Gestión de la calidad en la atención sanitaria: una revisión de los modelos y estrategias actuales.

Abstract

Introduction:Health management has taken on enormous relevance in recent decades, the focus of current medicine seeks to achieve quality and continuous improvement, as well as minim ize avoidable errors that compromise the health of users, which is why different quality models have been implemented, this includes patient safety and satisfaction. Objective:to carry out a bibliographic review on the quality management models applied in hospitals and health centers, and how they contribute to improving the patient experience and operational efficiency. Materials and methods:scientific databases PubMed, Scielo were used. Medline, Scopus with terms "MESH" and Boolean "YES", "AND", "NOT" selecting articles published within the last 5 years, systematic reviews, systematic reviews, previous bibliographic reviews were included, theses and academic works were discarded taking 26 articles as reference Results:six international models were found: "ISO 9001 that prioritizes the management of processes, the EFQM model based on organizational excellence, Donabedian with a clinical approach, TQM, Six Sigma and Lean Healthcare that seek operational efficiency and two national: MAIS and MAIS-FCI designed under the Ecuadorian intercultural context. Conclusion:Each model, if properly implemented, achieves quality of care. In the Ecuadorian context, the currently valid MAIS-FCI requires a greater investment in public spending to achieve its quality objectives. This model can be combined with other models to optimize resources, eliminate errors, and provide humane care.