RESUMO
El sector de la atención en salud está necesitando un cambio fundamental a fin de mejorar significativamente los resultados y limitar al mismo tiempo los costos. La metodología Lean ha demostrado incrementar la calidad, y productividad en el ámbito industrial. Su aplicación en el ámbito de la salud (Lean Healthcare) pueden transformar los sistemas de salud ofreciendo servicios que mejoran de forma continua. Se presenta la experiencia de su aplicación dentro de los Encuentros Médico Quirúrgicos de oftalmología.
The health care sector is in need of fundamental change and a goal to improve outcomes while limiting costs. The Lean methodology has increased quality and productivity in the industrial field. Its application in the field of health (Lean Healthcare) can transform health systems by offering services that improve continuously. The experience of its application within the Surgical Medical Conferences of ophthalmology is presented
Assuntos
Humanos , Qualidade da Assistência à Saúde , Gestão da Qualidade Total , Assistência Centrada no Paciente , Técnicas de Diagnóstico Oftalmológico , OftalmologistasRESUMO
BACKGROUND: There has been interest in the Division of Special Projects in Health to offer the Instituto Mexicano del Seguro Social personnel resources for training and quality thereby respond to potential contingencies. Presented here is their experience in this field. OBJECTIVE: To describe and analyse the productivity in different training programs in emergencies and disasters developed by the Division of Special Projects in Health, Mexican Social Security Institute (IMSS). MATERIAL AND METHODS: Observational study in which different training activities conducted by the Division of Special Projects in Health between 1989 and 2014 are described. Descriptive statistics were used. RESULTS: In these 25 years have trained 20,674 participants; 19.451 IMSS and 1,223 other health institutions. The most productive courses were life support (BLS/ACLS) (47.17%), distance courses "Hospital medical evacuation plans and units" (14.17%), the workshop-run "Evacuation of hospital units with an emphasis on critical areas" (5.93%) and course "Programme Evaluators of Hospital Insurance" (8.43%). CONCLUSIONS: Although the Special Projects Division Health has primarily operational functions, it nevertheless has neglected its responsibility to maintain constantly trained and updated institute staff that every day is in a position to face any type of emergency and disaster. This increases the chance that the answer to any contingency is more organised and of higher quality, always to the benefit of the population.