Evaluación de la Calidad del subsistema de referencia, derivación, contrareferencia, referencia inversa y transferencia del sistema nacional de salud en la atención de los usuarios del centro desalud Guadalupe durante el año 2022

Abstract

Abstract: The general objective of this research was to evaluate the quality of the reference, derivation, counterreference, reverse reference and transfer subsystem the care of users of the Guadalupe health center during the year 2022. A quantitative, descriptive and retrospective study was carried out in a population made up of 224 patients. The medical records and forms 053 were reviewed. in which the quality was evaluated using a previously validated instrument. After analyzing the indicators that govern the operation of the subsystem, we obtained the following results: percentage of references requested 8.1%, percentage of compliance with references 94.6%, percentage of reference fulfilled effectively 100%, percentage of justified references 100%, percentage of counter-references 97.6%, percentage of well-filled counterreferences 99.5%, percentage of absenteeism 96.2%. Regarding the filling out of form 053, in the user data section, showed a low percentage of compliance with filling out the telephone number and address of the patient's home with 52% and 50% respectively. In the reference section, low compliance with the history number was evident. clinic 52%, justification of the referral 79% and the attachment of the copy of the results of exams carried out with 0%. In the counterreferences section, a low compliance with filling out the medical history number 51%, attached copy of the results of the examinations carried out with 0% and the treatment recommended by specialist with 74%.