[Results of certification audit in Mexican hospitals, a review from 2009 to 2012].

Abstract:

OBJECTIVE:To analyze the participation of Mexican hospitals in the certification process (equivalent to accreditation in other countries). MATERIAL AND METHODS:Crosssectional study that analyzes results of 136 establishments audited between 2009 and 2012. Standards with an excellent rating (9.0-10.0), approving (6-8.9) and non-approving (0-5.9) were identified. With a multinomial model, the probability of obtaining non-approving, approving and excellent qualification was calculated. RESULTS:The general average score was 7.72, higher in ambulatory surgery centers (9.10), than in general hospitals (7.30) and specialty hospitals (7.99). All public establishments obtained an approval score. Hospitals audited in 2011 had a higher risk of obtaining an approval (RRR= 4.6, p<0.05) and excellent (RRR= 6.6, p<0.05) rating. CONCLUSIONS:The scope of the certification process in Mexico has been limited, with greater participation of the private sector. The evaluation certificate applied in 2011 favored the achievement of approval and excellence results. We recommend homologating the entire process with that of the Joint Commission International JCI. OBJETIVO:Analizar la participación de hospitales mexicano en el proceso de certificación (equivalente a la acreditación en otros países). MATERIAL Y MÉTODOS:Estudio transversal, analiza resultados de 136 establecimientos auditados entre 2009 y 2012. Se identificaron estándares con calificación excelente (9.0-10.0), aprobatoria (6-8.9) y no aprobatoria (0-5.9). Con un modelo logístico multinomial se calculó la probabilidad de obtener calificación no aprobatoria, aprobatoria y excelente. RESULTADOS:La calificación promedio general fue 7.72, más alta en hospitales de cirugía ambulatoria (9.10), que en hospitales generales (7.30) y de especialidad (7.99). Todos los establecimientos públicos obtuvieron calificación aprobatoria. Los hospitales auditados en 2011 tuvieron mayor riesgo de obtener calificación aprobatoria (RRR= 4.6, p<0.05) y excelente (RRR= 6.6, p<0.05). CONCLUSIONES:El alcance del proceso de certificación en México ha sido limitado, con mayor participación del sector privado. La cé- dula de evaluación aplicada en 2011 favoreció la obtención de resultados aprobatorios y de excelencia. Se recomienda homologar el proceso en su totalidad con el empleado por la Joint Commission International (JCI).

journal_name

Salud Publica Mex

journal_title

Salud publica de Mexico

authors

Galván-García ÁF,Vértiz-Ramírez JJ,Sauceda-Valenzuela AL,Poblano-Verástegui O,Ruelas-Barajas E,Sánchez-Domínguez MS

doi

10.21149/8421

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

202-211

issue

2

eissn

0036-3634

issn

1606-7916

journal_volume

60

pub_type

杂志文章,多中心研究
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  • [Needs in coverage and care for lung cancer in Mexico].

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