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Vol. 18. Núm. 3.
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Vol. 18. Núm. 3.
Páginas 225-234 (mayo - junio 2004)
Open Access
La evaluación local de la calidad mediante instrumentos de medida genéricos
Local evaluation of quality using generic measurement tools
Visitas
5860
Vahé A. Kazandjiana,
Autor para correspondencia
vkazandjian@cpsciences.com

Correspondencia: Center for Performance Sciences. 6820 Deerpath Road. Elkridge, Maryland 21075. USA.
, Paula Vallejob
a Center for Performance Sciences. Elkridge. Maryland. Adjunct Professor. Bloomberg School of Public Health. The Johns Hopkins University. Baltimore. Maryland. Estados Unidos
b Tesser-Land. Madrid. España
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Bibliografía
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Resumen

La medición de calidad y la responsabilidad son dos de los conceptos más utilizados en los sistemas sanitarios, aunque los instrumentos para poner en práctica estos conceptos varían. El objetivo de este artículo es analizar las herramientas (p. ej., los indicadores) y las expectativas de los usuarios de estas herramientas (p. ej., la calidad frente al rendimiento) al desempeñar el imperativo de responsabilidad en el sistema sanitario. Concretamente, presentamos la evolución del Sistema Sanitario Español en esta materia para analizar cómo se han ido constituyendo paso a paso los principios del modelo nacional de responsabilidad. Por último, se presenta un sistema internacional, el Maryland Quality Indicator Project®, como marco de referencia para la evaluación del rendimiento.

Palabras clave:
Indicadores
Calidad
Responsabilidad
Sistemas de medición
Abstract

Performance measurement and accountability are the most frequently encountered concepts across healthcare systems, although the tools used to put these concepts into practice vary. The aim of the present article was to discuss the tools (e.g., indicators) and user expectations (e.g., quality versus performance) of these tools in fulfilling healthcare’s accountability mandate. In particular, the developments within the Spanish health system are discussed to illustrate how Spain has addressed, in a stepwise manner, the determinants of a national accountability model. Finally, a multinational project, The Maryland Quality Indicator Project®, is presented as a popular framework for measuring performance.

Key words:
Indicators
Quality
Responsibility
Measurement system
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