Design of strategic indicators for the management of health sector institutions in Mexico

Abstract

Introduction. In the last 35 years, diabetes has caused thousands of deaths in Mexico, this being the main cause of death in the country and increasing by 300% since the 80s. For this reason, it has been decided to design a chronic care model that can improve the quality of life, processes and reduce costs in health institutions. Materials and methods. A systematic review of the literature of models designed and executed successfully between 2007-2017 was carried out, being applied in different health institutions of the world, including Mexico. Analyzing the critical success elements of each of the models, seeking to replicate them in the model proposal. Results The proposal of a model based on three phases was designed: Structures, Processes and behaviors. Each phase with different elements that complement the functionality of the model that can lead to improve the quality of life of the patient. Discussion-conclusions. The implementation of policies that allow the standardization of processes in health institutions is needed, as well as a psychological and personalized accompaniment of health personnel to the patient which can transform their behavior and promote self-care