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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Avance en la Atención Anticonceptiva Equitativa y Centrada en la Persona Mediante la Mejora de la Calidad Basada en

Christine Dehlendorf1, Erin Wingo2, Lindsey Gibson1

  • 1From the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).

Journal of the American Board of Family Medicine : JABFM
|December 19, 2025
PubMed
Resumen

Una colaboración de mejora de la calidad centrada en la equidad mejoró la atención anticonceptiva en los centros de salud comunitarios. Esta iniciativa mejoró el asesoramiento y la detección anticonceptivos centrados en la persona, impulsando la equidad en la salud reproductiva.

Palabras clave:
Centros de Salud ComunitariosAnticonceptivosEquidad en SaludMejora de la CalidadCalidad de la AtenciónSalud Reproductiva

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Área de la Ciencia:

  • Salud Pública
  • Salud Reproductiva
  • Mejora de la Calidad de la Atención Sanitaria

Sus antecedentes:

  • Ampliar el acceso a una atención anticonceptiva de alta calidad es crucial para lograr la equidad en la salud reproductiva.
  • Los centros de salud comunitarios (CHC) desempeñan un papel vital en la prestación de atención primaria.

Objetivo del estudio:

  • Evaluar el impacto de una colaboración de aprendizaje de mejora de la calidad (QILC) centrada en la equidad en la prestación de atención anticonceptiva dentro de los CHC.
  • Evaluar la efectividad de la medición innovadora del desempeño en la mejora de la atención anticonceptiva.

Principales métodos:

  • Se implementó un QILC de 9 meses, que incluyó sesiones de aprendizaje, recursos, aprendizaje entre pares y asistencia técnica.
  • El desempeño se midió utilizando la medida de Asesoramiento Anticonceptivo Centrado en la Persona (PCCC) y dos medidas electrónicas de calidad clínica (eCQM): Detección de Atención Anticonceptiva (CCS-SINC) y Uso de Anticonceptivos (CU-SINC).
  • Los datos se recopilaron antes y después del QILC a través de encuestas a pacientes y registros médicos electrónicos.

Principales resultados:

  • El aumento mediano en CCS-SINC fue del 14,4%.
  • El aumento relativo mediano en CU-SINC fue del 4,9%.
  • Cinco de nueve CHC mejoraron sus puntuaciones PCCC, y tres superaron el punto de referencia del 80% para una atención de alta calidad.

Conclusiones:

  • La participación en un QILC centrado en la equidad y impulsado por la medición mejoró la prestación de atención anticonceptiva centrada en la persona.
  • Las iniciativas de mejora de la calidad pueden mejorar eficazmente los servicios de atención de la salud reproductiva en entornos de atención primaria.