Propuestas de la SECA para la recuperación del Sistema Nacional de Salud tras la pandemia por SARS-CoV-2

Abstract

Background: The SARS-CoV-2 pandemic has demanded responses for which the National Health System (NHS) was not prepared. The Spanish Society for Quality in Healthcare (SECA) has the mission of promoting quality in healthcare and contributing to its proper functioning. Objective: to present SECA recommendations to ensure the quality and safety of patients in the recovery of the NHS following the impact of the SARS-CoV-2 pandemic and the possibility of a resurgence. Methods: Qualitative study to seek consensus with the participation of 49 representatives of the different stakeholders (patients, managers, professionals, academics and researchers). The areas to be explored were: lessons learned, management of new care demands from COVID-19 patients, recompositing of templates, strengthening the resilience of professionals, new role of patients and contingency plans. Results: Four hundred and twenty-eight proposals were submitted. Once duplicates were deleted and similar proposals were merged, their number was reduced to 120. Of these, 60 proposals were prioritized and grouped into two categories of measures: (1) to recover the Health System (equity, accessibility, effectiveness, efficiency, safety, patient experience and work morale) and (2) to deal with possible outbreaks. Conclusion: SECA responds to its commitment to society with recommendations to ensure quality of healthcare and patient safety in the COVID-19 Era.

Proposals for person‐centred care in the COVID‐19 era. Delphi study

“…To our knowledge, this is the first study to analyse the priorities necessary to achieve PCC implementation goals in the COVID‐19 era. Scientific societies, such as the Spanish Society of Public Health and Sanitary Administration 33 ( Sociedad Española de Salud Pública y Administración Sanitaria ; SESPAS) and the Spanish Society of Health Quality 34 ( Sociedad Española de Calidad Asistencial ; SECA), presented a set of recommendations for health‐care system recovery after the impact of the pandemic on how to respond in the case of a pandemic resurgence. In neighbouring countries, similar criteria, such as the Vocal Project in the British National Health Service, have had a positive impact on the health‐care system during the pandemic.…”

Retos y estrategias para recuperar y dinamizar la atención primaria. Metodología DAFO (Debilidades, Amenazas, Fortalezas y Oportunidades)-CAME (Corregir, Afrontar, Mantener y Explotar) en un departamento de salud

“…Los sistemas de salud y profesionales del sector focalizaron todos sus recursos para afrontar esta emergencia sanitaria 3 , 4 , 5 , con un coste personal indudable 6 , 7 . Las consecuencias de este esfuerzo invitan a una reflexión sosegada que va más allá de plantearse cómo atender a las nuevas demandas creadas por la COVID-19 8 , 9 , 10 .…”