title: [Organizational capacity for continuous improvement of health services].
abstract: While the Mexican health system has achieved significant progress, as reflected in the growing improvement in population health, heterogeneity in the quality of services and its impact on health in different population groups is still a challenge. The costs or poor quality represent about 20 to 40% of the health system's expenditure. We need to develop organizational capacity to implement quality management systems in order to identify, evaluate, prevent and eventually overcome the health system's challenges. A competency-based comprehensive strategy for training human resources is proposed including undergraduate and graduate education as well as continuing education, which will contribute to improve the quality function at the various levels of responsibility in the health system. The proposed strategy responds to the context of the Mexican health system, but it could be adapted to other systems and contexts.
authors: Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Pedro J
authors: PJ
authors: Saturno-Hernández
authors: Dirección General, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Mauricio
authors: M
authors: Hernández-Avila
authors: Secretaría Académica,, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Laura
authors: L
authors: Magaña-Valladares
authors: Dirección General de Calidad y Educación en Salud, Secretaria de Salud, México, Distrito Federal, México.
authors: Sebastián
authors: S
authors: Garcia-Saisó
authors: Maestría en Gestión de la Calidad en los Servicios de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: José de Jesús
authors: Jde J
authors: Vertiz-Ramírez
mesh_terms: D057191:Capacity Building; D004496:Education, Continuing; D004501:Education, Medical; D017048:Health Care Costs; D006282:Health Personnel / Q000193:education*; D006298:Health Services Administration; D006801:Humans; D008511:Medicine; D008800:Mexico; D011634:Public Health / Q000193:education; D058996:Quality Improvement / Q000191:economics / Q000458:organization & administration*; D017749:Total Quality Management