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Technological Ecosystems for
Enhancing Multiculturality
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,
MAIS-BFC
Universal Health
Coverage
Decentralized
health services
Health condition did
not improve and the
health failed to
become a key
element for the social
and productive
development
the percentage of children under 6 months exclusively breastfed
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 difficulties to access health services:
53.93%
The number of maternal deaths was 17
49.4% of Lambayeque population counted on the help of a
health insurance
Population or operational
/supporting processes may not be
the problem. The main cause
would be the way health services
are provided. This justifies
innovation of services at
healthcare centers
 Consequently, the design of a survey is
needed for the purpose of collecting
information to assess factors associated
with process innovation in healthcare
centers, which allow us to propose
innovative programs to increase coverage
and ensure health care of people.
R
E
A
S
O
N
S
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
Qualitative
study
Literature
Review
That most research studies are conducted
within establishments of greater complexity
(Hospitals and Health Institutes) and are
related to clinical and epidemiological works
This makes innovation possibilities low and
access to health services limited
Human
resources
(HHRR)
Technological
research
procedures
(TRP)
Infrastructure and
technological
equipment
(ITE)
HHRR TRP ITE
Categories :
Characteristics :
- Knowledge
-Motivation
-Scientific
application
Implementation
of methods and
tools of
technology
research
room and
scientific and
technological
equipment
Determine the
scientific and
technological
capacity for
innovation
Determine the
technological
capacity of
healthcare
centers
Determine the
capacity of
technological
investment
Purpose :
- Design appropriate questions according to the categories
- Peer-reviewed questions
- Pilot test (interaction with providers)
- Redesign questions and design answers
- Automated processing
Rational validity:
Method
Indicators 16 (1 - 16) 16 (17 - 32) 6 (33 - 38)
SURVEY DESIGN
HHRR TRP ITE
Scores
Always
Answers
2
Sometimes Never
1 0
Ranks
HHRR
25 - 32 17 - 24 0 - 16
Human resources know research
processes for innovation
Human resources make an attempt
to know the innovation processes
Human resources require training on
methodologies
Ranks
TRP
25 - 32 17 - 24 0 - 16
The center provides research methods
and technology tools for innovation
The center makes an attempt to
provide methods and technology
tools for innovation
The center requires training to
implement research programs and
plans to innovates health services.
Ranks
ITE
10 - 12 7 - 9 0 - 6
The institution owns infrastructure to
support innovation.
The institution makes an attempt to
obtain infrastructure to support
innovation
The institution requires training to
implement public investment
projects in a matter of science,
technology, and development.
Final
outcome
58 - 76 39 - 57 0 - 38
Innovative institution The institution goes after
innovation and requires training on
technology research
The institution is not innovative and
requires training on research
methodology as well as technology
tools and rooms for innovation
Always
2
Sometimes Never
1 0
Always
2
Sometimes Never
1 0
Results
Conclusions
The categories to be considered for the design of a
survey that evaluates the innovation 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 innovation.
The survey design was validated in a qualitative
manner with rational validity by background
analysis, expert judgment and application of
interactive pilot.
The design of the survey is part of the purpose of
improving the health of the population.
The evaluation of innovation through the survey
requires the participation of all providers of a health
center; which it is difficult to achieve and can lead to
distort the results. This issue is a limitation that must
be considered.
It is required to continue the research on design and
validity of the instrument from the quantitative
perspective, perform descriptive research for
construct validity, investigations relating for
demonstrate the reliability of the instrument;
explanatory research for you ensure stability and
applicative research to evaluate the efficiency of the
survey.
Reference
s
Conde, F., & Pérez, C. 1995. La investigación cualitativa 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 http://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 investigar: La Acción Estratégica en Salud (AES) en el
contexto del fomento y promoción de la I+D+I biosanitarias. Emergencias, 22(6), 460-469. Madrid, España: Semes.org. Obtenido de
http://mspsi.es/biblioPublic/publicaciones/recursos_propios/resp/revista _cdrom/VOL69/69_2_145.pdf
Ruiz-Ibañez, C. 2012. Casos de innovación en salud en Colombia: retos y proyectos. Revista Ingeniería Biomédica, 6,11 (Enero-Junio de 2012),
10-21. Medellín, Colombia: Universidad CES. Obtenido de
http://revistabme.eia.edu.co/numeros/11/art/1.%20Casos%20de%20innovacion%20en%20salud%20en%20Colombia%20retos%20y%20
proyectos.pdf.
Salazar, M. and Jurado-Vega, A. 2013. Niveles de Intervención Familiar. Revista Peruana de Medicina Experimental y Salud Publica, 30(1), 37-41
Mandujano-Romero and Grajeda, P. 2013. Calidad de las tesis para obtener el título de médico cirujano, Universidad Nacional de San Antonio Abad del Cusco - Perú, 2000-
2009. Revista Peruana de Medicina Experimental y Salud Publica, 30(2), 70-74.
Miraval, E. (2012). Investigación académica y de los recursos humanos en Salud. Revista Peruana de Medicina Experimental y Salud Publica, 29(4), 213-215.
Reyes, L. 2009. Balance de las investigaciones en salud y prioridades de investigación en salud. Informe, Lima. Obtenido de http://observatorio.cies.org.pe/proy-
belga/informe-lidia-reyes.pdf.
Fidalgo-Blanco, Á., Sein-Echaluce, M.L., and García-Peñalvo, F.J., 2014. Knowledge Spirals in Higher Education Teaching Innovation. International Journal of Knowledge
Management 10, 4, 16-37. DOI= http://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 educational innovation to the
organisational knowledge in the university sector. Program: Electronic library and information systems 49, 3, 266-288. DOI= http://dx.doi.org/http://dx.doi.org/10.1108/
PROG-06-2014-0033.
Mayta-Tristán, P., Pereyra-Elías, R. and Christian, M. 2013. Producción científica de los miembros vitalicios de la Academia nacional de Investigadores. Revista Peru Med.exp.
salud pública [on line], 30,4, 8-10. Retrieved from http://www.scielo.org.pe/scielo.php?pid=S1726-46342013 000400033&script=sci_arttext.
Dupin, C., Chami, O., Petit, D., and Debout, C. 2013. Tendecias en investigación en enfermería en Francia. Revista Oficial del Consejo Internacional de Enfermería, 277-285.
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Maya, B., Leal, M., Jiménez, J., and Díaz, M. 2004. Producción científica de los profesionales de enfermería en un hospital de tercer nivel. Enfermería clínica, 14,5, 263-268.
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Bernal-Delgado, E., Peiró, S. and Sotoca, R. 2006. Prioridades de investigación en servicios sanitarios en el Sistema Nacional de Salud. Una aproximación por consenso de
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281421844010.pdf.
Other
Technological Ecosystems for
Enhancing Multiculturality
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 survey instrument to evaluate innovation in healthcare centers

  • 1. Technological Ecosystems for Enhancing Multiculturality 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, MAIS-BFC Universal Health Coverage Decentralized health services Health condition did not improve and the health failed to become a key element for the social and productive development the percentage of children under 6 months exclusively breastfed 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 difficulties to access health services: 53.93% The number of maternal deaths was 17 49.4% of Lambayeque population counted on the help of a health insurance Population or operational /supporting processes may not be the problem. The main cause would be the way health services are provided. This justifies innovation of services at healthcare centers  Consequently, the design of a survey is needed for the purpose of collecting information to assess factors associated with process innovation in healthcare centers, which allow us to propose innovative programs to increase coverage and ensure health care of people. R E A S O N S 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. Qualitative study Literature Review That most research studies are conducted within establishments of greater complexity (Hospitals and Health Institutes) and are related to clinical and epidemiological works This makes innovation possibilities low and access to health services limited Human resources (HHRR) Technological research procedures (TRP) Infrastructure and technological equipment (ITE) HHRR TRP ITE Categories : Characteristics : - Knowledge -Motivation -Scientific application Implementation of methods and tools of technology research room and scientific and technological equipment Determine the scientific and technological capacity for innovation Determine the technological capacity of healthcare centers Determine the capacity of technological investment Purpose : - Design appropriate questions according to the categories - Peer-reviewed questions - Pilot test (interaction with providers) - Redesign questions and design answers - Automated processing Rational validity: Method
  • 5. Indicators 16 (1 - 16) 16 (17 - 32) 6 (33 - 38) SURVEY DESIGN HHRR TRP ITE Scores Always Answers 2 Sometimes Never 1 0 Ranks HHRR 25 - 32 17 - 24 0 - 16 Human resources know research processes for innovation Human resources make an attempt to know the innovation processes Human resources require training on methodologies Ranks TRP 25 - 32 17 - 24 0 - 16 The center provides research methods and technology tools for innovation The center makes an attempt to provide methods and technology tools for innovation The center requires training to implement research programs and plans to innovates health services. Ranks ITE 10 - 12 7 - 9 0 - 6 The institution owns infrastructure to support innovation. The institution makes an attempt to obtain infrastructure to support innovation The institution requires training to implement public investment projects in a matter of science, technology, and development. Final outcome 58 - 76 39 - 57 0 - 38 Innovative institution The institution goes after innovation and requires training on technology research The institution is not innovative and requires training on research methodology as well as technology tools and rooms for innovation Always 2 Sometimes Never 1 0 Always 2 Sometimes Never 1 0 Results
  • 6. Conclusions The categories to be considered for the design of a survey that evaluates the innovation 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 innovation. The survey design was validated in a qualitative manner with rational validity by background analysis, expert judgment and application of interactive pilot. The design of the survey is part of the purpose of improving the health of the population. The evaluation of innovation through the survey requires the participation of all providers of a health center; which it is difficult to achieve and can lead to distort the results. This issue is a limitation that must be considered. It is required to continue the research on design and validity of the instrument from the quantitative perspective, perform descriptive research for construct validity, investigations relating for demonstrate the reliability of the instrument; explanatory research for you ensure stability and applicative research to evaluate the efficiency of the survey.
  • 7. Reference s Conde, F., & Pérez, C. 1995. La investigación cualitativa 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 http://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 investigar: La Acción Estratégica en Salud (AES) en el contexto del fomento y promoción de la I+D+I biosanitarias. Emergencias, 22(6), 460-469. Madrid, España: Semes.org. Obtenido de http://mspsi.es/biblioPublic/publicaciones/recursos_propios/resp/revista _cdrom/VOL69/69_2_145.pdf Ruiz-Ibañez, C. 2012. Casos de innovación en salud en Colombia: retos y proyectos. Revista Ingeniería Biomédica, 6,11 (Enero-Junio de 2012), 10-21. Medellín, Colombia: Universidad CES. Obtenido de http://revistabme.eia.edu.co/numeros/11/art/1.%20Casos%20de%20innovacion%20en%20salud%20en%20Colombia%20retos%20y%20 proyectos.pdf. Salazar, M. and Jurado-Vega, A. 2013. Niveles de Intervención Familiar. Revista Peruana de Medicina Experimental y Salud Publica, 30(1), 37-41 Mandujano-Romero and Grajeda, P. 2013. Calidad de las tesis para obtener el título de médico cirujano, Universidad Nacional de San Antonio Abad del Cusco - Perú, 2000- 2009. Revista Peruana de Medicina Experimental y Salud Publica, 30(2), 70-74. Miraval, E. (2012). Investigación académica y de los recursos humanos en Salud. Revista Peruana de Medicina Experimental y Salud Publica, 29(4), 213-215. Reyes, L. 2009. Balance de las investigaciones en salud y prioridades de investigación en salud. Informe, Lima. Obtenido de http://observatorio.cies.org.pe/proy- belga/informe-lidia-reyes.pdf. Fidalgo-Blanco, Á., Sein-Echaluce, M.L., and García-Peñalvo, F.J., 2014. Knowledge Spirals in Higher Education Teaching Innovation. International Journal of Knowledge Management 10, 4, 16-37. DOI= http://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 educational innovation to the organisational knowledge in the university sector. Program: Electronic library and information systems 49, 3, 266-288. DOI= http://dx.doi.org/http://dx.doi.org/10.1108/ PROG-06-2014-0033. Mayta-Tristán, P., Pereyra-Elías, R. and Christian, M. 2013. Producción científica de los miembros vitalicios de la Academia nacional de Investigadores. Revista Peru Med.exp. salud pública [on line], 30,4, 8-10. Retrieved from http://www.scielo.org.pe/scielo.php?pid=S1726-46342013 000400033&script=sci_arttext. Dupin, C., Chami, O., Petit, D., and Debout, C. 2013. Tendecias en investigación en enfermería en Francia. Revista Oficial del Consejo Internacional de Enfermería, 277-285. Retrieved from http://dialnet.unirioja.es/servlet/ articulo?codigo=4530887. Maya, B., Leal, M., Jiménez, J., and Díaz, M. 2004. Producción científica de los profesionales de enfermería en un hospital de tercer nivel. Enfermería clínica, 14,5, 263-268. Retrieved from http://dialnet.unirioja.es/servlet /articulo? codigo=1005471. Bernal-Delgado, E., Peiró, S. and Sotoca, R. 2006. Prioridades de investigación en servicios sanitarios en el Sistema Nacional de Salud. Una aproximación por consenso de expertos. Gaceta Sanitaria, 20(4), 287-294. Retrieved from http://scielo.isciii.es/scielo.php?script= sci_arttext&pid= S0213-91112006000400007. Dyniewicz, A., and Rivero, M. 2012. Metodología de investigación para enfermeras de un hospital universitario. SciELO. Retrieved from http://www.redalyc.org/pdf/2814/, 281421844010.pdf. Other
  • 8. Technological Ecosystems for Enhancing Multiculturality 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