Evaluación de los procesos técnicos-administrativos del Dispensario Médico Pucará uno del Seguro Social Campesino recinto Pucará.

Abstract

The objective of this study was to evaluate the technical-administrative processes in the "Pucará uno" Medical Clinic of the Rural Social Security by collecting primary data for the proposal of an action framework for improvements. To do this, a mixed methodology was used, where information was collected from primary sources. Through an interview with the director of the clinic, data was recorded regarding the current state of the administrative technical processes in the following aspects: objectives of the health unit, operation of the health unit, human resources, monitoring and community commitment. Likewise, 100 women who used the dispensary were surveyed to evaluate the results of care such as: immediate attention to health needs, basic services of the unit, trust, dignity, information, access and quality. The findings revealed weak points such as, lack of performance indicators, lack of monitoring mechanism, lack of health personnel 24 hours a day. The users revealed some disagreements regarding the waiting time, lack of guidance from the medical provider to follow the treatment indications and in some cases there was difficult access to the health unit. Based on the results, an action framework is proposed with tasks related to: performance monitoring, patient management, technical quality, human resource management, logistics and supply, management of political-economic shocks, and patient-centered care models.