Segunda fase: comparativo de factores que interfieren en la transformación cultural del proceso de acreditación en la ESE de primer nivel Centro de Salud Camilo Rueda de la Provincia Guanentina y la ESE de primer nivel Hospital Local de Piedecuesta del Área Metropolitana en el Departamento de Santander

Abstract

Problem An important aspect for all IPS is to be able to guide its entire team of collaborators in providing health services with superior quality standards, strengthening a culture of continuous institutional improvement. The objective was to carry out a comparative study of factors that interfere in the cultural transformation of the accreditation process in the first level ESE Camilo Rueda Health Center of the Guanentina province and the first level ESE Local Hospital of Piedecuesta Santander. Method: Case study study, a mixed data collection was used, 10 process leaders, the results were that there is no solid support by the inspection and surveillance entity, there is no continuity of personnel, and there are resources limited funds for the provision of biomedical technology and infrastructure improvements. Discussion Initiating an accreditation process in a health institution and not having the technological component means that the execution of the activities is not carried out as planned and that there is no monitoring of them, generating significant delays for strengthening of the culture of continuous improvement; It should be noted that the financial factor is essential for the acquisition and remodeling of infrastructure in foreign institutions, a situation that exposes many Santander institutions with their poor management and budget approval for the achievement of the purposes required by the single system of accreditation.