFDXVDGHPXHUWH(VWRVGDWRVVHXVDQSDUDFXDQWLȐFDUORVSUREOHPDVGH VDOXGDVFRPRSDUDGHWHUPLQDURPRQLWRUHDUSULRULGDGHVRPHWDVHQVDOXG D /DH[LVWHQFLDGHOHHVQDFLRQDOHVTXHHVWDEOHFHQTXHODHPLVL³QGHOFHUWLȓFDGRGHGHIXQFL³QHV XQUHTXLVLWROHJDOSDUDDXWRUL]DUODVHSXOWXUD E /DH[DFWLWXGGHODVSUXHEDVGHGLDJQ³VWLFRP©GLFR SUREDELOLGDGGHHUURUHQORVGLDJQ³VWLFRV FRPRIDOVRVSRVLWLYRVIDOVRVQHJDWLYRV ODYDOLGH]GHORVLQVWUXPHQWRVGHUHFRSLODFL³QGH GDWRVODFREHUWXUDGHORVGDWRVDVFRPRODFDOLGDGGHORVFHUWLȓFDGRVGHGHIXQFL³QORV SURFHVRVGHFRGLȓFDFL³QP©GLFD F /DVQRUPDVFXOWXUDOHVSXHGHQDIHFWDUHOFRUUHFWROOHQDGRGHOFHUWLȓFDGRGHGHIXQFL³QJHQHUDU HUURUHVHQODFODVLȓFDFL³QGHDOJXQRVDVSHFWRVGHODVGHIXQFLRQHV FDXVDFLUFXQVWDQFLDVHWF G (OGHVHRGHFRQȓGHQDFLDOLGDGSRUSDUWHGHORVSDFLHQWHVHQFDVRVGHVXLFLGLRLQIHFFL³QSRUHO 9,+DERUWRLOHJDOSRUHMHPSORSXHGHWUDHUFRPRFRQVHFXHQFLDODRPLVL³QGHDOJXQRVHYHQWRV ʇ /DFDXVDE¡VLFDGHGHIXQFL³QKDVLGRGHȓQLGDFRPRŮD ODHQIHUPHGDGROHVL³QTXHLQLFL³ODFDGHQDGHDFRQWHFLPLHQWRVSDWRO³JLFRVTXH FRQGXMHURQGLUHFWDPHQWHDODPXHUWHRE ODVFLUFXQVWDQFLDVGHODFFLGHQWHRYLROHQFLDTXHSURGXMRODOHVL³QIDWDOů(5).
- 34. 30 UHODFLRQDGRVFRQODVDOXGHQHQFXHVWDVFHUWLȓFDGRVGHGHIXQFL³QRWUDVIXHQWHVGHGDWRVVREUH PRUWDOLGDG H /DFDSDFLWDFL³QGHTXLHQHPLWHHOFHUWLȓFDGRHQSDUWLFXODUODFDSDFLWDFL³QFRQUHVSHFWRDORV P©WRGRVFRUUHFWRVSDUDOOHQDUORVFHUWLȓFDGRVGHGHIXQFL³QFRGLȓFDUODVGHIXQFLRQHVXVDQGR ODVGLUHFWULFHVGHOD,( I /RVULHVJRVFRPSHWLWLYRVVHJºQODHVWUXFWXUDHWDULDODVFDXVDVP¡VIUHFXHQWHVGHPXHUWHHQ HGDGHVP¡VWHPSUDQDVDOJXQDVFDXVDVGHGHIXQFL³QSXHGHQTXHGDURFXOWDV ORTXHUHGXFHOD SUREDELOLGDGGHVXREVHUYDFL³Q GHELGRDORTXHSXHGHGHQRPLQDUVHŮULHVJRVFRPSHWLWLYRVGH PRUWDOLGDGůʈ (6)3RUHMHPSORXQDSREODFL³QFRQPRUWDOLGDGDOWDSRUDFFLGHQWHVGHWU¡QVLWRHQ KRPEUHVM³YHQHVWHQGU¡XQDPHQRUSUREDELOLGDGGHREVHUYDUHYHQWRVWDUGRVGHPRUWDOLGDG FRPRGHIXQFLRQHVSRUF¡QFHUGHSU³VWDWD([DPLQDUODVWDVDVHVSHFȓFDVSRUHGDGVH[RSXHGH DXGDUDFRPSUHQGHUPHMRUORVULHVJRVDVRFLDGRVDODPRUWDOLGDGHQHVDSREODFL³QVLQHOHIHFWR GHORVULHVJRVFRPSHWLWLYRV (QOD7DEODHQODS¡JLQDVHSUHVHQWDQWUHVFDWHJRUDVGHLQGLFDGRUHVGHPRUWDOLGDGSRUFDXVDE¡VLFD GHPXHUWH FDSWXORVGHOD,( EDVDGRVHQQºPHURVDEVROXWRVGHGHIXQFLRQHVHQQºPHURVUHODWLYRV PRUWDOLGDGSURSRUFLRQDOSRUGHIXQFLRQHVWDVDGHPRUWDOLGDGSRUKDELWDQWHV $OJXQRVHMHPSORVGHLQGLFDGRUHVGHPRUWDOLGDGVHHQFXHQWUDQDFRQWLQXDFL³Q 7$6$'(0257$/,'$',1)$17,/ ʈ 8QULHVJRFRPSHWLWLYRHVXQUHVXOWDGRDOWHUQDWLYRTXHWLHQHXQDLPSRUWDQFLDFOQLFDLJXDORPDRUTXHHOUHVXOWDGRSULPDULRTXHPRGLȓFD ODSUREDELOLGDGGHOUHVXOWDGRGHLQWHU©V(6). • Método de cálculo: 1ºPHURGHGHIXQFLRQHVHQPHQRUHVGHD±RGHHGDG SRU GLYLGLGR SRUHOQºPHURGHQDFLGRVYLYRVHQODSREODFL³QHQHOD±RGHLQWHU©V • Fuentes comunes/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHSURYLHQHQGHORV VLVWHPDVQDFLRQDOHVGHPRUWDOLGDGORVVLVWHPDVGHUHJLVWURGHHVWDGVWLFDVYLWDOHVPLHQWUDV TXHORVGDWRVGHOGHQRPLQDGRUSURYLHQHQGHORVVLVWHPDVQDFLRQDOHVGHQDFLGRVYLYRVORV UHJLVWURVGHHVWDGVWLFDVYLWDOHV • Ejemplos de interpretación: Este indicador estima el riesgo que tienen los bebés nacidos vivos de morir antes de completar un año de vida. El análisis de esta estimación en el tiempo y en relación con diferentes causas y subgrupos etarios (neonatal, neonatal precoz, neonatal tardío, postneonatal) permite monitorear la magnitud de este indicador y tener evidencia preliminar de la efectividad de las políticas, los programas y las intervenciones que tienen como objetivo prevenir las defunciones infantiles.
- 35. 31 5$=“1'(0257$/,'$'0$7(51$ • Método de cálculo: 1ºPHUR GH PXHUWHV PDWHUQDV ŪPXHUWHV GH PXMHUHV SRU FDXVDV FRQGLFLRQHVUHODFLRQDGDVFRQODJHVWDFL³QHOSDUWRHOSXHUSHULR KDVWDGDVGHVSX©VGH TXHHOHPEDUD]ROOHJDDW©UPLQR ŪSRUGLYLGLGRSRUHOQºPHURGHQDFLGRVYLYRVHQOD SREODFL³QHQHOD±RGHLQWHU©V • Fuentes comunes:/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHSURYLHQHQGH ORVVLVWHPDVQDFLRQDOHVGHPRUWDOLGDGGHOUHJLVWURGHHVWDGVWLFDVYLWDOHVFRPSOHPHQWDGRFRQ LQIRUPDFL³QGHODYLJLODQFLDGHODPRUWDOLGDGPDWHUQDPLHQWUDVTXHORVGDWRVGHOGHQRPLQDGRUVH REWLHQHQGHORVVLVWHPDVQDFLRQDOHVGHUHJLVWURGHQDFLGRVYLYRVUHJLVWURGHHVWDGVWLFDVYLWDOHV • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD DXQTXH GH PDQHUD LQGLUHFWD HO ULHVJR GH XQD PXMHU GH PRULU SRU FDXVDV UHODFLRQDGDV FRQ HO HPEDUD]R 5HȔHMD HO DFFHVR D ORV VHUYLFLRVODFDOLGDGGHODDWHQFL³QRIUHFLGDDODVPXMHUHVGXUDQWHHOHPEDUD]RHOSDUWR HOSXHUSHULR(ODQ¡OLVLVGHHVWDHVWLPDFL³QDORODUJRGHOWLHPSRSDUDGLIHUHQWHVVXEJUXSRV GH FDXVDV GH PXHUWH HQ GLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD PDJQLWXG GH HVWH LQGLFDGRU (VWH WLSR GH DQ¡OLVLV VXPLQLVWUD HYLGHQFLD GH OD HIHFWLYLGDG GH ODV SROWLFDV ORV SURJUDPDV ODV LQWHUYHQFLRQHV TXH WLHQHQ FRPR REMHWLYR SUHYHQLU ODV PXHUWHVPDWHUQDVTXHHQVXJUDQPDRUDVRQHYLWDEOHVVLVHGLVSRQHGHDWHQFL³QSUHQDWDO SRVQDWDO GH EXHQD FDOLGDG VH HPSUHQGHQ RWUDV PHMRUDV GH ORV VHUYLFLRV GH VDOXG 7$6$'(0257$/,'$'325,1)(,“15(63,5$725,$$*8'$(10(125(6'($‘26'(('$' • Método de cálculo1ºPHURGHGHIXQFLRQHVSRULQIHFFL³QUHVSLUDWRULDDJXGD ,5$ HQPHQRUHV GHD±RVGHHGDG SRU GLYLGLGRSRUHOQºPHURGHPHQRUHVGHD±RVGHHGDGHQOD SREODFL³QHQHOD±RGHLQWHU©V • Fuentes comunes/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQ GHODVXQLGDGHVGHHVWDGVWLFDVGHVDOXGORVVLVWHPDVQDFLRQDOHVGHUHJLVWURGHGDWRVVREUH PRUWDOLGDG • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD HO ULHVJR GH PXHUWH SRU ,5$ HQ PHQRUHV GH D±RV GH HGDG 5HȔHMD OD FDOLGDG GH OD DWHQFL³Q RIUHFLGD D ORV PHQRUHV (O DQ¡OLVLV GH HVWD HVWLPDFL³Q HQ HO WLHPSR HQ GLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD PDJQLWXG GH HVWH LQGLFDGRU $GHP¡V HVWH LQGLFDGRU SURSRUFLRQD HYLGHQFLD SUHOLPLQDU VREUH OD HIHFWLYLGDG GH ODV SROWLFDV ORV SURJUDPDV ODV LQWHUYHQFLRQHV TXH WLHQHQ FRPR REMHWLYR SUHYHQLU OD PRUWDOLGDG SRU HVWD FDXVD
- 36. 32 0257$/,'$'352325,21$/325$86$60$/'(),1,'$6 • Método de cálculo: 1ºPHURGHGHIXQFLRQHVSRUFDXVDVPDOGHȓQLGDV SRU GLYLGLGRSRUHO QºPHURWRWDOGHPXHUWHVHQODSREODFL³QHQHOD±RGHLQWHU©V • Fuentes comunes/RVGDWRVGHOQXPHUDGRUGHOGHQRPLQDGRUGHHVWHLQGLFDGRUQRUPDOPHQWH VHREWLHQHQGHODVXQLGDGHVGHHVWDGVWLFDVGHVDOXGORVVLVWHPDVQDFLRQDOHVGHLQIRUPDFL³Q VREUHPRUWDOLGDG • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD OD SURSRUFL³Q GH PXHUWHV TXH RFXUUHQ SRUFDXVDVPDOGHȓQLGDV FDSWXOR;,;GHOD,( 6XDQ¡OLVLVHQHOWLHPSRHQGLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD FDOLGDG GH OD LQIRUPDFL³Q VREUH ODV FDXVDV E¡VLFDVGHPXHUWHDVFRPRODH[DFWLWXGGHODFRGLȓFDFL³QGHOD,( 2.3.3 INDICADORES DE FACTORES DE RIESGO COMPORTAMENTALES (QORVºOWLPRVGHFHQLRVORVFDPELRVHQORVSDWURQHVGHPRJU¡ȓFRVHSLGHPLRO³JLFRVGHODSREODFL³QGH PXFKRVSDVHVDXPHQWDURQODUHOHYDQFLDUHODWLYDGHODVHQIHUPHGDGHVFU³QLFDVQRWUDQVPLVLEOHV (17 VXVIDFWRUHVGHULHVJR(VWRFRQVWLWXHXQGHVDIRSDUDODDGDSWDFL³QGHODSU¡FWLFDGHYLJLODQFLDHQOD VDOXGTXHWUDGLFLRQDOPHQWHVHKDRFXSDGRGHODVHQIHUPHGDGHVLQIHFFLRVDV (OPRQLWRUHRGHODPRUWDOLGDGODPRUELOLGDGGHELGDVD(17WLHQHXQSDSHOUHOHYDQWHSHURFDSWDHQ IRUPDWDUGDODVWHQGHQFLDVTXHUHȔHMDQODVH[SRVLFLRQHVDFXPXODGDVHQODYLGD3RUHMHPSORHODXPHQWR GHODPRUWDOLGDGSRUF¡QFHUGHSXOP³QVRORVHREVHUY³HQORVSDVHVGHVDUUROODGRVGHFHQLRVGHVSX©V GHOLQFUHPHQWRHSLG©PLFRGHOFRQVXPRGHWDEDFRFRQVLGHUDGRKDVWDHQWRQFHVXQK¡ELWRLQRFXR(Q FRQVHFXHQFLDODVLQLFLDWLYDVGHSURWHFFL³QSURPRFL³QGHODVDOXGHQSDUWLFXODUODVUHODFLRQDGDVFRQODV (17GHEHQFHQWUDUVHHQVXVGHWHUPLQDQWHVP¡VGLVWDOHVDȓQGHIRUPXODUPRQLWRUHDULQGLFDGRUHVGH ORVFRPSRUWDPLHQWRVGHULHVJR (QWUHORVGHWHUPLQDQWHVGHODV(17H[LVWHXQFRQMXQWRGHIDFWRUHVGHULHVJRFRPSRUWDPHQWDOHVTXH HVW¡QUHODFLRQDGRVFRQPRGRVGHYLGDTXHVRQVXVFHSWLEOHVGHPRGLȓFDFL³QSRUPHGLRGHDFFLRQHVGH SURPRFL³QGHODVDOXGYLJLODQFLDDWHQFL³QSULPDULDGHVDOXGRPRHMHPSORVGHLQGLFDGRUHVGHIDFWRUHV GHULHVJRFRPSRUWDPHQWDOHVPRGLȓFDEOHVDVRFLDGRVDODVSULQFLSDOHV(17VHSRGUDQPHQFLRQDUODV WDVDVGHSUHYDOHQFLDGHOFRQVXPRGHWDEDFRGHOVHGHQWDULVPRGHODDOLPHQWDFL³QSRFRVDOXGDEOH GHOFRQVXPRH[FHVLYRGHDOFRKRO'HKHFKRVHJºQOD206HVWRVFXDWURFRPSRUWDPLHQWRVGHULHVJRVH DVRFLDQDORVFXDWURJUXSRVGHFDXVDVGHPXHUWH HQIHUPHGDGHVFDUGLRYDVFXODUHVQHRSODVLDVGLDEHWHV HQIHUPHGDGHVUHVSLUDWRULDV FRQPDRULQFLGHQFLDHQHOPXQGR(7).
- 37. 33 7$6$'(35(9$/(1,$'($'8/726)80$'25(6$78$/(6 • Método de cálculo:1ºPHURGHSHUVRQDVDGXOWDV GHRP¡VD±RVGHHGDG IXPDGRUDVŪ FXDOHVTXLHUDVHDHOQºPHURGHFLJDUULOORVTXHFRQVXPHQODIUHFXHQFLDFRQTXHORKDFHQOD GXUDFL³QGHOK¡ELWRŪ SRU GLYLGLGRSRUHOQºPHURGHSHUVRQDVDGXOWDV GHRP¡VD±RV GHHGDG TXHSXHGHQVHUUHVLGHQWHVRHQWUHYLVWDGDV • Fuentes comunes:/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQ GHHQFXHVWDVGHEDVHSREODFLRQDOPHGLDQWHHOXVRGHPXHVWUDVUHSUHVHQWDWLYDV QDFLRQDOHV R ORFDOHV RPR FRQVHFXHQFLD HO LQGLFDGRU HV XQD HVWLPDFL³Q GH XQD PXHVWUD GHEHU¡ LU DFRPSD±DGRGHOJUDGRGHFHUWLGXPEUHGHGLFKDHVWLPDFL³QHOPRQWRGHODYDULDEOHQRH[SOLFDGD LQWHUYDORVGHFRQȓDQ]D • Ejemplos de interpretación:(VWHLQGLFDGRUHVWLPDODIUHFXHQFLDGHOFRQVXPRDFWXDOGHWDEDFR HQODSREODFL³QDGXOWD GHRP¡VD±RVGHHGDG (ODQ¡OLVLVGHHVWHLQGLFDGRUHQHOWLHPSRHQ GLIHUHQWHVVXEJUXSRVSREODFLRQDOHV HGDGVH[R]RQDJHRJU¡ȓFDQLYHOGHHVFRODULGDG SHUPLWH PRQLWRUHDUODPDJQLWXGGLVWULEXFL³QGHOLQGLFDGRU(VWHLQGLFDGRUVXPLQLVWUDHYLGHQFLDSUHOLPLQDU VREUHODHIHFWLYLGDGGHODVSROWLFDVORVSURJUDPDVODVLQWHUYHQFLRQHVFRQWUDHOWDEDTXLVPR 7DPEL©QSXHGHXVDUVHHQORVHVWXGLRVVREUHODVDVRFLDFLRQHVGHOWDEDFRFRQODLQFLGHQFLDGH ODV HQIHUPHGDGHV SXOPRQDUHV HO F¡QFHU ODV HQIHUPHGDGHV FDUGLRYDVFXODUHV HQWUH RWUDV 7$6$'(35(9$/(1,$'($7,9,'$')6,$,168),,(17( • Método de cálculo:1ºPHURGHSHUVRQDVHQWUHD±RVGHHGDGLQVXȓFLHQWHPHQWHDFWLYDV SRU GLYLGLGRSRUHOQºPHURGHSHUVRQDVHQWUHYLVWDGDVHQWUHD±RVGHHGDG • Fuentes comunes:/RVGDWRVGHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQSRUPHGLR GHHQFXHVWDVGHEDVHSREODFLRQDOXWLOL]DQGRPXHVWUDVUHSUHVHQWDWLYDV QDFLRQDOHVRORFDOHV (QFRQVHFXHQFLDHOLQGLFDGRUHVXQDHVWLPDFL³QGHXQDPXHVWUDGHEHU¡LUDFRPSD±DGRSRUHO JUDGRGHFHUWLGXPEUHGHGLFKDHVWLPDFL³QHOPRQWRGHODYDULDEOHQRH[SOLFDGD LQWHUYDORVGH FRQȓDQ]D • Ejemplos de interpretación: (VWHLQGLFDGRUHVWLPDODSURSRUFL³QGHSHUVRQDVTXHQRWLHQHQ VXȓFLHQWHDFWLYLGDGIVLFDHQODSREODFL³QHQWUHD±RVGHHGDG(ODQ¡OLVLVGHHVWHLQGLFDGRU HQHOWLHPSRHQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHVSHUPLWHPRQLWRUHDUODPDJQLWXGGHHVWH LQGLFDGRU HO FXDO SURSRUFLRQD HYLGHQFLD SUHOLPLQDU VREUH OD HIHFWLYLGDG GH ODV SROWLFDV ORV SURJUDPDVODVLQWHUYHQFLRQHVTXHWLHQHQFRPRREMHWLYRSURPRYHUODUHDOL]DFL³QGHDFWLYLGDG IVLFDFRQUHJXODULGDGSUHYHQLUHOVHGHQWDULVPR(OLQGLFDGRUWDPEL©QSXHGHXVDUVHHQHVWXGLRV 6H KD SURSXHVWR XQ JUDQ QºPHUR GH LQGLFDGRUHV GH IDFWRUHV GH ULHVJR$ FRQWLQXDFL³Q VH SUHVHQWDQ DOJXQRVHMHPSORV
- 38. 34 7$6$'(35(9$/(1,$'(/2168025(*8/$5'()587$69(5'85$6 • Método de cálculo: 1ºPHUR GH SHUVRQDV DGXOWDV GH R P¡V D±RV GH HGDG TXH UHȓHUHQ FRQVXPLUFRQUHJXODULGDGIUXWDVKRUWDOL]DV SRU GLYLGLGRSRUHOQºPHURGHSHUVRQDV DGXOWDV RP¡VD±RVGHHGDG HQWUHYLVWDGDV6HGHȓQHTXHŮFRQVXPLUIUXWDVKRUWDOL]DVFRQ UHJXODULGDGůTXLHUHGHFLUFRQVXPLUDOLPHQWRVGHHVWHWLSRFLQFRRP¡VGDVSRUVHPDQD • Fuentes comunes:/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQ PHGLDQWH HQFXHVWDV GH EDVH SREODFLRQDO XWLOL]DQGR PXHVWUDV UHSUHVHQWDWLYDV QDFLRQDOHV R ORFDOHV 3RU FRQVLJXLHQWH HO LQGLFDGRU HV XQD HVWLPDFL³Q GH XQD PXHVWUD GHEHU¡ LU DFRPSD±DGRSRUHOJUDGRGHFHUWLGXPEUHGHGLFKDHVWLPDFL³QHOPRQWRGHODYDULDEOHQR H[SOLFDGD LQWHUYDORVGHFRQȓDQ]D • Ejemplos de interpretación:(VWHLQGLFDGRUHVWLPDODIUHFXHQFLDGHOFRQVXPRUHJXODUGHIUXWDV KRUWDOL]DVHQODSREODFL³QDGXOWD RP¡VD±RVGHHGDG (ODQ¡OLVLVGHHVWDHVWLPDFL³QHQHO WLHPSRHQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHVSHUPLWHPRQLWRUHDUODPDJQLWXGGHHVWHLQGLFDGRU HOFXDOSURSRUFLRQDHYLGHQFLDSUHOLPLQDUVREUHODHIHFWLYLGDGGHODVSROWLFDVORVSURJUDPDVODV LQWHUYHQFLRQHVTXHWLHQHQFRPRREMHWLYRSURPRFLRQDUHOFRQVXPRGHIUXWDVKRUWDOL]DV$GHP¡VHO LQGLFDGRUSXHGHXVDUVHHQHVWXGLRVVREUHODDVRFLDFL³QHQWUHHOFRQVXPRLUUHJXODURQXORGHIUXWDV KRUWDOL]DVHOVREUHSHVRODREHVLGDGDVFRPRODLQFLGHQFLDGHODVHQIHUPHGDGHVQRWUDQVPLVLEOHV 7$6$'(35(9$/(1,$'(216802(;(6,92'($/2+2/ • Método de cálculo: 1ºPHURGHSHUVRQDVGHRP¡VD±RVGHHGDGFRQXQFRQVXPRH[FHVLYR GHEHELGDVDOFRK³OLFDVUHIHULGRHQORVºOWLPRVGDV SRU GLYLGLGRSRUHOQºPHURGH SHUVRQDVGHRP¡VD±RVGHHGDG(OQXPHUDGRUVHREWLHQHDOPXOWLSOLFDUHOQºPHURGHEHELGDV FRQVXPLGDVHOPLVPRGDTXHODSHUVRQDEHEHSRUHOQºPHURGHGDVHQORVTXHEHEL³SDUD OXHJRGLYLGLUHVHSURGXFWRSRUHOQºPHURGHGDVHQHOSHURGRGHUHIHUHQFLD/D206GHȓQH FRPRFRQVXPRH[FHVLYRGHEHELGDVDOFRK³OLFDVHOFRQVXPRGHP¡VGHGRVWUDJRVGLDULRVSDUD ORVKRPEUHVP¡VGHXQWUDJRGLDULRSDUDODVPXMHUHV(8). • Fuentes comunes: /RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQ SRU PHGLR GH HQFXHVWDV GH EDVH SREODFLRQDO HQ ODV TXH VH XVDQ PXHVWUDV UHSUHVHQWDWLYDV QDFLRQDOHVRORFDOHV 3RUFRQVLJXLHQWHHOLQGLFDGRUHVXQDHVWLPDFL³QGHXQDPXHVWUDGHEHU¡ LUDFRPSD±DGRSRUHOJUDGRGHFHUWLGXPEUHGHGLFKDHVWLPDFL³QHOPRQWRGHODYDULDEOHQR H[SOLFDGD LQWHUYDORGHFRQȓDQ]D VREUHODDVRFLDFL³QHQWUHQRUHDOL]DUVXȓFLHQWHDFWLYLGDGIVLFDODGLDEHWHVGLIHUHQWHVWLSRVGH F¡QFHUODVHQIHUPHGDGHVLVTX©PLFDVXRWUDVHQIHUPHGDGHV
- 39. 35 • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD OD IUHFXHQFLD GHO FRQVXPR H[FHVLYR GH EHELGDVDOFRK³OLFDVHQODSREODFL³QGHRP¡VD±RVGHHGDG(ODQ¡OLVLVGHHVWDHVWLPDFL³Q HQ HO WLHPSR HQ GLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD PDJQLWXG GH HVWHLQGLFDGRUHOFXDOSURSRUFLRQDHYLGHQFLDSUHOLPLQDUVREUHODHIHFWLYLGDGGHODVSROWLFDV ORVSURJUDPDVODVLQWHUYHQFLRQHVTXHWLHQHQFRPRREMHWLYRSUHYHQLUHOFRQVXPRH[FHVLYR GH EHELGDV DOFRK³OLFDV $GHP¡V HO LQGLFDGRU SXHGH XVDUVH HQ HVWXGLRV TXH DQDOL]DQ OD DVRFLDFL³QHQWUHHOFRQVXPRH[FHVLYRGHDOFRKROODLQFLGHQFLDGHHQIHUPHGDGHVDVRFLDGDVDO H[FHVRGHDOFRKROFRPRFLUURVLVDOFRK³OLFDSDQFUHDWLWLVDOFRK³OLFDGHPHQFLDSROLQHXURSDWD PLRFDUGLWLV GHVQXWULFL³Q KLSHUWHQVL³Q DUWHULDO LQIDUWR GH PLRFDUGLR R FLHUWRV WLSRV GH F¡QFHU GHODERFDODIDULQJHODODULQJHHOHV³IDJRRHOKJDGR HQWUHRWUDVHQIHUPHGDGHV 2.3.4 INDICADORES DE SERVICIOS DE SALUD (QORTXHVHUHȓHUHDODFDOLGDGGHORVVHUYLFLRVGHVDOXGH[LVWHQGLIHUHQWHVP©WRGRVSDUDPHGLU IRUPXODULQGLFDGRUHVVHJºQGLVWLQWRVPDUFRVFRQFHSWXDOHV$SHVDUGHTXHHVWDSXEOLFDFL³QQRWLHQH SRUREMHWLYRUHYLVDUWRGRVORVLQGLFDGRUHVGHORVVHUYLFLRVGHVDOXGVHUHFRQRFHODLPSRUWDQFLDGHHVWRV LQGLFDGRUHV(QWRGRHOPXQGRORVVLVWHPDVVHUYLFLRVGHDWHQFL³QGHODVDOXGHQIUHQWDQPXFKRV GHVDIRVFRPRHODXPHQWRGHORVJDVWRVFRVWRV WDQWRSDUDHOJRELHUQRFRPRSDUDODVSHUVRQDV (VWHFDPELRVHGHEHSULQFLSDOPHQWHDWUDWDPLHQWRVFDGDYH]P¡VLQQRYDGRUHVHOXVRGHQXHYDV WHFQRORJDVODQHFHVLGDGGHDGHFXDUORVVHUYLFLRVDQXHYDVGHPDQGDVORVGHVDIRVTXHVHSUHVHQWDQ SRUODVWUDQVLFLRQHVGHPRJU¡ȓFDVHOHQYHMHFLPLHQWRGHODSREODFL³QODVWHQGHQFLDVHSLGHPLRO³JLFDV ORV FDPELRV HQ HO SDWU³Q GH ODV HQIHUPHGDGHV ODV QHFHVLGDGHV QXWULFLRQDOHV RWURV IDFWRUHV FRPSRUWDPHQWDOHVHOSDSHOGHHVWHVHFWRUHQODUHGXFFL³Q RHODXPHQWR GHODVLQHTXLGDGHVHQVDOXG ODSUHVL³QTXHHMHUFHODGHPDQGDGHOPHUFDGRODMXGLFLDOL]DFL³Q/RVLQGLFDGRUHVGHGHVHPSH±RGH ODFDOLGDGGHORVVHUYLFLRVGHVDOXGHQHVHFRQWH[WRFXPSOHQLQQXPHUDEOHVIXQFLRQHVVRQHVHQFLDOHV SDUDHOPRQLWRUHRLQVWLWXFLRQDOVRFLDORPRUHVXOWDGRH[LVWHXQDJUDQSUROLIHUDFL³QGHLQGLFDGRUHV GHODFDOLGDGGHODDWHQFL³QGHVDOXG(9). $ODQDOL]DUORVLQGLFDGRUHVGHORVVHUYLFLRVGHVDOXGFDEHSUHJXQWDUVHTX©HVODFDOLGDGGHODDWHQFL³Q GHVGHTX©SXQWRGHYLVWDGHEHHYDOXDUVHODGHOXVXDULRODGHORVSURIHVLRQDOHVGHODVDOXGODGHOD SREODFL³QHQJHQHUDORODGHORVJHUHQWHV(VWHLQWHUHVDQWHGHEDWHSXHGHSURIXQGL]DUVHPHGLDQWHOD FRQVXOWDGHODELEOLRJUDIDSHUWLQHQWHDOȓQDOGHHVWDVHFFL³Q
- 40. 36 8QRGHORVHQIRTXHVP¡VDPSOLDPHQWHUHFRQRFLGRVSDUDHYDOXDUODFDOLGDGGHORVVHUYLFLRVGHVDOXG HVHOXVRGHODVFDWHJRUDVGHŮHVWUXFWXUDůŮSURFHVRůŮUHVXOWDGRůSURSXHVWRSRU'RQDEHGLDQ(10- 11)$XQTXHHODXWRUFHQWU³VXVUHȔH[LRQHVHQODFDOLGDGGHODDVLVWHQFLDP©GLFDHVWRVFRQFHSWRVVH DSOLFDQGHIRUPDP¡VDPSOLDDODFDOLGDGGHODDWHQFL³QGHODVDOXGTXHRIUHFHQORVVHUYLFLRVGHVDOXG HQJHQHUDO (Q HO PDUFR SURSXHVWR SRU HVWH DXWRU VH VXSRQH TXH EXHQDV HVWUXFWXUDV GH VDOXG DXPHQWDQ OD SUREDELOLGDG GH WHQHU EXHQRV SURFHVRV DPERV DXPHQWDQ OD SUREDELOLGDG GH REWHQHU EXHQRV UHVXOWDGRVHQFXDQWRDODVDOXG (QHVHFRQWH[WRORVLQGLFDGRUHVGHHVWUXFWXUDVVRQFDUDFWHUVWLFDVP¡VȓMDVGHOVLVWHPDHLQFOXHQ OD FDOLGDG GH ORV UHFXUVRV PDWHULDOHV HGLȓFDFLRQHV HTXLSRV UHFXUVRV ȓQDQFLHURV ORV UHFXUVRV KXPDQRV QºPHURFDOLȓFDFL³Q ODHVWUXFWXUDRUJDQL]DWLYD RUJDQL]DFL³QGHOHTXLSRP©GLFRP©WRGRV GHFRQWUROGHFDOLGDGP©WRGRVGHUHHPEROVR (10-11)/RVLQGLFDGRUHVGHSURFHVRVGHVFULEHQORV SURFHVRVLPSRUWDQWHVTXHFRQWULEXHQDOORJURGHUHVXOWDGRVLQFOXLGRVORVSURFHVRVGHSUHVWDUDWHQFL³Q GHVDOXGFRPRODVDFWLYLGDGHVSDUDIRUPXODUXQGLDJQ³VWLFRUHFRPHQGDUXQWUDWDPLHQWREULQGDU DWHQFL³QHQWUHRWUDV/RVLQGLFDGRUHVGHORVUHVXOWDGRVGHODDWHQFL³QGHVDOXGUHȔHMDQHOHVWDGRGH VDOXGGHORVSDFLHQWHVODSREODFL³QXQPDRUFRQRFLPLHQWRSRUSDUWHGHOSDFLHQWHFDPELRVHQVX FRPSRUWDPLHQWRFRQUHVSHFWRDODXWRFXLGDGRODVDWLVIDFFL³QGHOSDFLHQWHFRQUHVSHFWRDODDWHQFL³Q UHFLELGD $QWHVGHIRUPXODUPRQLWRUHDUDOJXQRVGHORVLQGLFDGRUHVGLVSRQLEOHVUHODFLRQDGRVFRQODFDOLGDG GHORVVHUYLFLRVGHVDOXGHVQHFHVDULRWHQHUHQFODURODVUHODFLRQHVHVSHUDGDV SODXVLEOHV HQWUHORV LQGLFDGRUHVGHHVWUXFWXUDSURFHVRVTXHVHYDQDPRQLWRUHDUORVLQGLFDGRUHVGHUHVXOWDGRV$GHP¡V HOFRQFHSWRGHFDOLGDGGHODDWHQFL³QGHEHU¡JXLDUODSRVLELOLGDGGHGHȓQLUFULWHULRVSDWURQHVTXH GHEHQDOFDQ]DUORVLQGLFDGRUHVGHHVWUXFWXUDSURFHVRVDREMHWRGHORJUDUGHWHUPLQDGRVUHVXOWDGRV FRQEDVHVLHPSUHHQXQUHIHUHQWHWH³ULFRDGHFXDGR EDVHGHFRQRFLPLHQWRY¡OLGDUD]RQDEOH (10-11). (QFXDQWRDODGLIHUHQFLDHQWUHLQGLFDGRUHVGHUHVXOWDGRVHLQGLFDGRUHVGHLPSDFWRYDOHPHQFLRQDU TXHORVSULPHURVSRGUDQPHGLUVHHQHOFRUWRSOD]RORVVHJXQGRVQHFHVLWDUDQPDRUWLHPSRSDUDVX PHGLFL³Q8QHMHPSORSRGUDVHUXQDLQWHUYHQFL³QGHSURPRFL³QGHVDOXGSDUDODFHVDFL³QSUHYHQFL³Q GHOWDEDTXLVPR8QDYDULDEOHTXHSRGUDXVDUVHSDUDPHGLUUHVXOWDGRVSXHGHVHUODUHGXFFL³QGHODV WDVDVGHSUHYDOHQFLDGHWDEDTXLVPRPLHQWUDVTXHODPHGLGDGHOLPSDFWRVHUDODUHGXFFL³QGHODVWDVDV GHPRUWDOLGDGSRUF¡QFHUGHSXOP³Q
- 41. 37 5$=“1'(/1š0(52'($0$6+263,7$/$5,$6325+$%,7$17( • Método de cálculo: 1ºPHURGHFDPDVKRVSLWDODULDV SRU GLYLGLGRSRUHOQºPHURWRWDO GHKDELWDQWHVHQXQD±R DMXVWDGRHQJHQHUDOSDUDODPLWDGGHOD±R • Fuentes comunes/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQ GHORVLQVWLWXWRVQDFLRQDOHVGHHVWDGVWLFDORVUHJLVWURVGHODVLQVWLWXFLRQHVGHVDOXGRODV LQYHVWLJDFLRQHVHVSHFILFDVVREUHODHVWUXFWXUDGHORVVHUYLFLRVGHVDOXG • Ejemplos de interpretación: (VWH LQGLFDGRU HVWLPD OD UHODFL³Q HQWUH OD RIHUWD R GH OD FREHUWXUD SRWHQFLDO GH FDPDV KRVSLWDODULDV OD SREODFL³Q UHVLGHQWH 'HEH VH±DODUVH TXH HQ DOJXQRV SDVHV HO FRQMXQWR GH GDWRV VROR LQFOXH ODV FDPDV GHO VHFWRU SºEOLFR (O DQ¡OLVLV GH HVWH LQGLFDGRU HQ GLIHUHQWHV PRPHQWRV HQ HO WLHPSR HQ GLIHUHQWHV VXEJUXSRV SREODFLRQDOHV SHUPLWH PRQLWRUHDU OD UD]³Q (VWH LQGLFDGRU SURSRUFLRQD HYLGHQFLD SUHOLPLQDU VREUH OD HIHFWLYLGDG GH ODV SROWLFDV ORV SURJUDPDV ODV DFFLRQHV TXHWLHQHQFRPRREMHWLYRH[SDQGLUODFDSDFLGDGSDUDORVLQJUHVRVKRVSLWDODULRV$GHP¡V SXHGHXVDUVHHQHVWXGLRVVREUHODHVWUXFWXUDGHODDWHQFL³QKRVSLWDODULD(QJHQHUDOODV FDPDVKRVSLWDODULDVVHFRQFHQWUDQHQODV]RQDVXUEDQDV(OPRQLWRUHRGHHVWHLQGLFDGRU SXHGH SRQHU VREUH OD PHVD GH QHJRFLDFLRQHV GH XQ SDV OD FXHVWL³Q GH EXVFDU XQD PDRU HTXLGDG HQ OD GLVWULEXFL³Q JHRJU¡ILFD GH ODV FDPDV GH KRVSLWDO HQ XQ WHUULWRULR 352325,“1'((65($6 • Método de cálculo: 1ºPHUR GH QDFLPLHQWRV SRU FHV¡UHD SRU GLYLGLGR SRU HO WRWDO GH QDFLPLHQWRVHQODSREODFL³QHQHOD±RGHLQWHU©V • Fuentes comunes:/RVGDWRVGHOQXPHUDGRUGHOGHQRPLQDGRUGHHVWHLQGLFDGRUQRUPDOPHQWH VHREWLHQHQGHORVVLVWHPDVQDFLRQDOHVGHLQIRUPDFL³QVREUHQDFLPLHQWRVDVFRPRGHHQFXHVWDV GHPRJU¡ȓFDVGHVDOXG • Ejemplos de interpretación:(VWHLQGLFDGRUHVWLPDODSURSRUFL³QGHFHV¡UHDVGHQWURGHOWRWDOGH QDFLPLHQWRVHQODSREODFL³Q(ODQ¡OLVLVGHHVWHLQGLFDGRUHQGLIHUHQWHVPRPHQWRVHQHOWLHPSR HQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHVSHUPLWHPRQLWRUHDUODPDJQLWXGGHHVWHLQGLFDGRU HOFXDOSURSRUFLRQDHYLGHQFLDSUHOLPLQDUVREUHODHIHFWLYLGDGGHODVSROWLFDVORVSURJUDPDV ODVDFFLRQHVTXHWLHQHQFRPRREMHWLYRSURPRYHUHOSDUWRQDWXUDO$GHP¡VHOLQGLFDGRUSXHGH XVDUVHSDUDDSRDUODVLQYHVWLJDFLRQHVVREUHORVSURFHGLPLHQWRVSU¡FWLFDVGHXQDVRFLHGDG UHVSHFWRGHODDFFHVLELOLGDGHOXVRGHORVVHUYLFLRVGHDWHQFL³QGHVDOXGGXUDQWHHOSDUWR
- 42. 38 7$6$'(0257$/,'$'325(1)(50('$'(6,1081235(9(1,%/(6(10(125(6'($‘2 • Método de cálculo: 1ºPHURGHPXHUWHVSRUHQIHUPHGDGHVLQPXQRSUHYHQLEOHVHQPHQRUHVGH D±RGHHGDG SRU GLYLGLGRSRUHOWRWDOGHQDFLPLHQWRVHQODSREODFL³QHQXQD±R HVSHFȓFR • Fuentescomunes:/RVGDWRVSDUDHOQXPHUDGRUGHHVWHLQGLFDGRUQRUPDOPHQWHVHREWLHQHQGHORV VLVWHPDVQDFLRQDOHVGHLQIRUPDFL³QVREUHPRUWDOLGDGPLHQWUDVTXHORVGDWRVGHOGHQRPLQDGRU SURYLHQHQGHORVVLVWHPDVQDFLRQDOHVGHLQIRUPDFL³QVREUHQDFLPLHQWRV • Ejemplos de interpretación: (VWHLQGLFDGRUHVWLPDHOULHVJRTXHWLHQHQORVPHQRUHVGHD±RGH HGDGGHPRULUSRUDOJXQDFDXVDUHODFLRQDGDFRQXQFRQMXQWRGHHQIHUPHGDGHVSDUDODVFXDOHV ORVVHUYLFLRVGHVDOXGWLHQHQSURJUDPDV³SWLPRVGHYDFXQDFL³Q(ODQ¡OLVLVGHHVWHLQGLFDGRUHQ GLIHUHQWHVPRPHQWRVHQHOWLHPSRHQGLIHUHQWHVVXEJUXSRVSREODFLRQDOHVSHUPLWHPRQLWRUHDU ODPDJQLWXGGHOLQGLFDGRUHOFXDOVXPLQLVWUDHYLGHQFLDSUHOLPLQDUVREUHODHIHFWLYLGDGGHODV SROWLFDVORVSURJUDPDVODVLQWHUYHQFLRQHVSDUDIRPHQWDUODDPSOLDFL³QGHODFFHVRDYDFXQDV DSRDUODVLQYHVWLJDFLRQHVVREUHORVSURFHVRVSU¡FWLFDVGHORVVHUYLFLRVGHVDOXGHQFXDQWR DODYDFXQDFL³QGHORVPHQRUHVHQVXSULPHUD±RGHYLGD (QOD)LJXUDVHUHVXPHQORVTXLQFHLQGLFDGRUHVGHVFULWRVHQHVWDVHFFL³QF³PRVHFODVLȓFDQSDUDORV DQ¡OLVLV