Optimizar y fortalecer la calidad de atención en el área de emergencia del Centro de Salud Jambihuasi, Orellana-Loreto-Salud en usuarios que acuden a el área de emergencia

Abstract

INTRODUCTION: Emergency care is a critical component of the health system, especially in rural areas such as Loreto, Orellana. The Jambihuasi Health Centre provides care to a vulnerable population with multiple geographical and cultural barriers. The quality of service in its emergency area has been subject to recent interventions, without a comprehensive evaluation of their impact. OBJECTIVE: To optimise the quality of care in the emergency area of the Jambihuasi Health Centre through the application of technical standards, strengthening of protocols and efficient, accessible and culturally relevant care strategies aimed at meeting the needs of the user population. METHODOLOGY: Descriptive, cross-sectional study, with a mixed approach, carried out between January and April 2025. A total of 120 users and 25 health workers were evaluated. Surveys, checklists, time-to-care analysis and semi-structured interviews were applied. RESULTS: The longest delays were identified in medical care (18 min) and registration (12 min). Following an educational intervention, staff competencies increased by up to 65%. Compliance with protocols improved by 35-40%. User satisfaction was high in treatment (80%) and communication (75%), although gaps persisted in speed (62%). Digitisation was well accepted by 70% of users. CONCLUSION: The study showed significant improvements in quality of care following a comprehensive intervention. Ongoing training, standardisation of processes and a culturally relevant approach are key strategies for strengthening health services in rural Amazonian contexts. KEYWORDS: Emergency care, quality of health care, rural health services, in-service training, patient satisfaction.