Evaluación de desempeño de estudiantes de salud, usando el modelo de calidad de cuidado percibido por la comunidad

Abstract

A methodology for evaluation of health student's achievement, taking as an indicator the user's satisfaction, was designed and proved. Fifty medicine student's (50%) and 94 families from two region of Cali, Colombia participated. According to family's opinion, the quality of care given by the students is related with type of services provided, knowledge about the situation, communication and information given to the users and leadership to improve the service. The methodology used covered interviews, focus group discussions, meetings with key informants, and the application of a structured questionnaire. Statistic such as Kuder Richardson and Kappa Statistic were used to analyzed the inter rater validity and the internal consistency of the questionnaire. It was found that there are two logical in the evaluation of the quality; one from the suppliers, which emphasis is in the action done according to clinical protocols; and the users, that makes emphasis in the relations between suppliers - and users. The academic programs are based mainly on the first one. The results of this study demonstrate that the proposed assessment activity will allow the educational and health services institutions to have relevant and dynamic information as feedback for planning and adjustment their programs. At the same time, it will allow the community to participate in an effective way in aspects related to their health. It was concluded that the permanent participation of the community in the evaluation of the students it is a key aspect to adjust the educational programs to the needs and expectations of the society. © 1999 Corporación Editora Médica del Valle.