Gestión de calidad en la atención de pacientes con pie diabético en el Hospital General Machala.

Abstract

Quality Management (QM) is effective across the entire healthcare facility when it is evaluated frequently. In this regard, one approach to assessing QM in healthcare is the use of quality indicators, proposed by the Avedis Donabedian Model (ADM), which are classified into three elements: Structure, Process, and Outcomes. Objective: To evaluate QM in the care processes for patients with Diabetic Foot (DF) at Machala General Hospital. Methodology: This study featured a descriptive, cross-sectional design with a quantitative approach. The population consisted of 120 nursing professionals working at the IESS General Hospital and 60 patients diagnosed with DF. A Google Form was used to survey staff, and the PSQ questionnaire was used for patient surveys. Results: The most widely represented unit was Clinical Hospitalization 1 (24.17%), while the DF area (2.50%) showed a low staffing level. The largest proportion of staff (45.83%) has between 6 and 10 years of experience. Regarding the Structure dimension assessed under the MAD, the most representative category was "Good" (32.50%). Regarding the Process dimension, 66.66% perceived the quality of care as positive (good or excellent). In the Results dimension, 21.67% rated care as fair and 5.83% as poor. Regarding the perception of care and administrative barriers in the management of patients with PD complications, overall satisfaction reported a mean of 7.13 (SD = 0.982). All Spearman correlations (CG, Process, and Results) were statistically significant. Conclusions: The findings demonstrated that, in order to propose strategies aimed at improving care, it is important to focus efforts on the identified areas of opportunity, especially communication and financial aspects