Gestión de gobiernos locales en la calidad de la atención de la salud para niños
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Se evaluó el componente de calidad de los programas de salud, establecidos por los gobiernos locales, para la población infantil, en cumplimiento del marco normativo vigente. Se realizo un estudio descriptivo para evaluar la rectoría de los sistemas de calidad y el cumplimiento de los atributos de accesibilidad, oportunidad, seguridad, continuidad y pertinencia, como indicadores de la calidad de los programas de salud. No se encontró evidencia que demuestre que los gobiernos desarrollen programas que respondan a la realidad epidemiológica de su localidad. Las actividades que se ejecutan corresponden al mínimo legal y no son evaluados en su componente de Calidad. Se hace inaplazable el replanteamiento del modelo de gestión, que permita a los gobiernos locales cumplir a cabalidad con la responsabilidad de prestar servicios de atención en salud con calidad, especialmente para la población infantil por su situación de vulnerabilidad.
Abstract. Quality component of healthcare programs was evaluated, established by local governments for infant population according to the current rules.A study was made to evaluate the direction of the quality system and performance of attributes of accessibility, opportunity, continuity and appropriateness, as indicators of quality of health programs. Evidence was not found to demonstrate that governments develop programs according to the epidemiological reality of its locality. Activities are executed depending on the legal minimum and they are not evaluated by their quality component. Management model rethinking can´t be postponed to allow local governments successfully completed with the responsibility for paying attention to health attention services with quality, especially for infant population for their vulnerability situation.
Abstract. Quality component of healthcare programs was evaluated, established by local governments for infant population according to the current rules.A study was made to evaluate the direction of the quality system and performance of attributes of accessibility, opportunity, continuity and appropriateness, as indicators of quality of health programs. Evidence was not found to demonstrate that governments develop programs according to the epidemiological reality of its locality. Activities are executed depending on the legal minimum and they are not evaluated by their quality component. Management model rethinking can´t be postponed to allow local governments successfully completed with the responsibility for paying attention to health attention services with quality, especially for infant population for their vulnerability situation.