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Sistematización de una intervención gerencial integral para fortalecer la atención médica por COVID-19.

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Title: Sistematización de una intervención gerencial integral para fortalecer la atención médica por COVID-19.
Alternate Title: Systematization of a comprehensive intervention for strengthening the COVID-19 medical care.
Authors: Duque-Molina, Célida1, Romero-Hernández, Ernesto2 ernesto.romeroh@imss.gob.mx, Alejandra Balandrán-Duarte, Dulce3, Carlos Sánchez-Echeverría, Juan4, Rodríguez-Soria, Luis Johann2, de Jesús Ascencio-Montiel, Iván5, Maribel Zepeda-Arias, Fabiana6, Núñez-Sánchez, Guadalupe2, Villarreal-Ríos, Enrique7, Avilés-Hernández, Ricardo2
Source: Revista Medica del IMSS. 2022 Supplement, Vol. 60, pS142-S149. 8p.
Abstract (English): The COVID-19 pandemic established a new challenge for health services in Mexico, which is why these services faced the challenge of responding to the affected people, by providing them services with opportunity, efficiency, effectiveness and safety. The Instituto Mexicano del Seguro Social (IMSS, Mexican Institute for Social Security) gave medical attention to the larger number of affected people: towards the end of September, 2022, 3,335,552 patients were registered, who represented 47% of the total (7,089,209) of confirmed COVID-19 cases since the beginning of the pandemic in 2020. Of all the cases treated, 295,065 (8.8%) required hospitalization. In addition of new scientific evidence and the implementation of best practices in medical care and directive management (with the general objective of improvement of the processes in hospital attention, even without an effective treatment at the time), we presented an evaluation, supervision method with a comprehensive (involving the three levels of health services) and analytic (structure, process, result and directive management components) approach. The achievement of specific goals and lines of action was established in a technical guideline with health policies for the COVID-19 medical care. These guidelines were instrumented with a standardized evaluation tool, a result dashboard and a risk assessment calculator, improving the quality of medical care and directive management by the multidisciplinary health team. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La pandemia por COVID-19 puso a prueba la prestación de servicios de los sistemas de salud en México, por lo que estos enfrentaron el reto de responder a la necesidad de las personas afectadas al otorgar servicios oportunos, eficientes, eficaces y seguros. El Instituto Mexicano del Seguro Social (IMSS) atendió el mayor número de personas afectadas: al cierre de septiembre del 2022, se registraron 3,335,552 pacientes atendidos, quienes representaron 47% del total (7,089,209) de casos confirmados desde el inicio de la pandemia en 2020. De los casos notificados por el IMSS, 295,065 (8.8%) requirieron hospitalización. Mediante un atento seguimiento de la evolución de la evidencia científica (que permitió identificar y adoptar las mejores prácticas de atención médica y gestión directiva para fortalecer los procesos sustantivos en la atención hospitalaria, aun sin un tratamiento eficaz), se integró un método de evaluación, supervisión y asesoría, con enfoque integral (que involucró los tres niveles de atención médica) y analítico (componentes de estructura, proceso, resultado y gestión directiva). Los objetivos de la atención y las líneas de acción se describieron en una guía técnica que estableció las políticas de atención médica al COVID-19. Asimismo, fue instrumentado con una cédula de evaluación estandarizada, un tablero de control de resultados y una herramienta de estratificación del riesgo. Con ello se mejoró la calidad de atención por medio de la participación del personal directivo y de equipos multidisciplinarios de salud, los cuales permitieron la toma de decisiones clínicas y gerenciales. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:The COVID-19 pandemic established a new challenge for health services in Mexico, which is why these services faced the challenge of responding to the affected people, by providing them services with opportunity, efficiency, effectiveness and safety. The Instituto Mexicano del Seguro Social (IMSS, Mexican Institute for Social Security) gave medical attention to the larger number of affected people: towards the end of September, 2022, 3,335,552 patients were registered, who represented 47% of the total (7,089,209) of confirmed COVID-19 cases since the beginning of the pandemic in 2020. Of all the cases treated, 295,065 (8.8%) required hospitalization. In addition of new scientific evidence and the implementation of best practices in medical care and directive management (with the general objective of improvement of the processes in hospital attention, even without an effective treatment at the time), we presented an evaluation, supervision method with a comprehensive (involving the three levels of health services) and analytic (structure, process, result and directive management components) approach. The achievement of specific goals and lines of action was established in a technical guideline with health policies for the COVID-19 medical care. These guidelines were instrumented with a standardized evaluation tool, a result dashboard and a risk assessment calculator, improving the quality of medical care and directive management by the multidisciplinary health team. [ABSTRACT FROM AUTHOR]
ISSN:04435117