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http://dspace.udla.edu.ec/handle/33000/4631| Tipo de material : | masterThesis |
| Título : | Plan de mejoramiento de la atención de la consulta externa en el Centro de Salud de la Vicentina |
| Autor : | Pazmiño Miranda, Ana María |
| Tutor : | Carrera Narváez, Pablo Mauricio |
| Palabras clave : | SERVICIOS MÉDICOS Y DE SALUD;NIVELES DE ATENCIÓN A LA SALUD;SERVICIOS PROFESIONALES;CENTROS DE SALUD;QUITO-ECUADOR |
| Fecha de publicación : | 2016 |
| Editorial : | Quito: Universidad de las Américas, 2016 |
| Citación : | Pazmiño Miranda, A. M. (2016). Plan de mejoramiento de la atención de la consulta externa en el centro de salud de la Vicentina (Tesis de maestría). Universidad de las Américas, Quito. |
| Resumen : | El departamento, con más concurrencia de usuarios en los Centros de Salud, es la Consulta Externa, donde se brinda atención a pacientes ambulatorios, este es un proceso repetitivo, que causa malestar a los pacientes cuando acuden por atención médica, se estima que el tiempo de espera en estadística máximo debería ser de 10 minutos, considerando que la jornada laboral es de 7 horas con 30 minutos, tiempo que permitiría atender 45 pacientes, lamentablemente solo se atiende de 25 a 30 pacientes dependiendo de sus circunstancias “pacientes nuevos o consecutivos”... |
| Descripción : | The department used in most health centers is the outpatient clinic, where providing care to outpatients, this is an iterative process that causes discomfort to users when they come for medical care, it is estimated that the maximum waiting time in statistics should be 10 minutes, as the working day is 7 hours 30 minutes, 45 patients have to be treated, unfortunately approximately 25-30 patients are treated depending on their circumstances (new patients or consecutive). To detect the main shortcomings of the health center it is performed a current diagnostic through an internal and external analysis in which are shown where errors are modifiable, such as: stiffness to adapt to changes in public institutions, inadequate staff arrangements, and impatience shown by the mishandling of processes. It is performed semi-structured interviews with key informants (a doctor, nurse and administrative) where poor existing interpersonal relationship and lack of communication with the authorities is spot. It is also set focus groups (3 groups of 6 people) with volunteer users who attend the health center where the dissatisfaction in the lack of attention and warmth during the care process is detected. With the mentioned background, it is determine the need to design a plan of continuous improvement (Kaizen) Vicentinas Health Center cycle of outpatient. The Kaizen method was used to carry out the plan of continuous improvement, this consists in adopt a new vision, in order to fully satisfy the user. To develop the Kaizen method it is used the PHRA (Acronyms in Spanish) dynamic cycle (Plan, Do, Check and Act), the planning of dates for improvement implementations and the control that will be carried out. Upon completion of this cycle the following conclusions were obtained: constant training to Vincentians health center staff is essential in both, to improve their daily activities as well as accomplishing extra tasks according to the institutional needs. It is required a continuous evaluation mechanisms so that the improvement is constant, in addition teamwork is essential. Creating policies that lead to a better quality of staff performance is essential. |
| URI : | http://dspace.udla.edu.ec/handle/33000/4631 |
| Aparece en las colecciones: | Maestría en Administración de Instituciones de Salud |
Ficheros en este ítem:
| Fichero | Descripción | Tamaño | Formato | |
|---|---|---|---|---|
| UDLA-EC-TEAIS-2016-01.pdf | 1,2 MB | Adobe PDF |  Visualizar/Abrir |
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