Propuesta de un plan de mejora para fortalecer la atención humanizada en el proceso de la salud pública de la E.S.E Hospital Regional Centro, Norte de Santander
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Fecha
2023
Autores
Osorio Buenaver, Tatiana Lizbeth
Atuesta Gamez, Maria Azucena
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Ediciones Universidad Simón Bolívar
Facultad de Administración y Negocios
Facultad de Administración y Negocios
Resumen
El desarrollo de procesos de humanización para atender los programas de salud pública busca que el personal de salud establezca una conexión más real y significativa con los pacientes, con el fin de cumplir el objetivo principal de mejorar la salud de cada uno de ellos.
La E.SE. Hospital Regional Centro desarrolla en su plataforma estratégica tres líneas operativas: “Gestión del Riesgo en Salud, Gestión de la Salud Pública y Promoción de la Salud”, ocho dimensiones prioritarias y dos dimensiones transversales. Como dimensión prioritaria: “Salud Ambiental, Seguridad alimentaria y nutricional, Condiciones no transmisibles y Vida saludable, Salud mental y Social, Derechos sexuales y reproductivos y equidad de género, Vida saludable y enfermedades transmisibles, Salud pública en emergencias y desastres. Así mismo, como dimensiones transversales están: Ámbito laboral y el Fortalecimiento de gestión de la salud, de acuerdo con el Ministerio de Salud y Protección social.
La metodología de este proyecto es de corte observacional descriptivo; con enfoque mixto ya que se combina el componente cuantitativo con el análisis cualitativo y se presentan los resultados obtenidos del análisis de la aplicación de un instrumento remitido por correo electrónico al personal de salud que participa del proceso misional denominado “Gestión en Salud pública”, con el fin de identificar el nivel de apropiación del concepto de humanización en estos programas. Así mismo, se aplicó un formulario de Google, mediante la Escala Likert, a través de la cual se incluyeron variables para obtener información sobre las dimensiones de Seguridad, Coordinación, Políticas de Humanización, Interacción, Atención en Salud Pública y Normatividad, las cuales fueron definidas específicamente para este estudio. Se consolidaron los datos que fueron tomados de la encuesta aplicada, en un documento de Excel.
De los datos obtenidos, se concluye que el 84,1% “Siempre” reconoce seguridad del paciente teniendo en cuenta los indicadores de eventos adversos, riesgos graves y consecuencias; en la dimensión de “Calidad” con base en los indicadores de “Coordinación” y “Políticas de Humanización” , se observó que el 100% “Siempre” reconocen la existencia de planes y las rutas de atención integrales para los prestadores de servicios en salud, trabajo en equipo, liderazgo y los lineamientos institucionales de los programas de salud pública. Por otra parte, de la dimensión “Social”, el 100% de los encuestados “Siempre” reconocen la importancia de la empatía, los protocolos de atención, la eficiencia y la eficacia de los procesos, canales de comunicación, las actividades del Plan de intervenciones colectivas (PIC) y la normatividad de salud pública vigente.
Partiendo de los resultados obtenidos, se propuso un plan de mejora a partir de la descripción de los hallazgos, en el cual se definen las acciones correctivas a implementarse así mismo los responsables, los tiempos de ejecución y los recursos necesarios de acuerdo con la dimensión “Calidad” y la dimensión “Social”.
The development of humanization processes in the attention of public health programs seeks that health personnel establish a more real and meaningful connection with patients, in order to meet the main objective of improving the health of each one of them. The E.S.E. Hospital Regional Centro develops three operational lines in its strategic platform: “Health Risk Management and Public Health Management, Health Promotion”; and eight priority dimensions and two transversal dimensions. As a primary dimension: “Environmental Health, Food and Nutritional Security, Noncommunicable Conditions and Healthy Living, Mental and Social Health, Sexual and Reproductive Rights and Gender Equity, Healthy Living and Communicable Diseases, Public Health in Emergencies and Disasters. Likewise, as transversal dimensions were Work environment and strengthening of health management, according to the Ministry of Health and Social Protection. The methodology of this project is of a descriptive observational nature; with a mixed approach where the results obtained from the analysis of the application of a survey sent by email to health personnel who participate in the missionary process called "Public Health Management" are presented, in order to identify the kind of care in these programs: Likewise, a Google form was applied, using the Likert scale, through which variables were included to obtain information on the dimensions of Safety, Coordination, humanization policies, interaction, Public Health care and Public Health Regulations. The electronic sheet with the survey data was taken as an Excel sheet. From the data obtained, it is concluded that 84.1% "Always" recognize patient safety taking into account the indicators of adverse events, serious risks and consequences; In the "Quality" dimension based on the "Coordination" and "Humanization Policies" indicators, it was observed that 100% "Always" recognize the existence of plans, comprehensive care pathways, comprehensive care pathways for providers in health, teamwork, leadership and the institutional guidelines of public health programs. On the other hand, of the "Social" dimension, 100% of those surveyed "Always" recognize the importance of empathy, care protocols, efficiency and effectiveness of processes, communication channels, the activities of the Plan of collective interventions (PIC) and current public health regulations. Based on the results obtained, an improvement plan was proposed to define the corrective actions, description of the findings, responsible parties, execution time and resources according to the "Quality" dimension and the "Social" dimension.
The development of humanization processes in the attention of public health programs seeks that health personnel establish a more real and meaningful connection with patients, in order to meet the main objective of improving the health of each one of them. The E.S.E. Hospital Regional Centro develops three operational lines in its strategic platform: “Health Risk Management and Public Health Management, Health Promotion”; and eight priority dimensions and two transversal dimensions. As a primary dimension: “Environmental Health, Food and Nutritional Security, Noncommunicable Conditions and Healthy Living, Mental and Social Health, Sexual and Reproductive Rights and Gender Equity, Healthy Living and Communicable Diseases, Public Health in Emergencies and Disasters. Likewise, as transversal dimensions were Work environment and strengthening of health management, according to the Ministry of Health and Social Protection. The methodology of this project is of a descriptive observational nature; with a mixed approach where the results obtained from the analysis of the application of a survey sent by email to health personnel who participate in the missionary process called "Public Health Management" are presented, in order to identify the kind of care in these programs: Likewise, a Google form was applied, using the Likert scale, through which variables were included to obtain information on the dimensions of Safety, Coordination, humanization policies, interaction, Public Health care and Public Health Regulations. The electronic sheet with the survey data was taken as an Excel sheet. From the data obtained, it is concluded that 84.1% "Always" recognize patient safety taking into account the indicators of adverse events, serious risks and consequences; In the "Quality" dimension based on the "Coordination" and "Humanization Policies" indicators, it was observed that 100% "Always" recognize the existence of plans, comprehensive care pathways, comprehensive care pathways for providers in health, teamwork, leadership and the institutional guidelines of public health programs. On the other hand, of the "Social" dimension, 100% of those surveyed "Always" recognize the importance of empathy, care protocols, efficiency and effectiveness of processes, communication channels, the activities of the Plan of collective interventions (PIC) and current public health regulations. Based on the results obtained, an improvement plan was proposed to define the corrective actions, description of the findings, responsible parties, execution time and resources according to the "Quality" dimension and the "Social" dimension.
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Palabras clave
Humanización, Programas de salud pública, Plan desarrollo nacional, Calidad, Humanization, Public health programs, National development plan, Quality