Resumo

OSPINA RAMIREZ, Juan José  e  MEJIA MARIN, Ximena. NECESSARY TRANSFORMATIONS AND HOW TO BUILD THEM FROM HEALTH SYSTEM MANAGEMENT IN ORDER TO CONTRIBUTE TO ELEVATE LEVEL OF HUMAN DEVELOPMENT IN THE REGION. Investig. andina [online]. 2019, vol.21, n.39, pp.33-43.  Epub 29-Jan-2021. ISSN 0124-8146.

The World Health Organization defines quality as “the extent to which heal- th care services provided to individuals and patient populations improve desired health outcomes” 1. That way, it is seen through the ISO 9000 regulations as the rate in which a set of attached characteristics meets an es- tablished need or expectation, one that would be implicit and mandatory 2,3. The most used concept of quality in medical attention is the one defined by Avedis Donabedian: “it's the kind of attention that maximizes patients' well-being, once the balance of gains and losses is taken into account, so the process can be observed from all possible dimensions” 4. Thus, our objec- tive is to describe and reflect about the progress of Colombian legislation during the last 25 years, in order to boost the necessary transformations and the way we must, as a whole team of workers of the health area, contribute to elevate the level of human development in the region from health area systems. The text invites the reader to approach from the management of health systems the Mandatory Quality Assurance System. That way, it is possible to prove its evolutive process along the last 25 years and plan marketing strategies and show how the Colombian government, through the Resolution 429 of 2016 5 poses a new paradigm with urgent needs of implementation, given that previous strategies are presented as failures in the market, with inappropriate developments.

Palavras-chave : articulation and modulation; network formation; sanitary assistance markets; sanitary production; health.

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