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Las TIC en la evaluación de la calidad de la atención médica.

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Title: Las TIC en la evaluación de la calidad de la atención médica.
Alternate Title: ICT in the evaluation of the quality of medical care.
Authors: González-Rodríguez, Salvador1, Rivas-Ruiz, Rodolfo2 rodolfo.rivasr@imss.gob.mx, Josephine Espinosa-Raffu, Carmen1, Alejandra Montano-López, Mónica3, Robles-Rodríguez, Alfredo4, Rivera-Téllez, Armando5, Pelayo, Rosana4, Bonifaz, Laura C.6, Guadalupe Obrador-Garrido Cuesta, Luisa Alejandra7
Source: Revista Medica del IMSS. mar/abr2025, Vol. 63 Issue 2, p1-9. 9p.
Subjects: STATISTICAL significance, INFORMATION & communication technologies, MEDICAL quality control, OPERATING rooms, COST control
Abstract (English): Background: The Virtual Verification Application (VVA) was developed as an information and communication technology with the potential to support the formative aspect of evaluation, reduce costs, improve productivity and provide results and feedback immediately. Objective: To determine the performance of the VVA in an experimental and controlled environment in the evaluation of processes and medical programs. Materials and methods: A process study was conducted comparing the VVA in four controlled clinical environments: Outpatient Consultation, Emergency, Operating Room, and Hospitalization, within the Simulation Center, modifying the conditions of each scenario. Additionally, the results of virtual (VV) and in-person (IP) evaluations conducted by both experts and novices in each environment and scenario were compared. The Bland-Altman method was used, and median differences were evaluated. The costs of both evaluations were also compared. Results: No statistically significant differences were found between scenarios (p = 0.795) or by experience (p = 0.819). In the Outpatient Consultation scenario, the difference was 0.58% (95% CI: -2.45, 1.29%); in Emergency, -0.9% (95% CI: -2.84, 1.04%); in the Operating Room, 0.19% (95% CI: -1.98, 2.36%); and in Hospitalization, there was no difference (0%, 95% CI: -7.37, 7.37%). The cost of the IP was 9.3 times higher than that of the VV. Conclusions: The VVA and the IP evaluations have similar performance, with a significant reduction in costs. Therefore, it is a useful tool for evaluation and for improving the quality of medical care. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: se desarrolló el Aplicativo de Verificación Virtual (AVV) como una tecnología de la información y comunicación con el potencial de apoyar el aspecto formativo de la evaluación, reducir costos, mejorar la productividad y proporcionar resultados y retroalimentación de manera inmediata. Objetivo: determinar el desempeño del AVV en un ambiente experimental y controlado en la evaluación de procesos y programas médicos. Material y métodos: se realizó un estudio de proceso comparando el AVV en cuatro ambientes clínicos controlados: Consulta Externa, Urgencias, Quirófano y Hospitalización, dentro del Centro de Simulación, modificando las condiciones de cada escenario. Asimismo, se compararon los resultados de las valoraciones virtuales (VV) y presenciales (VP) aplicadas por expertos e inexpertos en cada ambiente y escenario. Se utilizó el método de Bland-Altman y se evaluaron las diferencias de medianas. También se compararon los costos de ambas evaluaciones. Resultados: no hubo diferencias estadísticamente significativas entre escenarios (p = 0.795) ni por experiencia (p = 0.819). En el escenario de Consulta Externa, la diferencia fue de 0.58% (IC95%: -2.45, 1.29%); en Urgencias, -0.9% (IC95%: -2.84, 1.04%); en Quirófano, 0.19% (IC95%: -1.98, 2.36%); en Hospitalización, no hubo diferencia alguna (0%, IC95%: -7.37, 7.37%). El costo de la VP fue 9.3 veces mayor que el de la VV. Conclusiones: el AVV y la VP tienen un desempeño similar, con una reducción significativa de costos. Por lo tanto, es una herramienta útil para la evaluación y para mejorar la calidad de la atención médica. [ABSTRACT FROM AUTHOR]
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Background: The Virtual Verification Application (VVA) was developed as an information and communication technology with the potential to support the formative aspect of evaluation, reduce costs, improve productivity and provide results and feedback immediately. Objective: To determine the performance of the VVA in an experimental and controlled environment in the evaluation of processes and medical programs. Materials and methods: A process study was conducted comparing the VVA in four controlled clinical environments: Outpatient Consultation, Emergency, Operating Room, and Hospitalization, within the Simulation Center, modifying the conditions of each scenario. Additionally, the results of virtual (VV) and in-person (IP) evaluations conducted by both experts and novices in each environment and scenario were compared. The Bland-Altman method was used, and median differences were evaluated. The costs of both evaluations were also compared. Results: No statistically significant differences were found between scenarios (p = 0.795) or by experience (p = 0.819). In the Outpatient Consultation scenario, the difference was 0.58% (95% CI: -2.45, 1.29%); in Emergency, -0.9% (95% CI: -2.84, 1.04%); in the Operating Room, 0.19% (95% CI: -1.98, 2.36%); and in Hospitalization, there was no difference (0%, 95% CI: -7.37, 7.37%). The cost of the IP was 9.3 times higher than that of the VV. Conclusions: The VVA and the IP evaluations have similar performance, with a significant reduction in costs. Therefore, it is a useful tool for evaluation and for improving the quality of medical care. [ABSTRACT FROM AUTHOR]
ISSN:04435117
DOI:10.5281/zenodo.14901762