To this end, a Quality Management System in Health Care will be created, the overall objective of which is “to improve the state of services, resources and technologies in the sector by creating a culture of quality that meets the needs of external and internal users” (Minsa). Finally, a fundamental shift in service delivery around the world is needed to deliver quality and compassionate services that focus on the needs of individuals and communities, as compassionate service delivery has been shown to improve outcomes in different settings. Quality is based on a set of organizational principles that are supported from a legislative point of view. The legal quality regime in Cuba is aimed at satisfying the population and suppliers through the development of production, services, trade and scientific and technological activities. Quality primary health care: Primary health care is essential for quality universal health coverage. The three interconnected pillars of primary health care are: empowering people and mobilizing communities; intersectoral action on health; and health services, which prioritize the provision of high-quality primary care and basic public health functions. With all these elements, it is necessary to pay special attention to quality. Legal basis for the quality of health services – Decree No. 139 of 4 February 1988 regulating the Public Health Act. Article 178 sets out in subsection (e) standardization, metrology and quality control of medical care and the manufacture of medicinal products.12 5. Perea R.
Zimmer Quality in Professional Development: Progress and Challenges. Educ Med Super. 2000 [cited 2013 Mar 18];14(2):136-47. Available in: scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412000000200003&lng=es 2. 55th World Health Assembly WHA55.18. Quality of Care: Patient Safety. A55/VR/9. 2002 [cited 2011 Dec 21]. Available in: www.paho.org/Spanish/SHA/coredata/tabulator /newTabulator.htm 13. Ministry of Public Health.
Handbook for the continuous improvement of the quality of hospital services. Havana: MINSAP; 2007. Finally, article 19 specifies that with regard to the structure, objectives and functions related to the quality of the services of the polyclinic, a normative legal provision adopted to this effect is provided. – Document prepared by the National Bureau of Standardization, based on the provisions of the International Organization of Legal Metrology (OIML) (OIML) D12:1995 “Areas of application of measuring instruments subject to verification” and entitled: General Rule 01, November 2003 “Measuring instruments subject to verification and areas of application in which they are used”. It determines which instruments or measuring systems to be tested according to their field of application. In the field of public health, it targets instruments, substances and devices used in medical services and quality determination in clinical analyses, pharmaceuticals and food, and are used in clinical, pharmaceutical, biotechnological and food laboratories.10 Many of these quality characteristics are closely linked to ethical principles. Ministry of Health of Peru (2007). Quality Management System in Healthcare. Lima: Ministry of Health of Peru.
Article 18 describes the principles of quality of services in the polyclinic: achieving a high level of satisfaction, professional excellence, efficient use of resources, offering care with minimal risk to patients and measuring the final impact of measures in terms of health services for citizens.1, 2 High-quality health services are both the product of the wider environment of health systems and interventions by the service provider and the people working in the system. WHO, OECD and the World Bank have proposed a number of actions by key stakeholders (governments, health systems, citizens and patients, and health workers) who should work together to achieve the goal of providing high-quality health services on the front lines.