Tendencia en la satisfacción del paciente con la ruta integrada de revascularización miocárdica
dc.contributor.advisor | Rodríguez Melo, Carlos Iván | spa |
dc.contributor.author | Arciniegas Torrado, Luis Alberto | spa |
dc.contributor.corporatename | Universidad Santo Tomás | |
dc.coverage.campus | CRAI-USTA Bogotá | spa |
dc.date.accessioned | 2017-06-29T15:27:31Z | spa |
dc.date.available | 2017-06-29T15:27:31Z | spa |
dc.date.issued | 2016 | spa |
dc.description | Introducción: La atención de un paciente es un proceso transversal a las instituciones, lo que implica que múltiples actores, sitios, y elementos de la institución entrarán en contacto con el paciente, generado una experiencia que se traduce en la calificación de satisfacción. El objetivo fue determinar la tendencia anual y agregada en la evaluación de satisfacción del paciente que fue tratado bajo el modelo de Ruta de Integrada de Manejo para Revascularización miocárdica quirúrgica en la Fundación Cardioinfantil – IC entre enero de 2012 y diciembre de 2015. Métodos: Estudio observacional analítico de cohorte, de fuente de datos secundarios. El análisis de tendencias se realizó mediante la prueba de Mann-Kendall y una extensión de la prueba de Wilcoxon rank-sum. Para comparar los resultados del año 2015 con el agregado de los años 2012 – 2014 se realizó una comparación de medianas anuales con la prueba de Mann Whitney. Resultados: 859 pacientes analizados durante el periodo de estudio. No hubo diferencias en las características operatorias de los pacientes excepto por una reducción de 1 día en la estancia en la unidad de cuidado intensivo (p=0,0001). El promedio de satisfacción para el periodo de estudio fue de 4,9 con un análisis de tendencia que mostró homogeneidad (p=0,48). Conclusiones: La medición de la satisfacción del paciente debe realizarse mediante un proceso riguroso, que incluya todas las dimensiones que permitan la comprensión de la experiencia del paciente en el ciclo de atención. | spa |
dc.description.abstract | Introduction: The care of a patient is a cross to the institution´s process, which involves multiple actors, sites, and elements of the institution will contact the patient, generated an experience that results in satisfaction rating. The objective was to determine the annual trend and aggregated in assessing patient satisfaction was treated under the model of clinical pathway for surgical myocardial revascularization in the Fundación Cardioinfantil - IC between January 2012 and December 2015. Methods: Analytical observational cohort study, secondary data source. Trend analysis was performed using the Mann-Kendall and an extension of the Wilcoxon rank-sum. To compare the results of 2015 with the aggregated of the years 2012 to 2014 was made a comparison of annual medians with Mann Whitney test. Results: 859 patients analyzed during the study period. There were no differences in the operating characteristics of the patients except for a reduction of 1 day stay in the intensive care unit (p = 0.0001). The average satisfaction for the study period was 4.9 with a trend analysis showed homogeneity (p = 0.48). Conclusions: The measurement of patient satisfaction should be done through a rigorous process that includes all dimensions that allow the understanding of the patient experience in the care cycle. | spa |
dc.description.degreelevel | Especialización | spa |
dc.description.degreename | Especialista en Gerencia de Instituciones de Seguridad Social en Salud | spa |
dc.format.mimetype | application/pdf | spa |
dc.identifier.citation | Arciniegas Torrado, L. A. (2016). Tendencia en la satisfacción del paciente con la ruta integrada de revascularización miocárdica. [Trabajo de Especialización, Universidad Santo Tomás. Repositorio Institucional] | |
dc.identifier.instname | instname:Universidad Santo Tomás | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad Santo Tomás | spa |
dc.identifier.repourl | repourl:https://repository.usta.edu.co | spa |
dc.identifier.uri | http://hdl.handle.net/11634/3855 | |
dc.language.iso | spa | spa |
dc.publisher | Universidad Santo Tomás | spa |
dc.publisher.faculty | Facultad de Economía | spa |
dc.publisher.program | Especialización Gerencia de Instituciones de Seguridad Social en Salud | spa |
dc.relation.references | Kinsman L, Rotter T, James E, Snow P, Willis J. What is a clinical pathway? Development of a definition to inform the debate. BMC Med. 2010 May 27;8:31 | |
dc.relation.references | Mamudu HM, Paul TK, Wang L, Veeranki SP, Panchal HB, Alamian A, et al. The effects of multiple coronary artery disease risk factors on subclinical atherosclerosis in a rural population in the United States. Prev Med. 2016 Jul;88:140-6. | |
dc.relation.references | Saint S, Hofer TP, Rose J, Kaufman S, McMahon LJ. Use of critical pathways to improve efficiency: a cautionary tale. Am J Manag Care. 2003 Nov;9(11):758-65 | |
dc.relation.references | Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics— 2015 update: a report from the American Heart Association [published online ahead of print December 17, 2014]. Circulation. doi: 10.1161/CIR.0000000000000152 | |
dc.relation.references | World Health Organization. Global atlas on cardiovascular disease, Global burden of coronary heart disease. World Health Organization. 2011. [citado 2016 Junio 26] Disponible en: http://www.who.int/cardiovascular_diseases/en/cvd_atlas_13_coronaryHD.pdf?ua=1 | |
dc.relation.references | Instituto Nacional de Salud, Observatorio Nacional de Salud, Quinto Informe ONS: carga de enfermedad por enfermedades crónicas no transmisibles y discapacidad en Colombia. (Pag 34 - 58) Imprenta Nacional de Colombia, Bogotá, D.C., 2015. citado 2016 Junio 26] Disponible en: http://www.ins.gov.co/lineas-de-accion/ons/SiteAssets/Paginas/publicaciones/5to%20Informe%20ONS%20v-f1.pdf | |
dc.relation.references | Cantú-Brito C, Chiquete E, Ruiz-Sandoval JL, Gaxiola E, Albuquerque DC, Corbalán R, et al. Atherothrombotic disease, traditional risk factors, and 4-year mortality in a Latin American population: the REACH Registry.Clin Cardiol. 2012 Aug;35(8):451-7 | |
dc.relation.references | Matsuzawa Y, Lerman A. Endothelial dysfunction and coronary artery disease: assessment, prognosis, and treatment. Coron Artery Dis. 2014 Dec;25(8):713-24 | |
dc.relation.references | Chung SC, Sundström J, Gale CP, James S, Deanfield J, Wallentin L, et al. Comparison of hospital variation in acute myocardial infarction care and outcome between Sweden and United Kingdom: population based cohort study using nationwide clinical registries. BMJ. 2015 Aug 7;351:h3913 | |
dc.relation.references | Levine GN, Bates ER, Bittl JA, Brindis RG, Fihn SD, Fleisher LA, et al. 2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction, 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes, and 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. Circulation. 2016 Mar 29. pii: CIR.0000000000000404. [Epub ahead of print] | |
dc.relation.references | Costa F, Ariotti S, Valgimigli M, Kolh P, Windecker S; Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS).Perspectives on the 2014 ESC/EACTS Guidelines on Myocardial Revascularization : Fifty Years of Revascularization: Where Are We and Where Are We Heading? J Cardiovasc Transl Res. 2015 Jun;8(4):211-20 | |
dc.relation.references | ElBardissi AW, Aranki SF, Sheng S, O'Brien SM, Greenberg CC, Gammie JS, et al. Trends in isolated coronary artery bypass grafting: an analysis of the Society of Thoracic Surgeons adult cardiac surgery database. J Thorac Cardiovasc Surg. 2012 Feb;143(2):273-81 | |
dc.relation.references | Jacobs JP, Shahian DM, Prager RL, Edwards FH, McDonald D, Han JM, et al. Introduction to the STS National Database Series: Outcomes Analysis, Quality Improvement, and Patient Safety. Ann Thorac Surg. 2015 Dec;100(6):1992-2000 | |
dc.relation.references | Saxena A, Newcomb AE, Dhurandhar V, Bannon PG. Application of Clinical Databases to Contemporary Cardiac Surgery Practice: Where are We now?. Heart Lung Circ. 2016 Mar;25(3):237-42. | |
dc.relation.references | Vanhaecht K, Massimiliano P, van Zelm R, Sermeus W. An overview on the history and concept of care pathways as complex interventions International Journal of Care Pathways September 2010 14: 117-123 | |
dc.relation.references | Vanhaecht K, Bolmann M, Bower K, GAllagher C, Gardini A, Guezo J, et al. Prevalence and use of clinical pathways in 23 countries – an international survey by the European Pathway Association. Journal of Integrated Pathways April 2006 10: 28-34 | |
dc.relation.references | Rotter T, Kinsman L, James E, Machotta A, Willis J, Snow P, et al. The effects of clinical pathways on professional practice, patient outcomes, length of stay, and hospital costs: Cochrane systematic review and meta-analysis. Eval Health Prof. 2012 Mar;35(1):3-27 | |
dc.relation.references | Berry SA, Doll MC, McKinley KE, Casale AS, Bothe A Jr. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009 Oct;18(5):360-8 | |
dc.relation.references | Donabedian A. The Lichfield Lecture. Quality assurance in health care: consumers' role. Qual Health Care. 1992 Dec;1(4):247-51 | |
dc.relation.references | Gill L, White L. A critical review of patient satisfaction. Leadership in Health Services Vol. 22 No. 1, 2009 pp. 8-19 | |
dc.relation.references | Sacks GD, Lawson EH, Dawes AJ, Russell MM, Maggard-Gibbons M, Zingmond DS, et al. Relationship Between Hospital Performance on a Patient Satisfaction Survey and Surgical Quality. JAMA Surg. 2015 Sep;150(9):858-64 | |
dc.relation.references | Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health. 2016 Mar 22 | |
dc.relation.references | Blank AE, Horowitz S, Matza D. Quality with a human face? The Samuels Planetree model hospital unit. Jt Comm J Qual Improv. 1995 Jun;21(6):289-99 | |
dc.relation.references | Fundación Cardioinfantil - Instituto de Cardiologia [Internet]. Bogota: Fundación Cardioinfantil - Instituto de Cardiologia [citado 2016 junio 26] Disponible en: http://www.cardioinfantil.org/. | |
dc.relation.references | Ministerio de Salud. Resolución 13437 de 1991 por la cual se constituyen los comités de Ética Hospitalaria y se adoptan el Decálogo de los Derechos de los Pacientes. Bogotá: El Ministerio;1991. [citado 2016 junio 26] Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/RESOLUCI%C3%93N%2013437%20DE%201991.pdf. | |
dc.relation.references | Chalmers J, Pullan M, Fabri B, McShane J, Shaw M, Mediratta N, et al. Validation of EuroSCORE II in a modern cohort of patients undergoing cardiac surgery. Eur J Cardiothorac Surg. 2013 Apr;43(4):688-94 | |
dc.relation.references | Ministerio de Salud. Resolución 8430 de 1993. Normas científicas, técnicas y administrativas para la investigación en salud,República de Colombia.Ministerio de Salud(1993). [citado 2016 junio 26] Disponible en: https://www.invima.gov.co/resoluciones-medicamentos/2977-resolucion-no-8430-del-4-de-octubre-de-1993.html | |
dc.relation.references | Umana JP, Carreno M, Camacho J, Sandoval N. In hospital outcomes after implementation of a clinical pathway for coronary artery bypass graft. Rev Col Car. Próximo 2017 | |
dc.relation.references | Fakhr-Movahedi A, Soleimani M, Ghazvininejad R, Maher MK, Ghorbani R. Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study. Iran Red Crescent Med J. 2015 Sep 1;17(9):e29933. | |
dc.relation.references | Jorge-Cerrudo J, Ramón JM, Goday A, González S, Sánchez P, Benaiges D, et al. [Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery]. Rev Calid Asist. 2012 Jul-Aug;27(4):226-32 | |
dc.relation.references | Sayah A, Lai-Becker M, Kingsley-Rocker L, Scott-Long T, O'Connor K, Lobon LF. Emergency Department Expansion Versus Patient Flow Improvement: Impact on Patient Experience of Care. J Emerg Med. 2016 Feb;50(2):339-48 | |
dc.relation.references | Stokes J, Kristensen SR, Checkland K, Bower P. Effectiveness of multidisciplinary team case management: difference-in-differences analysis. BMJ Open. 2016 Apr 15;6(4):e010468 | |
dc.relation.references | Findik UY1, Unsar S, Sut N. Patient satisfaction with nursing care and its relationship with patient characteristics. Nurs Health Sci. 2010 Jun;12(2):162-9 | |
dc.relation.references | Bettoni E, Ferriero G, Bakhsh H, Bravini E, Massazza G, Franchignoni F. A systematic review of questionnaires to assess patient satisfaction with limb orthoses. Prosthet Orthot Int. 2016 Apr;40(2):158-69 | |
dc.relation.references | Moret L, Nguyen JM, Pillet N, Falissard B, Lombrail P, Gasquet I. Improvement of psychometric properties of a scale measuring inpatient satisfaction with care: a better response rate and a reduction of the ceiling effect. BMC Health Serv Res. 2007 Dec 3;7:197 | |
dc.relation.references | Taherzadeh G1, Filippo DE, Kelly S, van Engen-Verheul M, Peek N, Oh P, Grace SL. Patient-Reported Outcomes in Cardiac Rehabilitation: WHAT DO WE KNOW ABOUT PROGRAM SATISFACTION? A REVIEW. J Cardiopulm Rehabil Prev. 2016 Jul-Aug;36(4):230-9 | |
dc.relation.references | Kvist T, Voutilainen A, Mäntynen R, Vehviläinen-Julkunen K. The relationship between patients' perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Serv Res. 2014 Oct 18;14:466 | |
dc.relation.references | Wigfall LT, Tanner AH. Health Literacy and Health-Care Engagement as Predictors of Shared Decision-Making Among Adult Information Seekers in the USA: a Secondary Data Analysis of the Health Information National Trends Survey. J Cancer Educ. 2016 Jun 2. [Epub ahead of print] | |
dc.relation.references | Pitt HA, Tsypenyuk E, Freeman SL, Carson SR, Shinefeld JA, Hinkle SM, et al. Transforming Patient Value: Comparison of Hospital, Surgical, and General Surgery Patients. J Am Coll Surg. 2016 Apr;222(4):568-75. | |
dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.rights.coar | http://purl.org/coar/access_right/c_abf2 | |
dc.rights.local | Abierto (Texto Completo) | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
dc.subject.keyword | Myocardial Revascularization | spa |
dc.subject.keyword | Patient Satisfaction | spa |
dc.subject.keyword | Quality | spa |
dc.subject.lemb | Calidad de los servicios de salud -- Estudios de caso -- Colombia | |
dc.subject.lemb | Atención al enfermo -- Estudios de caso -- Colombia | |
dc.subject.lemb | Revascularización del miocardio -- Investigaciones -- Colombia | |
dc.subject.proposal | Revascularización Miocárdica | spa |
dc.subject.proposal | satisfacción del paciente | spa |
dc.subject.proposal | Calidad | spa |
dc.title | Tendencia en la satisfacción del paciente con la ruta integrada de revascularización miocárdica | spa |
dc.type | bachelor thesis | |
dc.type.coar | http://purl.org/coar/resource_type/c_7a1f | |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | |
dc.type.drive | info:eu-repo/semantics/bachelorThesis | |
dc.type.local | Tesis de pregrado | spa |
dc.type.version | info:eu-repo/semantics/acceptedVersion |
Archivos
Bloque original
1 - 3 de 3
Cargando...
- Nombre:
- Arciniegasluis2016.pdf
- Tamaño:
- 349.65 KB
- Formato:
- Adobe Portable Document Format
- Descripción:

- Nombre:
- 2016cartadefacultad.pdf
- Tamaño:
- 48.46 KB
- Formato:
- Adobe Portable Document Format
- Descripción:

- Nombre:
- 2016cartadederechosdeautor.pdf
- Tamaño:
- 45.64 KB
- Formato:
- Adobe Portable Document Format
- Descripción:
Bloque de licencias
1 - 1 de 1

- Nombre:
- license.txt
- Tamaño:
- 1.71 KB
- Formato:
- Item-specific license agreed upon to submission
- Descripción: