Strategy to improve managerial technological intersectorality to perfect the family medicine program

Abstract

Introduction: Intersectorality still shows potential for perfecting its conceptualization in the managerial and technological context to achieve improvements in programs. Objective: Design and evaluate a strategy for intersectoral technological management improvement, to improve the family medicine program. Methods: A quasi-experimental before and after intervention study was carried out, through an intersectoral improvement strategy. From the universe of 771 health users, a sample of 389 was chosen by proportional stratified sampling; It was made up of 330 from health, 38 community actors and 21 from other sectors. It was carried out in 4 stages: Diagnosis, design and validation, implementation and evaluation. The variables were studied: Level of knowledge, organizational climate and intersectoral actions. Absolute frequencies and percentages were used for the analysis of qualitative data and the McNemar test for the results of the intervention. Results: The application of the strategy in social practice was pertinent due to the results of the expected effectiveness(9.5). The level of knowledge of professionals improved (92.5 %), the organizational climate in the 3 dimensions (8.1, 8.2 and 9.3). 90 %(9) of the intersectoral actions were satisfactory with a significant association between the intervention and the results (p= 0.001). Conclusions: The designed strategy optimizes managerial technological intersectorality, and improves the family medicine program in the level of knowledge of professionals, the organizational climate and intersectoral actions.

Keywords

• acciones integradas de salud
• intersectorialidad
• medicina familiar
• servicio de salud.