En días recientes se ha visto la necesidad de crear una Línea de investigación en Epidemiología Social, adscrita al Observatorio de Salud Pública de la Universidad CES, grupo de investigación acreditado en Categoría A en la última convocatoria de Colciencias. Todo un compromiso que se adquiere como entidad dedicada al conocimiento con el tema de la Equidad Social, en particular la Equidad en Salud, que es una de sus dimensiones más sensibles.    

Introduction: the oral health related quality of life measurement is considered a daily life negative effect indicator due to patients’ oral condition. The Oral Health Impact Profile (OHIP-49) is an extended-use instrument, the readers should to expect the researchers to present the psychometric properties analysis, which describe the instrument behavior in the study population. The purpose is to evaluate the OHIP-49 reproducibility properties when is applied in patients with periodontal disease, who attend two dental healthcare institutions. Methods: we included 207 participants how it is suggested from the International Test Commission for similar purposes. We included 91 men and 116 women for convenience; reproducibility properties were evaluated: reliability, internal consistency, item discriminant validity, and content validity. Results: Cronbach’s alpha of 0.951 was obtained and high success percentages for internal consistency (87.5%-100%); the item discriminant validity not achieved acceptable success percentages (16,6% -68,5%). We decided to review the instrument content structure, with which a seven-factor model was obtained. According to the clinical situation, when we compared them with the less severe cases, patients with periodontitis stage III and IV presented worst quality of life represented in the dimensions of functional limitation, chewing, swallowing and aesthetics. Conclusions: a good instrument performance was obtained for this Colombian Caribbean Coast population; but it is valid to consider reducing dimensions to improve reproducibility scores.

El artículo está dividido en dos partes. En la primera, llamada “las Empresas Sociales del Estado (ESE)”, se trata el marco en que está inscrito este tipo de hospital público descentralizado en Colombia, hasta llegar a la figura del gerente hospitalario, que es el tema del artículo. Se explica como, de acuerdo con lo sugerido por la jurisprudencia de la Corte Constitucional, el mecanismo para elegir gerentes en las ESE a futuro sería exclusivamente el concurso de méritos, lo cual hace que este proceso de selección se haga especialmente relevante y de allí la necesidad de evaluar las experiencias institucionales que se tienen al respecto para refinar los procedimientos a futuro. Partiendo de ésto, en la segunda parte del artículo sobre “Selección de ternas para gerente de ESE en la universidad CES” se hace una reseña histórica del proceso, se explica la metodología que ha venido siendo empleada y se hace un sucinto análisis de lo hecho hasta ahora por la universidad CES en este campo.ABSTRACTThe article is divided into two parts. The first one is named “the State Social Enterprises (ESE by the acronym in Spanish)”, and refers on the framework in which is inscribed this kind of public decentralized hospitals in Colombia to finally arrive to the figure of managers of the ESE [hospital chief executive officers], which is the central issue of the article. This part is divided in: decentralization of public hospitals, public funding of ESE, structure and organization of ESE, Directive Boards of ESE, managers of the ESE, evaluation of managers of the ESE, and selection of managers of the ESE. It is explained that, in according what is suggested by the jurisprudente of the Constitutional Court, the mechanism for choosing would be based in future on merit, exclusively, and it could convert the selection process in a particularly relevant step and it justifies to evaluate the institutional experiences to refine the procedures in the future. Since this, the second part of the article, about “selection of triples for manager of ESE in the CES University”, makes a historical review of the processes and explains the methodology that has been used, to finally make a brief analysis about the know-how of the CES University in that field.