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Objetivo: Identificar el nivel de competencias en auditoría de servicios de salud de los médicos del primer nivel de atención del distrito de Comas en 2018. Materiales y métodos: Estudio de tipo analítico. De una población total de 110 médicos, intervinieron 32 individuos quienes accedieron a participar en el estudio. Se evaluaron las variables sociodemográficas y los cinco tipos de competencias en auditoria de servicios de salud: las cuatro primeras fueron graduadas como "Aprobado", "En proceso" y "Desaprobado", mientras que la quinta fue calificada en los niveles "Básico", "Intermedio" y "Avanzado". Los datos se procesaron con el software SPSS versión 24.00. Resultados: De la población evaluada, el 62,50 % fueron médicos asistenciales y 37,50 %, jefes de establecimientos. Predominaron los hombres (68,75 %) respecto a mujeres (31,25 %). El resultado global del nivel de competencia de auditoría de servicios de salud fue "Desaprobado" (50,00 %), "En proceso" (43,75 %) y "Aprobado" (6,25 %). Conclusiones: El 6,25 % de las personas evaluadas alcanzaron el nivel "Aprobado" en las competencias de auditoría de servicios de salud. Las variables "Años laborando" (Sig. = 0,011) y "Formación general" (Sig. = 0,031) tienen relación significativa con el desarrollo de las competencias en auditoría de servicios de salud.
Objective: To identify the levels of health services audit proficiency among primary health care physicians from Comas district in 2018. Materials and methods: An analytical study was conducted. Out of a population of 110 physicians, 32 accepted to participate in the study. Sociodemographic variables and five types of health services audit proficiency were assessed: the first four were graded as "pass," "in process" and "fail," while the fifth was scored as "basic," "intermediate" and "advanced." The data was processed using SPSS Statistics statistical software version 24.00. Results: Sixty-two point five zero percent (62.50 %) of the study population consisted of attending physicians, while 37.50 % were medical chief officers. Males (68.80 %) prevailed over females (31.30 %). The global result of the levels of health services audit proficiency was "fail" (50.00 %), "in process" (43.80 %) and "pass" (6.25 %). Conclusions: Six point two five percent (6.25 %) of the study population achieved the "pass" score in the health services audit proficiency. The variables "tenure" (Sig. = 0.011) and "general training" (Sig. = 0.031) were significantly related to the development of health services audit proficiency.
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Objective: The study's purpose has been to analyze the auditing practices in the Sistema Único de Saúde (SUS) [Brazilian Unified Health System]. Methods: It is an integrative literature review that was carried out in the Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) [Latin American and Caribbean Literature in Health Sciences], Virtual Health Library (VHL), and Web of Science databases. By using the inclusion and exclusion criteria, 12 scientific articles were selected for in-depth analysis. Results: The findings demonstrate the political and institutional advances regarding to the auditing practices in the SUS. There have been also identified many challenges that must be overcome in order to support such practices, such as the need to qualify the tools of the National Audit Department from the SUS and to improve the communication between State, Municipal, and Federal auditing. Conclusion: Auditing practices in the SUS are still under development, then requiring more studies and dissemination, aiming to bring contributions to both practice and the academic milieu
Objetivo: Analisar as práticas de auditoria no Sistema Único de Saúde (SUS). Métodos: Trata-se de uma revisão integrativa de literatura realizada na Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs), e Web of Science. Ao total, utilizando-se os critérios de inclusão e exclusão selecionou-se 12 artigos científicos para análise. Resultados: Os resultados apontam avanços políticos e nas instituições com relação as práticas de auditoria no SUS. Identificam-se também muitos desafios para fortalecer tais práticas, como a necessidade de qualificar as ferramentas do Departamento Nacional de Auditoria do SUS e melhorar a comunicação entre o componente, estadual, municipal e federal de auditoria. Conclusão: As práticas de auditoria no SUS estão em construção, necessitando de mais estudos e divulgação, afim de que traga contribuições para a prática e o meio acadêmico
Objetivo: Analizar las prácticas de auditoría en el Sistema Único de Salud (SUS). Método: Se trata de una revisión integrativa de literatura realizada en la Biblioteca Virtual en Salud (BVS), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (Lilacs), y Web of Science. Al total, utilizando los criterios de inclusión y exclusión se seleccionaron 12 artículos científicos para análisis. Resultados: Los resultados apuntan avances políticos y en las instituciones con relación a las prácticas de auditoría en el SUS. Se identifican también, muchos desafíos para fortalecer tales prácticas, como la necesidad de calificar las herramientas del Departamento Nacional de Auditoría del SUS y mejorar la comunicación entre el componente, estatal, municipal y municipal, federal de auditoría. Conclusión: Las prácticas de auditoría en el SUS están en construcción, necesitando más estudios y divulgación, a fin de que traiga contribuciones para la práctica y el medio académico
Subject(s)
Humans , Male , Female , Unified Health System/organization & administration , Health Care Reform/trends , Management Audit/standards , Management Audit/statistics & numerical dataABSTRACT
Background: One of the main determinants of quality in the public health care services is the perceived user satisfaction. Aim: To analyze the relationship between supply (User Orientation of Management) (UO), demand (User Satisfaction with service components) (US) and subjective indicators of effectiveness, such as Perceived Global Quality (PGQ) and Global Satisfaction (GS) among hospital service users. Material and Methods: A survey was applied to users of hospital services, asking about management and quality of hospital services and satisfaction with the service provided. Data was analyzed with exploratory and confirmatory factorial analyses. Structural Equation Models were used to test the hypotheses implied in the theoretical model of effectiveness. Results: The cause-effect relationship between UO and US was confirmed. There was also a direct relationship between PGQ and GS. Conclusions: Efficient nursing and administrative personnel are of highest importance to improve user satisfaction. The hospital management must pay extreme attention to this kind of staff in order to be effective from the point of view of their patients.