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Any provision of health services, whether provided by an independent professional or an organization, seeks the satisfaction of the individuals who use it, the people who finance it and those who provide the service. Achieving the balance between supply, demand and society is a task that must be done from marketing. Therefore, the research team proposed to design a marketing plan for the Health Provider Institution FUNCRIT S.A.S, in order to establish strategies that allow better participation in the market, for which it carried out a descriptive, cross-sectional study. The sample consisted of (8) intensive care units in the city of Montería, and electronic surveys were applied to the intensivists working in each of them to collect the information. The results show that most of the diagnostic support services in neurocritical patients (40%) are offered by CITEN, followed by FUNCRIT by 30%, and the other providers each with 10% participation, taking into account that Fundación Amigos de la Salud and Clinica de Traumas y Fracturas are self-providers. An internal and external diagnosis was made through the SWOT and PESTEL tools and competitive strategies were established. It is concluded that FUNCRIT IPS must implement the strategic marketing plan to retain its customers and improve market share. Keywords: Supply, dem

Introduction: The User Information and Attention System (S.I.A.U), arises as a necessity for the continuous improvement of the services or products provided by a private or public entity, being the main guarantors, the users or clients. Objective: Determine and analyze the contributions of the S.I.A.U to managerial management in Colombia, between the years 2017 and 2022. Methodology: The study was of a descriptive type of compilation, with a sample of 47 documents including books, databases, certified web pages, Scientific articles. The method was considered in heuristics and hermeneutics, allowing to obtain a search and analysis of the information to reach final conclusions. Results: The application and harmonization of this type of systems includes a set of aspects that involve technological, legal, social and environmental resources. In this context, the SIAU makes it possible to retrieve pertinent information that helps in decision-making, such as health management administration and its fields. However, it is not yet clear exactly how this system contributes to managerial management. Therefore, the present study aims to determine and analyze the contributions of the User Information and Service System (S.I.A.U) to managerial management, which help in the improvement of institutions. Conclusions: the indicators produced by the User Information and Attention System are great allies for managerial decision-making, especially for improving the conditions for the provision of health services, since there is, first-hand, the perception of users to the Institution Provider of Health Services

La importancia de las finanzas en la gestión empresarial es la optimización de los recursos para maximizar la rentabilidad. También se menciona la importancia de estar preparado para posibles impactos financieras y su impacto negativo en la empresa. La gerencia es una visión global que se enfoca en la estrategia, organización y cultura para lograr una mayor competitividad y éxito. Uno de los factores más significativos que influyen en el impacto financiero de una empresa es el servicio al cliente, que puede atraer o repeler a los clientes y, por tanto, influir en los beneficios. Se llevó a cabo una investigación descriptiva para identificar las características y disposición de la población estudiada. Se seleccionó cuidadosamente una muestra representativa para llevar a cabo la investigación y se tomaron en consideración varias dimensiones como la percepción de calidad del servicio. El objetivo general del estudio es identificar los factores que influyen en el impacto financiero de la consulta particular de Especialistas Marcela Holguín y proponer estrategias que contribuyan a la generación de utilidades para cumplir con el presupuesto de la institución.

El consumo de sustancias psicoactivas en jóvenes ha originado una serie de problemas en salud, esto se puede apreciar en las estadísticas a nivel mundial. El Ministerio de Salud Colombiano establece que el consumo, adicción y abuso de sustancias psicoactivas, lícitas o ilícitas es un asunto de salud pública. Por tal motivo, la atención de la población con consumo, abuso y adicción a las sustancias psicoactivas, se realiza a través de los servicios de salud habilitados en Instituciones Prestadoras de Salud, considerando una atención integral que implique prevención, atención y rehabilitación. Se evalúa el nivel de efectividad al modelo de atención, así como la adherencia del paciente al tratamiento, teniendo en cuenta que la población objetivo es menor a 18 años y que provienen de un entorno donde la multiplicidad de efectos asociados al consumo puede incidir en su comportamiento, lo que exige una integralidad en el tratamiento a través de un equipo interdisciplinario. A partir de un método descriptivo, teniendo en cuenta variables cualitativas, se plantea un modelo de medición para evaluar adherencia del tratamiento y el modelo de atención integral mhGAP en una IPS de la ciudad de Montería (Córdoba), el estudio arroja resultados, se generaron conclusiones y recomendaciones. El modelo de atención tiene alto porcentaje de adherencia, sin embargo, se recomienda para las enfermedades generadas a partir del consumo de sustancias psicoactivas, la prevención iniciando desde el núcleo familiar, es fundamental para que se disminuya el porcentaje de potenciales pacientes.

El siguiente trabajo consiste en el diseño de una Institución Prestadora de Servicios de la Salud (IPS) con los servicios de medicina y odontología general y especializada en el municipio de Sahagún, en el departamento de Córdoba; la cual busca cumplir con la demanda en los servicios de salud requeridos por la población, caracterizándose por una atención humanizada, oportuna, eficiente, segura, confiable y de calidad fundamentada en la satisfacción de las necesidades y expectativas de los usuarios del municipio y de las zonas aledañas.

In Colombia, the health system, according to reports from the World Bank, presented a 95% access to health index and a 72% quality of care by 2021. [1] While this increases the scope for continuous improvement, it is indicative of a strong and mature health system in terms of development and responsiveness that has been evidenced in pandemic emergencies. Currently, the Provision of Health Services obeys Law 1122 of 2007 and its regulatory decrees, whose main objective is to guarantee access and quality of services, optimize the use of resources, promote user-centered care approaches and achieve the financial sustainability of Public Health Service Providers. [2] The present work aims to determine the requirements for the hiring of outpatient services by brigades of specialists in Pediatrics, Internal Medicine, General Surgery, Orthopedics and Gynecology and Obstetrics, to facilitate access to health services for the population served in the State Social Enterprise (ESE) Hospital Nuestra Señora del Carmen de El Bagre Antioquia. Through the analysis carried out to the database of the institution, it is found that, for the specialty of Internal Medicine, on average per month, 233 consultations are requested, which makes it opportune to hire the specialty once a week or four a month. To the specialty of Gynecology, it is 182 applications, being viable the programming of three or four brigades per month. For the specialty of Orthopedics, the average is 93 requests, and for General Surgery, it is 55, making it possible to carry out one or two brigades for month of these two specialties. 13 An approach was made with the administration of the ESE Hospital Nuestra Señora del Carmen, in which the proposal was announced and it was agreed that, the ideal type of contract with each professional would be for the provision of services, the value to be agreed, taking into account the tariff manual of the Compulsory Traffic Accident Insurance (SOAT) current, in which the outpatient consultation of specialized medicine is established under the code CUP 39143, with a unit value of $ 57,666 COP (11.88 USD), so it is agreed to pay $ 50,000 COP (10.30 USD) for consultation to each professional, generating a profitability of $ 7,666 COP (1.58 USD) by consultation for the institution.

A partir de los lineamientos de Ministerio de Salud y Protección Social de Colombia y la Organización Mundial de la Salud, se establece la terminología para la temática de Seguridad del Paciente como el conjunto de elementos estructurales, procesos, instrumentos y metodologías basadas en evidencias científicamente probadas que propenden la reducción del riesgo de daños innecesarios relacionados con la atención sanitaria hasta un mínimo aceptable. Partiendo de este supuesto, se entiende que la Salud Pública debe ser la prioridad unánime tanto de las Instituciones Prestadoras de Servicios de Salud como también del gobierno, ya que es un indicador de calidad para las IPS, con base en lo anterior, es imprescindible llevar a la práctica la medición periódica de los indicadores de desempeño de la guía de buenas prácticas de la seguridad del paciente, a fin de analizar el cumplimiento e implementación de las políticas y su impacto en la calidad de la atención. Las reseñas y el surgimiento de las buenas prácticas en la seguridad del paciente muestran el contexto histórico. Debido a esto, la historia muestra eventos adversos que existieron en el siglo XVII A.C, que era el tiempo de los castigos punitivos, luego de esto, a pesar de las declaraciones de Hipócrates en las que relacionaba la posibilidad de que el personal de salud podía cometer errores, se encuentra con la era de la infalibilidad absoluta, donde el médico es incuestionable, por el hecho que los errores son el precio del aprendizaje. Es por esto que, Colombia impulsa una Política de Seguridad del Paciente, liderada por el Sistema Obligatorio de Garantía de Calidad de la Atención en Salud SOGC, cuyo objetivo es prevenir la ocurrencia de situaciones que afecten la seguridad del paciente

The objective of this study was to determine the level of Burnout Syndromeinthecare staff of the ESE CAMU Pueblo Nuevo, during the post-pandemic period, 2022.Methodology. Descriptive, cross-sectional study, with a quantitative approach, theMaslach Burnout Inventory (MBI) questionnaire was used; the sampleconsistedof6 general practitioners, 1 professional nurse and 12 nursing assistants. Results.Burnout syndrome had a high level for the aspect of emotional exhaustionin42.11%, in depersonalization 36.84% and a low level for personal fulfillment in15.79%; while at the medium level the emotional exhaustion dimensionpresented21.05%, depersonalization and personal fulfillment, equal percentages of 26.32%.In the emotional exhaustion and depersonalization aspects, a positiveanddirectcorrelation was found (0.7245), while for emotional exhaustionanddepersonalization with respect to personal fulfillment, a weak inversenegativecorrelation was found. Conclusion. Burnout syndrome with different levelswasfound in all the subjects of the sample, 57.89% have a low level; 31.58%presenteda medium level and 5.26% a high level, which indicates that these symptomscanaffect work performance, decision making, treatment of patients, amongotherphysical, social or emotional aspects.

The health institution in research presents financial deficits as a consequence of the glosses and returns generated after providing health care services, which is why the objective of this research was to determine the factors that influence the returns and glosses for the provision of services in the period of time between January and September 2021, in order to present strategies to improve the collection of overdue payments. The methodology implemented in this research was a cross-sectional descriptive study, taking the research period and analysis of glosses and returns the time between January and September 2021, consolidated in a database for analysis where it could be evidenced 4,812 glossed invoices and 3,075 invoices under the concept of return, equivalent to a total of 7,887 invoices with inconsistencies that represent economic losses and delays in collecting money for the institution and increasing the costs of non-quality in the administrative and assistance fields. After carrying out the analysis of the information, it was possible to identify shortcomings in the billing processes, documentary audit and concurrent audit. Taking into account the concepts of glosses, it was possible to identify that the ICU Intensive Care Units generate the highest percentage of inconsistency in the billing generated by the IPS, in addition to the most representative factors in terms of the glosses of the billing for the provision of services of the IPS, 2,790 corresponds to the performance of procedures without prior authorization from the EPS. Based on these findings, improvement actions were generated in order to minimize shortcomings and thus contribute to improving the flow of resources and the collection of overdue payments by the IPS

Breast cancer is one of the most diagnosed diseases in the world, it can occur in both men and women, but it is much more frequently diagnosed in women. Significant support for breast cancer awareness and funding for research have helped advance the diagnosis and treatment of breast cancer. Survival rates for breast cancer have increased, and the number of deaths associated with this disease continues to decline, largely due to factors such as earlier detection, a new personalized approach to treatment, and a better understanding of the illness. In order to promote a culture of prevention and early detection of breast diseases, risk factors and healthy lifestyles that allow providing timely diagnostic actions and adequate treatment of the disease, pleasant spaces are designed, called "Pink Clinics “In the investigation, the Pink Clinic of an IPS in the city is shown as a strategy for the early detection of cancer Objective: To determine the social impact of the pink clinics during the year 2020 in the population of women between 40 and 69 years of age in a IPS of Monteria. Type of research and study setting: The research was non-experimental, descriptive, cross-sectional with a quantitative approach. Because it starts from a question where the topic to be investigated is delimited, allowing to determine the social impact of the pink clinics, as well as designing an instrument that allows it to be measured, identifying characteristics associated with adherence to the program guidelines in the beneficiary population. The study was conducted in a Primary IPS, located in the city of Monteria. Results: the participation of 322 users between 40 and 69 years’ old who attended the pink office, where we determined the compliance indicators, is shown. Taking into account the annual goal was 42.1%, in addition, the procedures and activities of the care route of those attending the program are explained. It was evidenced that 100% of the women attended consider attending the office to be of great importance, likewise, that in the same percentage this space has positively 13 influenced their habits and lifestyles. An improvement plan was designed in the provision of the service in accordance with the instruments applied Keywords: Breast cancer, strategy, social impact and primary care.

Some risks may arise in the billing process, among which we find glosses, which have a financial impact on the IPS that provide the service, reflected in economic losses. Objective. Determine the main causes of glosses and their financial impact in a Health Service Provider Entity located in the Municipality of Puerto Libertador. Methodology. Descriptive, quantitative, retrospective study. The population and sample consisted of 50 invoices with glosses presented during the year 2020. The data was obtained through the Genoma Plus software, where the concepts and reasons for glosses were taken into account. Results. The main cause of glosses identified is the failure to meet goals with 34%, followed by returns due to billing failures (22%). During the study period, the values glossed by each EPS to the institution were analyzed, evidencing that Coosalud represents the highest glossed value with 38.1%, then Nueva EPS with 25.9%. Conclusions. The different causes of glosses generate a negative financial impact, because it directly affects the operation and sustainability of the Health Institution.

Objetivo. Determinar la relación entre calidad y costos de los servicios de salud en el área de hospitalización de una Empresa Social del Estado durante el periodo comprendido entre diciembre de 2021 y febrero de 2022 en Montería Córdoba. Metodología. La investigación se desarrolló bajo la metodología mixta porque se tomaron variables numéricas como son la calidad y los costos y causas de glosas, descriptiva y transversal con preponderancia cualitativa. Resultados. Luego del análisis del Informe de Glosas generado por la Empresa Social del Estado radicada en Montería y del Informe de Auditoria Gubernamental realizado por la Contraloría General del Departamento de Córdoba, en la vigencia 2019-2020, se obtuvo como resultado que, ambos informes coinciden en establecer que los motivos más frecuentes para la generación de glosas están asociados a las tarifas. Es así que, el informe de glosas del período comprendido entre el 01 de diciembre de 2021 y el 28 de febrero de 2022 indica que esta glosa tiene un impacto negativo de $768.272.358, lo que representa el 34% de valor de las glosas. Por su parte, el informe de Auditoria Gubernamental para la vigencia 2019-2020 desarrollado por la Contraloría General del Departamento de Córdoba indica que este motivo tuvo un impacto negativo de $58.735.384. Las glosas afectan en forma negativa el valor de la factura que se genera por la prestación del servicio de salud, lo cual atentará contra la viabilidad económica de la entidad. Conclusiones. La calidad en la prestación de servicios de salud en el área de hospitalización de una Empresa Social del Estado genera credibilidad en los posibles usuarios, hecho que contribuirá a la estabilidad financiera de la entidad. La No calidad en la prestación de servicios ocasiona incumplimientos, los cuales generan afectación parcial o total de la factura, y atentan contra la estabilidad económica de la institución.

The purpose of this work is to determine the implementation of the health care model with a differential approach to the population with disabilities in an IPS of Monteria in 2021. To reveal a municipal panorama of the application of these models by the Health Provider Institutions. , as established by current regulations, for the health care of special populations. First, the population with disabilities treated at the IPS was characterized sociodemographic ally. For this characterization, a survey was applied that includes a set of questions about general aspects of the environment, social support, attitudes of others, use and need for personal assistance and use and need for assistive devices. On the other hand, the standards established in the regulations in force in Colombia (accessibility, treatment, satisfaction, infrastructure) that regulate the implementation of a health model with a differential approach and its respective compliance were analyzed. The analysis of results showed dissatisfaction of users for feeling that their care was not adjusted to the characteristics and needs of their condition. In addition, it revealed that the IPS does not implement a model with a differential approach for the provision of services. Finally, improvement strategies were proposed, based on the SWOT analysis that was carried out based on the research in the IPS, for which an improvement plan was established focused on correcting each of the identified weaknesses and that will serve as the basis for Health Provider Institutions in the municipality of Monteria. Keywords: 8 • Differential Approach: it is a set of actions that are aimed at population groups that deserve it; and contribute to reducing social exclusion g

Objective. Determine the legal management of the guardianship action in a Health Promotion Company of Montería during the period from June to December 2020. Methodology. Descriptive, retrospective study with a quantitative approach. The population and sample consisted of 50 protection actions filed during the period from June to December 2022, before a company that promotes health services (EPS). Results: the main cause of the guardianships established corresponds to the request for appointments by specialists (44%); 74% corresponds to requests that are in the Basic Health Plan; mostly from users affiliated with the subsidized regime (88%), who had a comprehensive ruling (94%) Conclusions: officials do not have the necessary tools and resources to promptly and diligently respond to the protection actions filed; are limited only to sending the request via email and in some way.

The purpose of this study is to recognize, through a review of the literature, decision making as a significant strategy for managing conflicts in health promoting institutions. Information management accounts for a series of factors that explain why decision-making can contribute to mitigating conflicts and managing them in any organization, in this case in health promoting institutions. As theoretical support, the contributions of Lazzati, Amaya, Sanabria, among others, whose arguments about the factors and elements or functional ingredients in decisionmaking as an input for conflict management, were reviewed. Methodologically, the study is located in the documentary review of primary and secondary sources and the respective analysis of their discourse to obtain conclusions and recommendations associated with the subject. In this way, the results of the study allow the design of an information collection strategy, in the form of a survey that, when applied, would allow establishing the relationship between decision-making and conflict management within a health promoting institution.

The present intervention proposal aims at reducing failures and errors in customer / user service, which is why it seeks to present the importance of improving inducción and reinduction processes to help employees make the best use of their capacities and develop their potential, to carry out an objective evaluation of the competencies and degree of information management required for the position. The objective of this proposal is to implement a reinduction program for customer service personnel at the EPS Salud Total Montería - Córdoba following the logical framework methodology to increase their fidelity, achieve quality in the provision of services and thus continue with the stability of the company having as a pillar strategies focused on quality, management of human talent and customer / user satisfaction in order to meet and assist customers / users in their requirements, fluid dialogue, a quick response and effective to their requests, analyze the current structure of the positions related to customer service in the company, review and standardize the customer service and care process, analyze the diagnosis of initial conditions of the hired personnel, identify the issues required for the development of the inducción and reinduction program. The proposal made seeks to strengthen capacities in health personnel regarding the quality of customer / user service by improving the inducción and reinduction process.

This documentary research made it possible to characterize the health services offered in hospital institutions in the field of quality during the period from 2015 to 2019. This review illustrated the existence of services identified as primary and secondary with their respective subclassifications. In the second instance, as a state of the art, in Colombia the presence of a series of works is observed, under the discursive modality of research articles that account for the concern that higher education institutions have, through the Faculties of Health Sciences for strengthening the quality of health services offered, a process that is coupled, in some cases, with the perception of users, that is, their opinion is key to the implementation of improvement plans that allow mitigating all those shortcomings that they perceive when they go to a hospital institution to request a health service. For this, the methodology of this study is located within the scope of the documentary review of primary and secondary sources and the respective analysis of their results to obtain conclusions and recommendations related to the subject in question. The results of the study show that, to a certain degree of acceptance with the quality of the services received, the perception that users have regarding the quality of the services they obtain in hospital institutions is related to efficiency and satisfaction in care. received in the different dependencies. Appreciation that managers and workers must take into account for the implementation of continuous improvement plans; because the information obtained from these investigations constitutes inputs that will benefit health institutions, direct providers and will decisively contribute to the satisfaction and effective solution of the needs and expectations of users.

Objective Design the base model of organizational development for the creation of the orthopedic service in the ESE San Nicolás de Planeta Rica. Methodology. Descriptive, projective, mixed approach study, information was taken from primary and secondary sources, the informants were the beneficiary population represented by family units (470), health service providers (15), the contents of the normative filings and experiences of an entity specialized in traumas and fractures. Results. Legally based on numeral 3 of article 173 of Law 100 of 1993, article 56 of Law 715 of 2001, articles 2 of Decree-Law 4107 of 2011, articles 7, 8 and 14 of Decree 1011 of 2006 and its Chapters I and II, Article 118 of Decree-Law 019 of 2012 and Resolution 1441 of 2013; it is structured in five steps from filing to obtaining the active code; the offer corresponds to procedures of medium and low complexity, of which they are minor (41.2%) and non-surgical (41.2%). The mixed intramural modality with hospital outpatient services was defined, the "patient-centered" service structure with two subunits, this involves a hierarchical-vertical structure and horizontal coordination; it can generate social, health, growth and institutional prestige impacts. Conclusions. The designed model describes a functional unit of public law, of partial hospitalization, with institutional and extra-institutional services, the offer of services will correspond to low and medium complexity in orthopedics and traumatology, as well as minor, non-invasive procedures; patients with minor trauma being subjects of attention.

Prospective Global Payment is a payment and contracting model in force in Colombia and highly applicable for the optimal functioning of the Health System, which is why it is widely used by Health Promotion Companies and Health Service Provider Institutions at the time to establish contractual agreements for the provision of health services to the Colombian population. Based on this, the present monograph aims to analyze the function of prospective global payment and its role in the contracting of health services based on the experience of the IPS MediSinú of the city of Monteria, Córdoba. During the development of this work, different concepts of the contracting modality object of study are presented here, that is, the Prospective Global Payment, these definitions allow to build a concept on it and to know the way in which it affects the contractual relationships. Health and Health Service Provider Institutions, in the same way, clarity is made about the subclasses of Prospective Global Payment models, and what each of them implies, thus having per episode per specialty, among others. There is also a series of allusions about the advantages and disadvantages of this hiring model and the way in which they should be assumed in a managerial way. Knowledge of these factors broadens the vision of a contracting model that is gaining strength in the country.

La presente propuesta de intervención se inserta en los ámbitos de la Responsabilidad Social Empresarial en Instituciones de salud, específicamente en la Empresa Social del Estado Hospital San Francisco de Ciénaga de Oro en el departamento de Córdoba; empresa en la cual la responsabilidad social empresarial es un mecanismo desconocido en cuanto a su aplicación, por tanto la mayor parte de las personas que laboran en las mismas no tienen el conocimiento adecuado, lo que puede traer como consecuencia problemas en la gestión del personal, problemas financieros o de sostenibilidad, desconocimiento del valor de la protección ambiental, asi es como se presenta la problemática referida a riesgos de contaminación ambiental por el manejo de residuos hospitalarios, inexistencia de contribución con el desarrollo local y que hayan salarios bajos que redundan en condiciones de precariedad económica de las familias de los empleados. El objetivo de esta propuesta es implementar un modelo de Responsabilidad Social Empresarial, presentando estrategias y metas de acuerdo a las necesidades de mejora identificadas en el Hospital y de acuerdo a las perspectivas de los actores implicados, en este caso, la gerente, los administrativos, profesionales de la salud, los técnicos y los auxiliares en aspectos como la gestión del conocimiento, la calidad de vida laboral, la intervención participativa, el liderazgo, gestión de prevención de riesgos en salud y gestión de acciones preventivas y correctivas entre otras estrategias.