Análisis comparativo de la variabilidad en la práctica clínica de los hospitales Teófilo Dávila y San Vicente de Paul para la propuesta de un plan de indicadores de gestión.

Abstract

The present study was developed with the objective of carrying out a comparative analysis of the variability in the clinical practice of the Teófilo Dávila and San Vicente de Paul Hospitals to design Management Indicators that allow optimizing the request for complementary studies. The applied methodology was a mixed approach, descriptive scope, non-experimental and cross-sectional design; the survey was subject to a sample of 102 professionals. According to the results obtained, the absence of an adequate physical plant for the delivery of the service stands out (49.09% - 57.45%), lack of technology and appropriate equipment (38.18% - 36.17%), limitations in physical capacity (40% - 53.19%) and deficiencies in the number of care personnel (50.91% - 57.45%). However, the positive points evidenced corresponded to the delivery of excellent care (49.09% - 42.55%), where the staff is in charge of examining the needs of the patients (61.82% - 55.32%), frequently requesting complementary exams that contribute in the delivery of a good diagnosis (61.82% - 57.45%) which are consistent with the clinical picture of the patient. The interviews showed that the improvements must start from the training of personnel and the supply of necessary resources to the institutions for good care. A proposal based on 11 indicators was designed to optimize the request processes for complementary studies and reduce the variability in the medical practice of hospitals.