Elementos de calidad para la evaluación hospitalaria del paciente con enfermedad cerebrovascular / Quality elements to the hospital assessment of the patient presenting with cerebrovascular disease

RESUMEN

La enfermedad cerebrovascular constituye un problema de salud para Cuba, al ser la tercera causa de muerte y la primera de discapacidad en el adulto, con serias repercusiones para el paciente, su familia y la sociedad. La presente revisión pretende actualizar acerca de los indicadores de calidad y los estudios de evaluación económica de la enfermedad. Se revisan diferentes definiciones de calidad en el sector de la salud, se discute acerca de la evaluación continua de la calidad mediante indicadores apropiados y la eficiencia de la atención hospitalaria con sus implicaciones sociales y económicas como un imperativo para este sector en Cuba. Partiendo del principio de que la salud no tiene precio, aunque para recuperarla y mantenerla sea preciso incurrir en elevados costos, se trata el tema de la evaluación económica con la premisa de que la economía y la salud deben constituir un binomio inseparable.

ABSTRACT

The cerebrovascular disease is a health problem for Cuba being the third cause of death and the first one of adult's inability with serious repercussions for the patients, its family and society. The aim of present review is to update on the quality indicators and the economic assessment studies of disease. In health field some different quality definitions are reviewed, approaching on the continuous assessment of quality by appropriate indictors and the hospital care efficiency with its social and economic implications as an essential feature for this field in Cuba. From the principle that the health has not price, although to recover and to maintain it be necessary to incur in high costs, the subject of economic assessment is approached with the premise that the economy and health are essential for this field in Cuba. From the principle that health has not price, although to recover and to maintain it is necessary incur in high costs, the subject of economic assessment is approached with the premise that the economy and the health must to be an inseparable binomial feature.