Evaluación de la oportunidad en la atención de urgencias en una Institución de Salud Mental
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Fecha
2025
Autores
Jáuregui Moreno, Daniela Jelitza
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Ediciones Universidad Simón Bolívar
Facultad de Administración y Negocios
Facultad de Administración y Negocios
Resumen
El Sistema Obligatorio de Garantía de la Calidad en Salud establece entre sus características la oportunidad en la atención entendiéndose esta como la posibilidad que tiene el usuario de obtener los servicios que requiere sin que se presenten retrasos que afecten su salud. Se realizó un estudio positivista, descriptivo y retrospectivo, con 1.743 atenciones cuya categoría de Triaje fuera I, II y III además de ser enfermedades mentales notificables en el SIVIGILA. El tiempo de atención que va desde el ingreso hasta el Triaje obtuvo un resultado de 11 minutos en Triaje I, seguido de 18 minutos en Triaje II y III. El tiempo de atención que va desde el Triaje hasta la consulta tuvo promedios de atención de 26 minutos en Triaje I, 43 minutos en Triaje II y 44 minutos en Triaje III. Finalmente, el tiempo de permanencia en Triaje I fue de 38 minutos, 55 minutos en Triaje II, y 47 minutos en Triaje III. Describiéndose la oportunidad como adecuada solo para la categoría de Triaje III ya que esta cumple con los tiempos establecidos por la resolución 5596/ 2015.
Lo anterior permitió la propuesta de un plan de mejora teniendo en cuenta la necesidad de mejorar áreas y factores para la adecuada prestación del servicio de salud. Concluyendo que en base a la evaluación de la oportunidad de la atención del servicio de urgencias en una institución de salud mental se encontró en el análisis de indicadores un incumplimiento parcial de la oportunidad en la atención.
The Mandatory Health Quality Guarantee System establishes among its characteristics the timeliness of care, understood as the possibility that the user has of obtaining the services they require without delays that affect their health. A positivist, descriptive and retrospective study was carried out, with 1,743 cases whose Triage category was I, II and III in addition to being mental illnesses notifiable in SIVIGILA. The attention time that goes from admission to Triage obtained a result of 11 minutes in Triage I, followed by 18 minutes in Triage II and III. The attention time that goes from Triage to the consultation had averages of 26 minutes in Triage I, 43 minutes in Triage II and 44 minutes in Triage III. Finally, the time spent in Triage I was 38 minutes, 55 minutes in Triage II, and 47 minutes in Triage III. The opportunity was described as suitable only for the Triage III category since it complies with the times established by resolution 5596/2015. The above allowed the proposal of an improvement plan taking into account the need to improve areas and factors for the adequate provision of the health service. Concluding that based on the evaluation of the timeliness of emergency service care in a mental health institution, a partial non-compliance with timeliness of care was found in the analysis of indicators.
The Mandatory Health Quality Guarantee System establishes among its characteristics the timeliness of care, understood as the possibility that the user has of obtaining the services they require without delays that affect their health. A positivist, descriptive and retrospective study was carried out, with 1,743 cases whose Triage category was I, II and III in addition to being mental illnesses notifiable in SIVIGILA. The attention time that goes from admission to Triage obtained a result of 11 minutes in Triage I, followed by 18 minutes in Triage II and III. The attention time that goes from Triage to the consultation had averages of 26 minutes in Triage I, 43 minutes in Triage II and 44 minutes in Triage III. Finally, the time spent in Triage I was 38 minutes, 55 minutes in Triage II, and 47 minutes in Triage III. The opportunity was described as suitable only for the Triage III category since it complies with the times established by resolution 5596/2015. The above allowed the proposal of an improvement plan taking into account the need to improve areas and factors for the adequate provision of the health service. Concluding that based on the evaluation of the timeliness of emergency service care in a mental health institution, a partial non-compliance with timeliness of care was found in the analysis of indicators.
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Palabras clave
Oportunidad, Triaje, Urgencias, Tiempo de atención, Salud mental
