Factores asociados a la gestión de quejas contra médicos que laboran en hospitales del Instituto Mexicano del Seguro Social

Abstract

Complaints against Mexico State MISS hospital physicians were associated with diagnostic technical factors, as well as with the patients' perception of receiving deficient information and care during hospitalization. The English version of this paper is available at: http://www.insp.mx/salud/index.html.

Relación del personal de salud con los pacientes en la Ciudad de México

“…The fact that health providers use a language that is strange to their patients creates limits and symbolic fi elds that eliminate any possibility of developing a trust relationship during medical interactions, preventing patients and/or their family from overcoming their fears and asking questions about their illness and chances of recovery. 14,15 Adequate interaction in health care, although essential to the interpersonal dimension, is not linked to the achievement or effectiveness of other objectives set in the care process. The respect for human dignity and integrity requires following rules of social interaction at all levels while dealing with a social individual, particularly if this individual is a hospitalized patient and thus vulnerable due to loss of health.…”

“…High quality services cannot be provided when providers do not incorporate to their technical and scientifi c knowledge ethical and human values that support and legitimate their work, as underlined in previous studies. 14,20 Since adequate interaction is translated into respect to the patients' human rights, one of the goals is to assure the patient's autonomy, freedom, integrity, and dignity. This can only be achieved if health providers are aware that, in addition to sharing space and time, there is a need to share ethical and humanist codes that permeate any relationship between human beings and institutions.…”

Desafíos de la desconcentración y participación local en el marco de la protección de los derechos en salud: experiencia de la Intendencia Macrorregional Norte, SUSALUD

“…Las quejas forman parte de los indicadores de calidad de atención, en la IMRN se ha podido determinar que son más de índole administrativo y quirúrgico, Valdés-Salgado et al (13) en México, identificó estos mismos problemas como causantes de quejas, Peña-Viveros et al (14) identificó en hospitales de México, complicaciones durante la atención, error en el diagnóstico, utilización de estudios de gabinete, información deficiente, falta de vigilancia durante la hospitalización y revisiones vaginales múltiples en el trabajo de parto, como factores que se asociaron a las quejas.…”