<?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>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592023000200353</article-id>
<article-id pub-id-type="doi">10.19136/hs.a22n2.5180</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Ethics and organizational performance before and during COVID-19 in Mexican hospitals within urban areas]]></article-title>
<article-title xml:lang="es"><![CDATA[Ética y desempeño organizacional antes y durante COVID-19 en hospitales mexicanos dentro de áreas urbanas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miguel-Cruz]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mayett-Moreno]]></surname>
<given-names><![CDATA[Yésica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trejo-Nieto]]></surname>
<given-names><![CDATA[Alejandra Berenice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera-Muñoz]]></surname>
<given-names><![CDATA[María Antonieta Monserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,El Colegio de México  ]]></institution>
<addr-line><![CDATA[Tlalpan Mexico City,]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Benemérita Universidad Autónoma de Puebla  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>22</volume>
<numero>2</numero>
<fpage>353</fpage>
<lpage>364</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592023000200353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592023000200353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592023000200353&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: The purpose of this paper is to analyze the differences in the perception of ethical decision making, organizational ethical climate, and organizational performance, before and during the COVID-19 pandemic by some health professionals in public and private hospitals in urban areas in Mexico.  Materials and Method: 68 health professionals answered a survey using the snowball sampling technique. This digital structured survey evaluated the demographic characteristics of respondents and 3 dimensions (constructs) divided in 53 items: ethical decision making, organizational ethical climate, and organizational performance, before the COVID-19 pandemic (year 2019) and during the pandemic (year 2020-2021). To compare the differences of the dimensions before and during COVID-19, the t-test was carried out for dependent samples.  Results: In the ethical decision making and organizational ethical climate dimensions, there were no statistically significant differences in the averages before and during the pandemic. In relation to the organizational performance there is a statistically significant difference in the averages before and during the pandemic, with a decrease in performance.  Conclusions: This research contributes to literature on healthcare service management suggesting to acknowledge that, in an adverse environment, the decision making process based on ethics and an ethical climate should be maintained in the organizations to avoid a more dramatic fall in performance.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: El propósito de este artículo es analizar las diferencias en la percepción de la toma de decisiones éticas, clima ético organizacional y desempeño organizacional, antes y durante la pandemia por COVID-19, en algunos profesionales de la salud de hospitales públicos y privados del área urbana de México.  Materiales y Métodos: 68 profesionales de la salud respondieron una encuesta utilizando la técnica de muestreo de bola de nieve. Esta encuesta estructurada digital evaluó las características demográficas de los encuestados y 3 dimensiones (constructos) divididas en 53 ítems: toma de decisiones éticas, clima ético organizacional y desempeño organizacional, antes de la pandemia de COVID-19 (año 2019) y durante la pandemia (año 2020-2021). Para comparar las diferencias de las dimensiones antes y durante el COVID-19, se realizó la prueba t para muestras dependientes.  Resultados: En las dimensiones toma de decisiones éticas y clima ético organizacional, no se presentaron diferencias estadísticamente significativas en los promedios antes y durante la pandemia. En relación al desempeño organizacional existe una diferencia estadísticamente significativa en los promedios antes y durante la pandemia, con una disminución en el desempeño.  Conclusiones: Esta investigación contribuye a la literatura acerca de la gestión de servicios de salud sugiriendo que, en un entorno adverso, la toma de decisiones basada en la ética y un clima ético deben mantenerse en las organizaciones para evitar una caída más dramática en el desempeño.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Occupational Groups]]></kwd>
<kwd lng="en"><![CDATA[Ethics Medical]]></kwd>
<kwd lng="en"><![CDATA[Ethics Organizational]]></kwd>
<kwd lng="en"><![CDATA[Task Performance and Analysis]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Grupos Profesionales]]></kwd>
<kwd lng="es"><![CDATA[Ética Médica]]></kwd>
<kwd lng="es"><![CDATA[Ética Organizacional]]></kwd>
<kwd lng="es"><![CDATA[Análisis y Desempeño de Tareas]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
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