<?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>S0036-36342018000500014</article-id>
<article-id pub-id-type="doi">10.21149/9127</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Validación psicométrica de instrumento para evaluar contexto de mejora de calidad y acreditación de hospitales]]></article-title>
<article-title xml:lang="en"><![CDATA[Psychometric validation of an instrument to evaluate the context of quality improvement and accreditation of hospitals]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zapata-Vanegas]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saturno-Hernández]]></surname>
<given-names><![CDATA[Pedro J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>60</volume>
<numero>5</numero>
<fpage>528</fpage>
<lpage>538</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342018000500014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342018000500014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342018000500014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Adaptar y validar instrumento para medir elementos del contexto que pueden favorecer iniciativas de mejoramiento de la calidad y acreditación de hospitales.  Material y métodos:  Se adaptó y validó modelo y cuestionario Model for Understanding Success in Quality (MUSIQ) para aplicación en países hispanoparlantes y uso específico para proyectos de acreditación de hospitales. Se realizó un análisis factorial confirmatorio (test de Bartlett e índice Kaiser-Meyer-Olkim) del constructo teórico de sus dimensiones y se comprueba consistencia interna en estudio realizado en muestra de 54 hospitales de mediana y alta complejidad en Colombia.  Resultados:  Instrumento con cuatro dimensiones de contexto (ambiente, macrosistema, microsistema, equipo de calidad), compuestas por 23 elementos medidos a través de 35 variables. El análisis factorial mostró significancia estadística y adecuación de las dimensiones que tuvieron también buena consistencia interna.  Conclusión:  Instrumento adaptado con utilidad para monitorizar elementos del contexto que pueden favorecer iniciativas de mejora y acreditación en hospitales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To adapt and validate an instrument to measure the context factors which favor quality improvement initiatives and accreditation of hospitals.  Materials and methods:  The model and questionnaire Model for Understanding Success in Quality (MUSIQ) is adapted and validated for application in Spanish-speaking countries and its specific use in hospital accreditation projects. The theoretical construct of its dimensions is assessed by confirmatory factor analysis (Bartlett test and Kaiser-Meyer-Olkim index) and internal consistency (Cronbach&#8217;s &#945;), in a study carried out in a sample of 54 hospitals of medium and high complexity in Colombia.  Results:  Instrument with four dimensions of context (environment, macrosystem, microsystem, quality team), composed of 23 elements that are measured through 35 variables. Factor analysis showed statistical significance and adequacy of the dimensions, which had also good internal consistency.  Conclusion:  Adapted instrument with usefulness for measurement of context elements that can promote initiatives of improvement and accreditation in hospitals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estudios de validación]]></kwd>
<kwd lng="es"><![CDATA[mejoramiento de la calidad]]></kwd>
<kwd lng="es"><![CDATA[acreditación de hospitales]]></kwd>
<kwd lng="en"><![CDATA[validation studies]]></kwd>
<kwd lng="en"><![CDATA[quality improvement]]></kwd>
<kwd lng="en"><![CDATA[hospital accreditation]]></kwd>
</kwd-group>
</article-meta>
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