<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342017000300227</article-id>
<article-id pub-id-type="doi">10.21149/8228</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implementación de indicadores de calidad de la atención en hospitales públicos de tercer nivel en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Implementation of quality of care indicators for third-level public hospitals in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saturno-Hernández]]></surname>
<given-names><![CDATA[Pedro Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Nicolás]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Poblano-Verástegui]]></surname>
<given-names><![CDATA[Ofelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vértiz-Ramírez]]></surname>
<given-names><![CDATA[José de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez-Ortiz]]></surname>
<given-names><![CDATA[Erasto Cosme]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña-Izquierdo]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kawa-Karasik]]></surname>
<given-names><![CDATA[Simón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Evaluación y Encuestas ]]></institution>
<addr-line><![CDATA[Cuernavaca ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Comisión Coordinadora de los Institutos Nacionales de Salud y Hospitales de Alta Especialidad Representantes del Grupo de Trabajo de los Indicadores de Atención Médica en Alta Especialidad (IAMAE) ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>3</numero>
<fpage>227</fpage>
<lpage>235</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342017000300227&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342017000300227&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342017000300227&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Seleccionar, pilotar e implementar un set de indicadores para hospitales públicos de tercer nivel.  Material y métodos:  Estudio cuali-cuantitativo en cuatro etapas: identificación de indicadores usados internacionalmente; selección y priorización por utilidad, factibilidad y confiabilidad; exploración de la calidad de fuentes de información en seis hospitales y piloto de factibilidad y fiabilidad, y medición de seguimiento.  Resultados:  De 143 indicadores, se seleccionaron 64 y priorizaron ocho. La exploración reveló fuentes de información deficientes. En el piloto, tres indicadores resultaron factibles con fiabilidad limitada. Se realizaron talleres para mejorar registros y fuentes de información; nueve hospitales reportaron mediciones de un trimestre.  Conclusiones:  No fue posible medir los ocho indicadores priorizados de forma inmediata debido a limitaciones en las fuentes de datos para su construcción. Es necesario mejorar mecanismos de registro y procesamiento de datos en este grupo de hospitales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To select, pilot test and implement a set of indicators for tertiary public hospitals.  Materials and methods:  Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement.  Results:  From 143 indicators, 64 were selected and eight were prioritized. The scan revealed sources of information deficient. In the pilot, three indicators were feasible with reliability limited. Has conducted workshops to improve records and sources of information; nine hospitals reported measurements of a quarter.  Conclusions:  Eight priority indicators could not be measured immediately due to limitations in the data sources for its construction. It is necessary to improve mechanisms of registration and processing of data in this group of hospital.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[monitorización]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención de salud]]></kwd>
<kwd lng="es"><![CDATA[indicadores de calidad de la atención a la salud]]></kwd>
<kwd lng="es"><![CDATA[sistemas de información]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[monitoring]]></kwd>
<kwd lng="en"><![CDATA[quality of healthcare]]></kwd>
<kwd lng="en"><![CDATA[quality indicators]]></kwd>
<kwd lng="en"><![CDATA[information systems]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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