Competencias profesionales, gestión clínica y grupos relacionados de diagnósticos. El caso de hospitales públicos chilenos

Translated title of the contribution: Professional competences, clinical management and diagnostic related groups in Chilean public hospitals

Katiuska Reynaldos-Grandón, José M. Saiz-Alvarez, Yerko Molina-Muñoz

Research output: Contribution to journalArticle

Abstract

Objective To define a professional skills model for the creation of an information system to support clinical management based on diagnosis related groups (DRG) in Chilean public hospitals. Methods Mixed methodology. Qualitative, descriptive research based on focused interviews, with a theoretical or intentional sample of four leading DRG experts from Chile, with content analysis. Quantitative research using the Delphi method on 18 managers in charge of the implementation of DRG units in Chile, with three rounds. The analysis of quantitative data was carried out by clusters. Results After five iterations, 78 skills were evaluated out of a total of 179 as "high", including knowledge of the team leader, professional training (preferably nurses), 15 attitudes and values, 17 skills and 12 specific skills related to the coding system. Conclusion There is a tendency among professionals to require the maximum skills; a massive behavior was observed, with low discrimination and prioritization. To analyze the causes that make decision-making difficult and to prioritize the required skills is proposed to determine the necessary level for each skill, the gaps between skill offer and demand, and to design a system for evaluating the impact of the model on the development of the skills among the teams.

Translated title of the contributionProfessional competences, clinical management and diagnostic related groups in Chilean public hospitals
Original languageSpanish
Pages (from-to)472-478
Number of pages7
JournalRevista de Salud Publica
Volume20
Issue number4
DOIs
Publication statusPublished - 1 Jul 2018

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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