Integración de los sistemas de gestión y modelos de calidad en el sector salud. Revisión de literatura

Abstract

The different changes in the health sector context lead organizations to implement tools to achieve higher levels of quality and with this, better results in patient care, sustainability, recognition and competitiveness. One tool is the management systems, which are implemented independently and disjointed, causing difficulties, cost overruns and low impact. The integration of management systems appears then as an alternative to overcome barriers, achieve benefits and improve the impact. Therefore, a review of the literature is carried out in order to identify proposals for the implementation of integrated systems in health sector organizations at the local, national and international levels.

It is concluded that there are few studies related to the integration of systems in the sector; in some it is proposed the integration of Quality, Safety and Health in the Work and Environment; in others, systems such as Information Management are added and in others integration with quality models is proposed, such as the Single System of Accreditation in Health at the national or international level, the Unique Enabling System, the European Model of Business Excellence and the Balance Scorecard We identified a greater number of studies where the description of the methodology and benefits or the integration proposal are made, and very few where the implementation is described. The importance of this review lies in the use by Healthcare Provider Institutions with interest in integrating management systems, as well as being the reference framework of the research project.