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Technological	Ecosystems	for	
Enhancing	Mul5culturality
TEEM´15
DESING	OF	THE	INSTRUMENT	TO	
EVALUATE	INNOVATION	IN	
HEALTHCARE	CENTERS
Dra. Hilda A. Del Carpio Ramos
(Peru)
Dr. Francisco J. García Peñalvo
(Spein)
Porto, 2015, October, 7, 8, 9
Health Lambayeque,
Peru, 2013
MAIS-BFC
Universal	Health	
Coverage	
Decentralized	
health	services
Health	condi<ons	did	
not	 improve	 and	 the	
health	 failed	 to	
b e c o m e	 a	 k e y	
element	for	the	social	
a n d	 p r o d u c < v e	
development
the	percentage	of	children	under	6	months	exclusively	
breasFed	was	39.4%
The	rate	of	children	under	36	months	with	all	basic	vaccines	got	
only	26%
The	quota	of	children	subjected	to	proper	growth	and	
development	control	equated	to	40.9%
Neonatal	mortality	rate:	7.6	infant	deaths	per	1,000	lives
Infant	mortality	rate:	13	deaths	per	1,	000	lives
Incidence	of	anemia	in	children	aged	under	5:	25.27%
Women	who	reported	difficul<es	to	access	health	services:	
53.93%
The	number	of	maternal	deaths	was	17
49.4%	of	Lambayeque	popula<on	counted	on	the	help	of	a	
health	insurance
Popula<on	 or	 opera<onal	 /
suppor<ng	 processes	 may	 not	 be	
the	 problem.	 The	 main	 cause	
would	 be	 the	 way	 health	 services	
are	 provided.	 This	 jus<fies	
i n n o v a < o n	 o f	 s e r v i c e s	 a t		
healthcare	centers
Ü Consequently,	 the	 design	 of	 a	 survey	 is	
needed	 for	 the	 purpose	 of	 collec<ng	
informa<on	 to	 assess	 factors	 associated	
with	 process	 innova<on	 in	 healthcare	
centers,	 which	 allow	 us	 to	 propose	
innova<ve	programs	to	increase	coverage	
and	ensure	health	care	of	people.
REASONS
Although
it has:
which will design a survey that is
intended to assess factors
associated with innovation in
health centers?
PROBLEM
the design of a survey is needed
to assess the factors associated
with process innovation in health
centers
OBJECTIVE
Qualita<ve	
study
Literature	
Review	
That	 most	 research	 studies	 are	 conducted	
within	 establishments	 of	 greater	 complexity	
(Hospitals	 and	 Health	 Ins<tutes)	 and	 are	
related	to	clinical	and	epidemiological	works
This	 makes	 innova<on	 possibili<es	 low	 and	
access	to	health	services	limited
Human	
resources	
(HHRR)
Technological	
research	
procedures
(TRP)
Infrastructure	and	
technological	
equipment	
(ITE)
HHRR TRP ITE
Categories	:
Characteris5cs	:
-	Knowledge	
- Mo<va<on		
- Scien<fic	
applica<on	
Implementa<on	
of	 methods	 and	
t o o l s 	 o f	
t e c h n o l o g y	
research	
r o o m	 a n d	
scien<fic	 and	
technological	
equipment	
Determine	 the	
scien<fic	 and	
technological	
c a p a c i t y	 f o r	
innova<on
Determine	the	
technological	
capacity	of	
healthcare	
centers
Determine	the	
capacity	of	
technological	
investment
Purpose	:
-	Design	appropriate	ques<ons	according	to	the	categories
-	Peer-reviewed	ques<ons
-	Pilot	test(interac<on	with	providers)
-	Redesign	ques<ons	and	design	answers
-	Automated	processing
Ra5onal	validity:
Method
Indicators	 16	(1	-	16) 16	(17	-	32) 6	(33	-	38)
SURVEY	DESIGN
HHRR TRP ITE
	Scores	
Always
Answers	
2
Some<mes Never
1 0
Ranks			
HHRR	
25	-	32 17	-	24 0	-	16
Human	 resources	 know	 research	
processes	for	innova<on
Human	resources	make	an	aeempt	
to	know	the	innova<on	processes
Human	resources	require	training	on	
methodologies
Ranks	
TRP	
25	-	32 17	-	24 0	-	16
The	center	provides	research	methods	
and	technology	tools	for	innova<on
The	 center	 makes	 an	 aeempt	 to	
provide	 methods	 and	 technology	
tools	for	innova<on
The	center	requires	training	to	
implement	research	programs	and	
plans	to	innovates	health	services.
	
Ranks	
ITE	
10	-	12 7	-	9 0	-	6
The	ins<tu<on	owns	infrastructure	to	
support	innova<on.
The	ins<tu<on	makes	an	aeempt	to	
obtain	 infrastructure	 to	 support	
innova<on
The	 ins<tu<on	 requires	 training	 to	
implement	 public	 investment	
projects	 in	 a	 maeer	 of	 science,	
technology,	and	development.	
	
Final	
outcome	
58	-	76 39	-	57 0	-	38
Innova<ve	ins<tu<on T h e	 i n s < t u < o n	 g o e s	 a f e r	
innova<on	and	requires	training	on	
technology	research
The	ins<tu<on	is	not	innova<ve	and	
requires	 training	 on	 research	
methodology	 as	 well	 as	 technology	
tools	and	rooms	for	innova<on
Always
2
Some<mes Never
1 0
Always
2
Some<mes Never
1 0
Results
Conclusions
The	categories	to	be	considered	for	the	design	of	a	
survey	that	evaluates	the	innova<on	takes	place	or	
not	 in	 the	 Health	 Centers	 are	 three:	 Technological	
capacity	 of	 healthcare	 providers,	 technological	
procedures	 and	 level	 of	 infrastructure	 and	
technological	equipment	with	which	providers	have	
for	science,	technology	and	innova<on.
The	 survey	 design	 was	 validated	 in	 a	 qualita<ve	
manner	 with	 ra<onal	 validity	 by	 background	
analysis,	 expert	 judgment	 and	 applica<on	 of	
interac<ve	pilot.
The	design	of	the	survey	is	part	of	the	purpose	of	
improving	the	health	of	the	popula<on.
The	 evalua<on	 of	 innova<on	 through	 the	 survey	
requires	the	par<cipa<on	of	all	providers	of	a	health	
center;	which	it	is	difficult	to	achieve	and	can	lead	to	
distort	the	results.	This	issue	is	a	limita<on	that	must	
be	considered.
It	is	required	to	con<nue	the	research	on	design	and	
validity	 of	 the	 instrument	 from	 the	 quan<ta<ve	
perspec<ve,	 perform	 descrip<ve	 research	 for	
construct	 validity,	 inves<ga<ons	 rela<ng	 for	
demonstrate	 the	 reliability	 of	 the	 instrument;	
explanatory	 research	 for	 you	 ensure	 stability	 and	
applica<ve	research	to	evaluate	the	efficiency	of	the	
survey.
References
Conde,	F.,	&	Pérez,	C.	1995.	La	inves<gación	cualita<va	en	Salud	Pública.	Revista	Española	de	salud	Publica,	69,2	(Marzo-Abril	de	1995)	
145-149.	 Madrid,	 España:	 Ministerio	 de	 Sanidad,	 Servicios	 Sociales	 e	 Igualdad.	 Obtenido	 de	 hep://mspsi.es/biblioPublic/publicaciones/	
recursos_propios/resp/revista_cdrom/VOL69/69_2_145.pdf.
Fernández,	J.,	Pérez,	J.,	Sanz,	E.,	and	Blásquez,	M.	2010.	Para	que	nadie	se	quede	sin	inves<gar:	La	Acción	Estratégica	en	Salud	(AES)	en	el	
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informe-lidia-reyes.pdf.
Fidalgo-Blanco,	 Á.,	 Sein-Echaluce,	 M.L.,	 and	 García-Peñalvo,	 F.J.,	 2014.	 Knowledge	 Spirals	 in	 Higher	 Educa<on	 Teaching	 Innova<on.	 InternaGonal	 Journal	 of	 Knowledge	
Management	10,	4,	16-37.	DOI=	hep://dx.doi.org/10.4018/ijkm.2014100102.
Fidalgo-Blanco,	Á.,	Sein-Echaluce,	M.L.,	and	García-Peñalvo,	F.J.,	2015.	Epistemological	and	ontological	spirals:	From	individual	experience	in	educa<onal	innova<on	to	the	
organisa<onal	 knowledge	 in	 the	 university	 sector.	 Program:	 Electronic	 library	 and	 informaGon	 systems	 49,	 3,	 266-288.	 DOI=	
hep://dx.doi.org/hep://dx.doi.org/10.1108/	PROG-06-2014-0033.
Mayta-Tristán,	P.,	Pereyra-Elías,	R.	and	Chris<an,	M.	2013.	Producción	cienufica	de	los	miembros	vitalicios	de	la	Academia	nacional	de	Inves<gadores.	Revista	Peru	Med.exp.	
salud	pública	[on	line],	30,4,	8-10.	Retrieved	from	hep://www.scielo.org.pe/scielo.php?pid=S1726-46342013	000400033&script=sci_areext.
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Bernal-Delgado,	E.,	Peiró,	S.	and	Sotoca,	R.	2006.	Prioridades	de	inves<gación	en	servicios	sanitarios	en	el	Sistema	Nacional	de	Salud.	Una	aproximación	por	consenso	de	
expertos.	Gaceta	Sanitaria,	20(4),	287-294.	Retrieved	from	hep://scielo.isciii.es/scielo.php?script=	sci_areext&pid=	S0213-91112006000400007.
Dyniewicz,	A.,	and	Rivero,	M.	2012.	Metodología	de	inves<gación	para	enfermeras	de	un	hospital	universitario.	SciELO.	Retrieved	from	hep://www.redalyc.org/pdf/2814/,	
281421844010.pdf.
Other
Technological	Ecosystems	for	
Enhancing	Mul5culturality
TEEM´15
DESING	OF	THE	INSTRUMENT	TO	
EVALUATE	INNOVATION	IN	
HEALTHCARE	CENTERS
Dra. Hilda A. Del Carpio Ramos
(Peru)
Dr. Francisco J. García Peñalvo
(Spein)
Porto, 2015, October, 7, 8, 9

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Design of the instrument to evaluate innovation in healthcare centers

  • 1. Technological Ecosystems for Enhancing Mul5culturality TEEM´15 DESING OF THE INSTRUMENT TO EVALUATE INNOVATION IN HEALTHCARE CENTERS Dra. Hilda A. Del Carpio Ramos (Peru) Dr. Francisco J. García Peñalvo (Spein) Porto, 2015, October, 7, 8, 9
  • 2. Health Lambayeque, Peru, 2013 MAIS-BFC Universal Health Coverage Decentralized health services Health condi<ons did not improve and the health failed to b e c o m e a k e y element for the social a n d p r o d u c < v e development the percentage of children under 6 months exclusively breasFed was 39.4% The rate of children under 36 months with all basic vaccines got only 26% The quota of children subjected to proper growth and development control equated to 40.9% Neonatal mortality rate: 7.6 infant deaths per 1,000 lives Infant mortality rate: 13 deaths per 1, 000 lives Incidence of anemia in children aged under 5: 25.27% Women who reported difficul<es to access health services: 53.93% The number of maternal deaths was 17 49.4% of Lambayeque popula<on counted on the help of a health insurance Popula<on or opera<onal / suppor<ng processes may not be the problem. The main cause would be the way health services are provided. This jus<fies i n n o v a < o n o f s e r v i c e s a t healthcare centers Ü Consequently, the design of a survey is needed for the purpose of collec<ng informa<on to assess factors associated with process innova<on in healthcare centers, which allow us to propose innova<ve programs to increase coverage and ensure health care of people. REASONS Although it has:
  • 3. which will design a survey that is intended to assess factors associated with innovation in health centers? PROBLEM the design of a survey is needed to assess the factors associated with process innovation in health centers OBJECTIVE
  • 4. Qualita<ve study Literature Review That most research studies are conducted within establishments of greater complexity (Hospitals and Health Ins<tutes) and are related to clinical and epidemiological works This makes innova<on possibili<es low and access to health services limited Human resources (HHRR) Technological research procedures (TRP) Infrastructure and technological equipment (ITE) HHRR TRP ITE Categories : Characteris5cs : - Knowledge - Mo<va<on - Scien<fic applica<on Implementa<on of methods and t o o l s o f t e c h n o l o g y research r o o m a n d scien<fic and technological equipment Determine the scien<fic and technological c a p a c i t y f o r innova<on Determine the technological capacity of healthcare centers Determine the capacity of technological investment Purpose : - Design appropriate ques<ons according to the categories - Peer-reviewed ques<ons - Pilot test(interac<on with providers) - Redesign ques<ons and design answers - Automated processing Ra5onal validity: Method
  • 5. Indicators 16 (1 - 16) 16 (17 - 32) 6 (33 - 38) SURVEY DESIGN HHRR TRP ITE Scores Always Answers 2 Some<mes Never 1 0 Ranks HHRR 25 - 32 17 - 24 0 - 16 Human resources know research processes for innova<on Human resources make an aeempt to know the innova<on processes Human resources require training on methodologies Ranks TRP 25 - 32 17 - 24 0 - 16 The center provides research methods and technology tools for innova<on The center makes an aeempt to provide methods and technology tools for innova<on The center requires training to implement research programs and plans to innovates health services. Ranks ITE 10 - 12 7 - 9 0 - 6 The ins<tu<on owns infrastructure to support innova<on. The ins<tu<on makes an aeempt to obtain infrastructure to support innova<on The ins<tu<on requires training to implement public investment projects in a maeer of science, technology, and development. Final outcome 58 - 76 39 - 57 0 - 38 Innova<ve ins<tu<on T h e i n s < t u < o n g o e s a f e r innova<on and requires training on technology research The ins<tu<on is not innova<ve and requires training on research methodology as well as technology tools and rooms for innova<on Always 2 Some<mes Never 1 0 Always 2 Some<mes Never 1 0 Results
  • 6. Conclusions The categories to be considered for the design of a survey that evaluates the innova<on takes place or not in the Health Centers are three: Technological capacity of healthcare providers, technological procedures and level of infrastructure and technological equipment with which providers have for science, technology and innova<on. The survey design was validated in a qualita<ve manner with ra<onal validity by background analysis, expert judgment and applica<on of interac<ve pilot. The design of the survey is part of the purpose of improving the health of the popula<on. The evalua<on of innova<on through the survey requires the par<cipa<on of all providers of a health center; which it is difficult to achieve and can lead to distort the results. This issue is a limita<on that must be considered. It is required to con<nue the research on design and validity of the instrument from the quan<ta<ve perspec<ve, perform descrip<ve research for construct validity, inves<ga<ons rela<ng for demonstrate the reliability of the instrument; explanatory research for you ensure stability and applica<ve research to evaluate the efficiency of the survey.
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  • 8. Technological Ecosystems for Enhancing Mul5culturality TEEM´15 DESING OF THE INSTRUMENT TO EVALUATE INNOVATION IN HEALTHCARE CENTERS Dra. Hilda A. Del Carpio Ramos (Peru) Dr. Francisco J. García Peñalvo (Spein) Porto, 2015, October, 7, 8, 9