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Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers

Author

Listed:
  • Juan Coss-Mandiola

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago 8320096, Chile)

  • Jairo Vanegas-López

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago 8320096, Chile)

  • Alejandra Rojas

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago 8320096, Chile)

  • Pablo Dubó

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Maggie Campillay-Campillay

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Raúl Carrasco

    (Facultad de Ingeniería y Negocios, Universidad de Las Américas, Santiago 3981000, Chile)

Abstract

This study aimed to investigate the perception of the health teams belonging to the Family Healthcare Centers (CESFAMs) that are accredited, regarding the process of implementation and the achievement of accreditation. A qualitative approach was applied, with contributions from grounded theory, through the technique of individual in-depth interviews and focus groups. The interviews were carried out in nine accredited CESFAMs. For the presentation, organization and analysis of the data, Atlas.ti V9 software was used. From the results, derived from the open phase of the analysis, obtained from the opinions of the participants, a total of 26 categories emerged relating to the facilitating and hindering factors of the process. From the axial phase, it was possible to establish central categories that were related to quality management policies, the structure of Primary Health Care (PHC), participation and co-construction, and leadership and change management. In conclusion, the discourse of the teams reveals the need to have necessary conditions for the accreditation process, which are mainly related to training, characteristics of the types of leadership and teamwork in harmony with the process. Finally, the study reveals a gap in the community participation in this process, which suggests continuing this line of research.

Suggested Citation

  • Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Pablo Dubó & Maggie Campillay-Campillay & Raúl Carrasco, 2023. "Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2477-:d:1051719
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    References listed on IDEAS

    as
    1. Ximena Alvial & Alejandra Rojas & Raúl Carrasco & Claudia Durán & Christian Fernández-Campusano, 2021. "Overuse of Health Care in the Emergency Services in Chile," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    2. Greenfield, David & Lawrence, S.A. & Kellner, A & Townsend, K. & Wilkinson, A., 2019. "Health service accreditation stimulating change in clinical care and human resource management processes: A study of 311 Australian hospitals," Health Policy, Elsevier, vol. 123(7), pages 661-665.
    3. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco & Pablo Dubo & Maggie Campillay-Campillay, 2022. "Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile," IJERPH, MDPI, vol. 19(15), pages 1-13, July.
    4. Hugo O. Garcés & Claudia Durán & Eduardo Espinosa & Alejandro Jerez & Fredi Palominos & Marcela Hinojosa & Raúl Carrasco, 2022. "Monitoring of Thermal Comfort and Air Quality for Sustainable Energy Management inside Hospitals Based on Online Analytical Processing and the Internet of Things," IJERPH, MDPI, vol. 19(19), pages 1-23, September.
    5. Maggie Campillay-Campillay & Ana Calle-Carrasco & Pablo Dubo & Jorge Moraga-Rodríguez & Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco, 2022. "Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
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