Process quality in the implementation of the program of preconceptional reproductive risk
Keywords:
preconceptional reproductive risk, fertility age, reproductive health, risk factor.Abstract
An investigation in health systems and services was carried out to evaluate the process quality in the implementation of the Preconceptional Risk Program by means of the professional competence of 45 doctors and nurses of "Ramón López Peña" Polyclinic inSantiago de Cuba, from April to November, 2016. An experts committee prestablished evaluation approaches, indicators and standards. There were difficulties in the knowledge about control, emission and failure of the program approaches, in the follow up of couples, as well as in everything concerning the medical records and the consultation with the obstetrician or other specialists related to the risk factor. The quality in the implementation of the program was not the best; the difficulties detected could impact in the negative results of the Maternal and Child Care Program in the health area. It is necessary to evaluate other dimensions of the quality and qualify the professionals in the aspects with difficulties.
Downloads
References
2. Riesgo reproductivo preconcepcional. En: EcuRed. Enciclopedia Colaborativa Cubana. [citado 4 Feb 2017]. Disponible en: https://www.ecured.cu/Riesgo_reproductivo_preconcepcional
3. Cuba. Ministerio de Salud Pública. Manual de Procedimientos para la atención de grupos priorizados (mujer) dirigido a médicos y enfermeros(as) de la familia. La Habana: MINSAP; 2013.
4. Barrasa Villar JI, Enríquez Martín N, Abad Díez JM, Valderrama Rodríguez M, Pérez Pérez A, Revilla López C, et al. La calidad de la Atención Sanitaria. Indicadores de Efectividad Clínica. SECA; 2013 [citado 4 Feb 2017]. Disponible en: http://calidadasistencial.es/wp-seca/wp-content/uploads/2015/02/indicadores_efectividad_clinica2.pdf
5. Net Á, Suñol R. La calidad de la atención. [citado 4 Feb 2017]. Disponible en: http://www.coordinadoraprofunds.org/docs/214/rosa_sunol.pdf
6. Donabedian A. The definition of quality and aproaches to its assessment. En: Explorations in quality assessment and monitoring. Vol I. Health Administration Press. Ann Arbor;1980.
7. Rodríguez Domínguez PL, Hernández Cabrera J, García León LT. Propuesta de acción para reducción de factores maternos en el bajo peso al nacer. Rev Cubana Obstet Ginecol. 2010 [citado 4 Feb 2017]; 36(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2010000400007
8. Del Valle Llagostera JG, Plasencia Asorey C, del Valle García N, Nápoles Vaillant E, Matamoros Sánchez D. Calidad de la atención prenatal en el área de Mella. MEDISAN. 2010 [citado 4 Feb 2017]; 14(5). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192010000500008
9. Chelada C. Calidad de los servicios de salud sexual y reproductiva. Washington: OPS; 2010. p. 1-37.
10. Ministerio de Salud de la Nación. Recomendaciones para la Práctica del Control preconcepcional, prenatal y puerperal. Argentina: Ministerio de Salud, Dirección Nacional de Maternidad e Infancia; 2013 [citado 4 Feb 2017]. Disponible en: http://www.msal.gob.ar/images/stories/bes/graficos/0000000158cnt-g02.control-prenatal.pdf
11. Toledo Fernández AM. Riesgo preconcepcional en los indicadores negativos del programa materno infantil Policlínico Universitario “Antonio Maceo.” Ilustrados [citado 4 Feb 2017]. Disponible en: http://www.ilustrados.com/tema/11494/Riesgo-preconcepcional-indicadores-negativos-programa-materno.html
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
Guidelines for authors
