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"resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">A partir de la definición de los conceptos de calidad y de salud pública, y de la consideración de las organizaciones de salud pública como organizaciones de servicios, se plantea la conveniencia de poder llegar a establecer un modelo de referencia de calidad en salud pública basado en criterios objetivos, indicadores y estándares. Se revisan los 2 principales modelos de gestión de la calidad en el terreno de las organizaciones de servicios, ISO 9001-2000 y EFQM, y se contrastan sus ventajas y desventajas en lo referente a su aplicación en los servicios de salud pública. A partir de la definición del Institute of Medicine de las funciones en salud pública, seguimos los planteamientos del estudio Delphi de la OMS y del modelo APEX PH (Assesstment Protocol fo Excellence in Public Health). Se describe y propone el Proyecto Nacional de Medición de Estándares y Desempeño de la Salud Pública (NPHPSP) planteado por los Centers for Disease Control como modelo de referencia para la gestión y la mejora de la calidad en las organizaciones de salud pública. Por último, se concluye que la aprobación de la Ley de Cohesión y Calidad del Sistema Nacional de Salud, con el planteamiento de las 8 principales prestaciones en salud que debe prestar el Sistema Nacional de Salud, permitiría una adaptación a nuestro contexto del modelo NPHSPS como herramienta de gestión de la calidad de los servicios de salud pública españoles.</p>"
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"resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Based on the concepts of quality and public health and of public health organizations as service organizations, the advisability of establishing a reference model for quality in public health, incorporating objective criteria, indicators and standards, is discussed.</p><p class="elsevierStyleSimplePara elsevierViewall">The 2 main models of quality management in the field of service organizations, ISO 9001-2000 and EFQM, are reviewed and their advantages and disadvantages with respect to their application in public health services are contrasted.</p><p class="elsevierStyleSimplePara elsevierViewall">Based on the Institute of Medicine's definition of the functions of public health, we followed the approach of the Delphi study of the World Health Organization and the Assessment Protocol for Excellence in Public Health (APEX PH) model. The NPHPSP of the Centers for Disease Control is described in detail. We propose the use of this model as the reference model for quality management and improvement in public health organizations.</p><p class="elsevierStyleSimplePara elsevierViewall">Finally, we conclude that the approval of the Law of Cohesion and Quality of the National Health System by the Spanish parliament, which lays out the eight main health services that the National Health System should provide, would allow the NPHSPS to be adapted to our environment as a tool for quality management of Spanish public health services.</p>"
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"referenciaCompleta" => "Centre Català de la Qualitat. ISO 9001:2000. Guia de la Qualitat. Barcelona: CIDEM; 2001."
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"titulo" => "Directrices para el sector público: salud"
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0 => "L. Rychetnik"
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"tituloSerie" => "J Epidemiol Community Health"
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"etal" => false
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1 => "B. Fortuny"
2 => "X. Tort-Martorell"
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