Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago 8320096, Chile.
Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile.
Int J Environ Res Public Health. 2023 Jan 30;20(3):2477. doi: 10.3390/ijerph20032477.
This study aimed to investigate the perception of the health teams belonging to the Family Healthcare Centers (CESFAMs) that are accredited, regarding the process of implementation and the achievement of accreditation. A qualitative approach was applied, with contributions from grounded theory, through the technique of individual in-depth interviews and focus groups. The interviews were carried out in nine accredited CESFAMs. For the presentation, organization and analysis of the data, Atlas.ti V9 software was used. From the results, derived from the open phase of the analysis, obtained from the opinions of the participants, a total of 26 categories emerged relating to the facilitating and hindering factors of the process. From the axial phase, it was possible to establish central categories that were related to quality management policies, the structure of Primary Health Care (PHC), participation and co-construction, and leadership and change management. In conclusion, the discourse of the teams reveals the need to have necessary conditions for the accreditation process, which are mainly related to training, characteristics of the types of leadership and teamwork in harmony with the process. Finally, the study reveals a gap in the community participation in this process, which suggests continuing this line of research.
本研究旨在调查获得认可的家庭保健中心（CESFAMs）所属医疗团队对实施过程和认证成果的看法。采用定性方法，从扎根理论中汲取了经验，通过个人深入访谈和焦点小组技术进行研究。访谈在九家获得认可的 CESFAMs 中进行。使用 Atlas.ti V9 软件对数据进行呈现、组织和分析。从分析的开放阶段得出的结果，以及参与者的意见中，共出现了 26 个类别，涉及该过程的促进和阻碍因素。从轴向阶段，可以确定与质量管理政策、初级卫生保健（PHC）结构、参与和共同建设以及领导和变革管理相关的核心类别。总之，团队的话语揭示了认证过程需要必要的条件，这些条件主要与培训、领导类型的特征以及与该过程相协调的团队合作有关。最后，该研究揭示了社区参与这一过程中的差距，这表明需要继续进行这方面的研究。
