Evaluación por competencias y su relación con la calidad de atención en el primer nivel del sistema de Salud Pública. Distrito 18D01.

Abstract

The present investigation is carried out in the health units of the first level of the establishments belonging to the district 18D01, considering that there is a dissatisfaction of the patient with respect to the quality of medical attention provided. The general objective of this study is to evaluate the level of performance by competence of medical personnel, which may be related to the quality perceived by users. The research started with a non-experimental design, being transversal, analytical and metacentric with the intervention of 12 health facilities. The results obtained indicated that the level of performance by competences of the medical personnel of the first level of care is 60.5% of the goal assigned by the MSP. The variation of the components of the quality of attention is explained by the variation of the performance by competences, which implies to indicate that the performance by competences is related to the quality of attention that complies with 70.4% .The medical staff is focused on providing a service through their technical skills neglecting components such as empathy to the user, reliability towards the professional, and treatment. On the other hand, technical competencies as a whole overshadow universal competences in the sense of achieving an acceptable quality of care for the public health system, which operates under production standards.