Jiménez Cangas, Leonor

Abstract: A methodology is proposed; it allows the assessment of quality using the selection of activities and/or health problems that may be considered as tracers for the process, and participating methods for the selection of criteria, indicators and standards to use in the assessment, in which the staff of the institution subject to assessment takes part, and are referred not only to results in health care, but also to the structure and the process. The opinion of the users of the service is included. Applying this methodology allows a greater compromise of the providers of the services with the results of the process, and with the corrective measures derived from it, and due to this the solutions to the problems detected are more feasible. It is demonstrated how its practical application in a primary health care institution, allowed to know the quality of care for hipertensive patients, by means of the assessment of important dimensions of quality: the scientific-technical quality of care, and the user's satisfaction. This methodology is also used to assess quality in mother-child care, and a project was designed to assess qualityin Hygiene and Epidemiology services in a local health system.

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