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Análisis del grado de ejecución del programa HEALTHQUAL
Joseph Adrien Emmanuel Demes1, Lambert Farand2, Marie-Pascale Pomey2
1School of Medicine and Pharmacy (UEH, Haiti), Haiti; University of Montreal, Canada, School of Public Health, Canada.
Evaluation and program planning
|September 2, 2025
Resumen
La evaluación de la ejecución del programa HEALTHQUAL-Haití reveló niveles variables, sin que ninguna instalación lograra una alta ejecución. La mejora de la ejecución de los programas es crucial para obtener mejores resultados en materia de salud.
Área de la Ciencia:
- Mejora de la calidad de la asistencia sanitaria
- Investigación en servicios de salud
- Evaluación del programa
Sus antecedentes:
- La evaluación de los programas de mejora de la calidad requiere evaluar la fidelidad de la implementación, no solo los resultados.
- Los bajos niveles de ejecución impiden obtener resultados significativos y complican el análisis de la brecha de resultados.
- La evaluación de la ejecución es clave para comprender el éxito del programa y las interacciones contextuales.
Objetivo del estudio:
- Evaluar rigurosamente el nivel de puesta en marcha y ejecución del programa nacional HEALTHQUAL-Haití.
- Evaluar en qué medida se ejecutó el programa HEALTHQUAL-Haití en las instalaciones de salud.
Principales métodos:
- Desarrolló un modelo lógico para el programa HEALTHQUAL-Haití.
- Se seleccionaron doce dimensiones clave para la evaluación cualitativa de la ejecución del programa.
- Se utilizaron criterios explícitos para juzgar el nivel de aplicación en las instalaciones sanitarias.
Principales resultados:
- El grado de implementación del programa HEALTHQUAL-Haiti varió entre las instalaciones de salud.
- Algunas instalaciones presentaron niveles bajos de ejecución, mientras que otras alcanzaron niveles medios de ejecución.
- Ningún centro de salud logró un alto grado de implementación para el programa.
Conclusiones:
- Los resultados ponen de relieve la necesidad de tener en cuenta los niveles de implementación al planificar y ejecutar el programa HEALTHQUAL-Haití.
- Las estrategias para mejorar la ejecución de los programas y abordar los factores de influencia son esenciales.
- Se requiere más investigación para definir con mayor claridad los grados de aplicación y los factores que influyen.
Palabras clave:
Grado de aplicaciónAnálisis de las discrepanciasAnálisis de la aplicaciónModelo lógicoEvaluación normativaEvaluación del programa de mejora de la calidadMás Videos Relacionados
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