Revista de Calidad Asistencial最新文献_第6页

Satisfacción en un servicio de urgencias según el sistema de aseguramiento en salud 根据健康保障体系对紧急服务的满意度

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.06.010

F.A. Dávila , J.S. Herrera , D.A. Yasnó , L.C. Forero , M.V. Alvarado

{"title":"Satisfacción en un servicio de urgencias según el sistema de aseguramiento en salud","authors":"F.A. Dávila , J.S. Herrera , D.A. Yasnó , L.C. Forero , M.V. Alvarado","doi":"10.1016/j.cali.2016.06.010","DOIUrl":"10.1016/j.cali.2016.06.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Health satisfaction is a fundamental measure of the quality of health services. This study aims to validate and analyse the results of a quality of care questionnaire to assess the level of satisfaction of patients attended in the emergency department of a high complexity hospital.</p></div><div><h3>Methods</h3><p>Observational, cross-sectional study, with a questionnaire designed to assess the quality of service and satisfaction at the end of care in the emergency department. Descriptive statistics of scale were established and presented, as well as determining the construct validity, overall reliability, internal and concurrent validity of an overall against a uni-dimensional scale.</p></div><div><h3>Results</h3><p>A total of 5,961 records were reviewed, most of them (77.3%) reported by patients in the Mandatory Health Plan. High levels of satisfaction overall and by subgroups were found. There were no significant differences between subgroups, with 86.8 for those with Pre-paid Medical Care Plan and 84.4 for mandatory health plan. Cronbach's alpha for the questionnaire was 0.90.</p></div><div><h3>Conclusions</h3><p>The questionnaire proved to be reliable and valid in determining the quality and satisfaction with care. The results showed high levels of satisfaction overall and in the domains. A low consistency between the results of the multidimensional and unidimensional satisfaction scales suggests that there were aspects of satisfaction not investigated on the multidimensional scale. Ecologically-designed before and after studies are required to evaluate the effectiveness of interventions in satisfaction.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 2","pages":"Pages 89-96"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2016.06.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88454184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Experiencia en los 2 primeros años de una unidad de diagnóstico rápido en un hospital comarcal 在地区医院快速诊断单元的头两年经验

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.06.005

C. Pérez Vega, M.A. Polvorosa Gómez, C. Rodríguez Ramos, E. Rodríguez de Castro Hurtado

引用次数: 0

Norma ISO 45001: oportunidad para las organizaciones sanitarias en la mejora de la salud laboral ISO 45001标准:卫生组织改善职业健康的机会

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.03.009

M. López Gobernado, D. Villalba Gil

引用次数: 5

Factores que influyen en la calidad de las guías de práctica clínica de cáncer de ovario 影响卵巢癌临床实践指南质量的因素

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.09.003

J.S. Castillo-Londoño, Y.A. Medina-Torres, C. Sandoval-Salinas, G. Buitrago-Gutierrez, M.Z. Torres-Ibargüen, A.L. Gonzalez-Rangel

{"title":"Factores que influyen en la calidad de las guías de práctica clínica de cáncer de ovario","authors":"J.S. Castillo-Londoño, Y.A. Medina-Torres, C. Sandoval-Salinas, G. Buitrago-Gutierrez, M.Z. Torres-Ibargüen, A.L. Gonzalez-Rangel","doi":"10.1016/j.cali.2016.09.003","DOIUrl":"10.1016/j.cali.2016.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the characteristics of the published clinical practice guidelines for the management of epithelial ovarian cancer that suggest a good methodological quality.</p></div><div><h3>Material and methods</h3><p>A literature review was performed on 25 clinical practice guidelines for epithelial ovarian cancer that were identified in different databases (MEDLINE, Guidelines International Network, National Guidelines Clearing house) published between 2007 and 2014. The quality of the guidelines was evaluated using the Appraisal of Guidelines Research and Evaluation <span>II</span> tool. Descriptive and bivariate analyses were performed to assess the association between the quality of the guidelines and of some of their features and their developers.</p></div><div><h3>Results</h3><p>Just under half (48%) of the guidelines were rated as low quality. Scientific societies or independent centres and private funding, or under-reporting the source of funding, were statistically associated with lower quality of clinical practice guidelines (<em>P</em>  <!-->.01). The guidelines developed by National Program Guidelines had a median of consistently higher scores in all domains of the Appraisal of Guidelines Research and Evaluation <span>II</span>, with significant differences in the definition of scope and objectives, the participation of stakeholders, the methodological rigour of development, and applicability to the context.</p></div><div><h3>Conclusions</h3><p>Features such as the nature of the developer and funding of the guidelines are predictors of quality that should be taken into account prior to the use of the recommendations of a document.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 2","pages":"Pages 103-110"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2016.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78373824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Métodos diagnósticos: ¿utopía en el servicio público rural de Guatemala? 诊断方法:危地马拉农村公共服务的乌托邦?

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.06.008

K. Martinez-Folgar

引用次数: 0

¿Es posible humanizar la obtención de muestras de semen respetando la intimidad de los sujetos? Un estudio preliminar 是否有可能在尊重受试者隐私的情况下，将精液样本的采集人性化?初步研究

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.05.003

J. Ramos-Brieva , P. González , S. Rodríguez , M.C. Botas , O. Vicente-López , A. Cordero-Villafáfila

引用次数: 2

Eficiencia y sostenibilidad en la gestión clínica 临床管理的效率和可持续性

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2017.02.001

B. González López-Valcárcel

引用次数: 1

Magnitud del efecto en comparaciones entre 2 o más grupos 两组或两组以上比较的影响程度

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.04.002

S.A. Dominguez-Lara

引用次数: 1

Benchmarking en la identificación de pacientes: una oportunidad para aprender 病人识别的基准:一个学习的机会

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.10.003

R.M. Salazar-de-la-Guerra , A. Santotomás-Pajarrón , V. González-Prieto , M.D. Menéndez-Fraga , C. Rocha Hurtado

{"title":"Benchmarking en la identificación de pacientes: una oportunidad para aprender","authors":"R.M. Salazar-de-la-Guerra , A. Santotomás-Pajarrón , V. González-Prieto , M.D. Menéndez-Fraga , C. Rocha Hurtado","doi":"10.1016/j.cali.2016.10.003","DOIUrl":"10.1016/j.cali.2016.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>To perform a benchmarking on the safe identification of hospital patients involved in “Club de las tres C” (<em>Calidez, Calidad y Cuidados</em>) in order to prepare a common procedure for this process.</p></div><div><h3>Material and methods</h3><p>A descriptive study was conducted on the patient identification process in palliative care and stroke units in 5medium-stay hospitals. The following steps were carried out: Data collection from each hospital; organisation and data analysis, and preparation of a common procedure for this process.</p></div><div><h3>Results</h3><p>The data obtained for the safe identification of all stroke patients were: hospital 1 (93%), hospital 2 (93.1%), hospital 3 (100%), and hospital 5 (93.4%), and for the palliative care process: hospital 1 (93%), hospital 2 (92.3%), hospital 3 (92%), hospital 4 (98.3%), and hospital 5 (85.2%).</p></div><div><h3>Conclusions</h3><p>The aim of the study has been accomplished successfully. Benchmarking activities have been developed and knowledge on the patient identification process has been shared. All hospitals had good results. The hospital 3 was best in the ictus identification process.</p><p>The benchmarking identification is difficult, but, a useful common procedure that collects the best practices has been identified among the 5 hospitals.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 2","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2016.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78858576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Historia clínica como herramienta para mejora del proceso de atención 临床病史作为改善护理过程的工具

Revista de Calidad Asistencial Pub Date : 2017-03-01 DOI: 10.1016/j.cali.2016.05.005

D. Chero-Farro , A. Cabanillas-Olivares , J. Fernández-Mogollón

引用次数: 1