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[Evaluation of Mexican 'Sicalidad' health quality program]
Frida Rivera-Buendía1, Omar Y Bello-Chavolla1, Adriana Zubieta-Zavala1
1Facultad de Medicina, Universidad Nacional Autónoma de México, México, Distrito Federal, México.
Objective:
To analize the implementation of the Sistema Integral de Calidad en Salud (Sicalidad) program of the Ministry of Health in the 2011.
Materials And Methods:
The study follows a cross sectional design, hybrid, with a qualitative and quantitative components. A cluster probabilístic sample was used with two stages. A total of 3 034 interviews were carried out in 13 states to evaluate the implementation of the eight components of the Sicalidad program. General indexes of performance (GIP) were formulated for structure process and satisfaction of users, physicians and nurses with the program.
Results:
The GIP with the lower score was accreditation of health facilities with a range of scores between 25.4 and 28% in the medical units evaluated; The highest range of scores was in the component of nosocomial infection prevention between 78.3 and 92%.
Conclusion:
In brief the Sicalidad components evaluated suggest problems with both structure and critical process elements in the implementation of the quality initiatives.
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