<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1316-4821</journal-id>
<journal-title><![CDATA[Universidad, Ciencia y Tecnología]]></journal-title>
<abbrev-journal-title><![CDATA[uct]]></abbrev-journal-title>
<issn>1316-4821</issn>
<publisher>
<publisher-name><![CDATA[AutanaBooks S.A.S. Revista de la Universidad Experimental Politécnica Antonio José de Sucre, Vice Rectorado Puerto Ordaz, Venezuela, gestionada en Ecuador por AutanaBooks]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1316-48212025000400167</article-id>
<article-id pub-id-type="doi">10.47460/uct.v29i129.1021</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategias para elevar la calidad de atención en los servicios de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Strategies to Enhance the Quality of Care in Health Services]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Inchaustegui García]]></surname>
<given-names><![CDATA[Carlos Alfonso Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdiviezo Sir]]></surname>
<given-names><![CDATA[Victor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad César Vallejo  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad César Vallejo  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>29</volume>
<numero>129</numero>
<fpage>167</fpage>
<lpage>177</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S1316-48212025000400167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S1316-48212025000400167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S1316-48212025000400167&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este estudio tuvo como objetivo identificar estrategias institucionales que fortalecen la calidad de atención en servicios de salud, mediante una revisión sistemática de literatura científica. Se consultaron diferentes bases de datos y revistas indexadas, abarcando el periodo de 2021-2025 en español e inglés. Se seleccionaron 32 artículos que abordaban dimensiones clave de la calidad: elementos tangibles, fiabilidad, capacidad de respuesta, seguridad y empatía. Los resultados evidenciaron un enfoque tradicional centrado en estos componentes, junto con nuevas clasificaciones que destacan la necesidad de herramientas de gestión, autoevaluación, auditorías y cumplimiento normativo. Asimismo, se resalta la importancia del liderazgo institucional, la participación de usuarios internos y externos, y el desarrollo de capacidades organizacionales para implementar modelos integrales de calidad. Se concluye que las estrategias identificadas deben adoptarse como políticas institucionales sostenibles, alineadas con la gobernanza y orientadas a mejorar la atención sanitaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This study aimed to identify institutional strategies that strengthen the quality of care in health services through a systematic review of scientific literature. Multiple databases and indexed journals were consulted, covering the period from 2021 to 2025 in both Spanish and English. A total of 32 articles addressing key dimensions of quality were selected, including tangibles, reliability, respon- siveness, safety, and empathy. The results revealed a predominantly traditional approach focused on these components, along with emerging classifications that emphasize the need for management tools, self-assessment, audits, and regulatory compliance. Furthermore, the findings highlight the importance of institutional leadership, the participation of internal and external stakeholders, and the development of organizational capabilities to implement comprehensive quality models. It is concluded that the identified strategies should be adopted as sustainable institutional policies, aligned with governance structures and aimed at improving healthcare delivery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[calidad de atención]]></kwd>
<kwd lng="es"><![CDATA[elementos tangibles]]></kwd>
<kwd lng="es"><![CDATA[capacidad de respuesta]]></kwd>
<kwd lng="es"><![CDATA[sistema de gestión]]></kwd>
<kwd lng="en"><![CDATA[quality of care]]></kwd>
<kwd lng="en"><![CDATA[tangibles]]></kwd>
<kwd lng="en"><![CDATA[responsiveness]]></kwd>
<kwd lng="en"><![CDATA[management system]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aliaga]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of care and user satisfaction in an Emergency Service of a Social Security Hospital]]></article-title>
<source><![CDATA[Acta Médica Peruana]]></source>
<year>2023</year>
<volume>40</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>308-13</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benites]]></surname>
<given-names><![CDATA[Á]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rosales]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Salas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores asociados a la calidad del servicio en hospitales públicos peruanos]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2021</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>236-44</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bustamante]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lapo]]></surname>
<given-names><![CDATA[M. del C]]></given-names>
</name>
<name>
<surname><![CDATA[Tello]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modelamiento estructural de la calidad de servicio en atención primaria de salud del Guayas, Ecuador]]></article-title>
<source><![CDATA[Información Tecnológica]]></source>
<year>2022</year>
<volume>33</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>171-80</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chirinos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Orrego]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Montoya]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Suñol]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of patient safety culture in hospitals in Venezuela: A cross-sectional study]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2021</year>
<volume>100</volume>
<numero>18</numero>
<issue>18</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dadi]]></surname>
<given-names><![CDATA[T. L]]></given-names>
</name>
<name>
<surname><![CDATA[T. A]]></surname>
</name>
<name>
<surname><![CDATA[Yeshitla]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Abera]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Tadesse]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Tsegaye]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gerbaba]]></surname>
<given-names><![CDATA[M. J]]></given-names>
</name>
<name>
<surname><![CDATA[Worke]]></surname>
<given-names><![CDATA[M. D]]></given-names>
</name>
<name>
<surname><![CDATA[Tadesse]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Medhin]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of quality improvement interventions on facility readiness, quality and uptake of maternal and child health services in develop- ing regions of Ethiopia: a secondary analysis of programme data]]></article-title>
<source><![CDATA[BMJ Open Quality]]></source>
<year>2023</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Danet]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Lázaro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metodologías Lean en salud]]></article-title>
<source><![CDATA[Revista de Gerencia y Política de Salud]]></source>
<year>2024</year>
<volume>23</volume>
<page-range>1-22</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Endalamaw]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Khatri]]></surname>
<given-names><![CDATA[R. B]]></given-names>
</name>
<name>
<surname><![CDATA[Mengistu]]></surname>
<given-names><![CDATA[T. S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact]]></article-title>
<source><![CDATA[BMC Health Services Research]]></source>
<year>2024</year>
<volume>24</volume>
<page-range>487</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Esteve-Matalí]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Cots]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ramon]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Escosa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[M.-L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[&#8220;¿la integración de la gestión de servicios sanitarios mejora la coordinación clínica? Experi- encia en Cataluña]]></article-title>
<source><![CDATA[Gaceta Sanitaria]]></source>
<year>2022</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>324-32</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La calidad de la atención como eje de los sistemas de salud]]></article-title>
<source><![CDATA[Salud Pública de México]]></source>
<year>2024</year>
<volume>66</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>644-52</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud (OMS)</collab>
<source><![CDATA[Servicios de salud de calidad]]></source>
<year>2025</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzáles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Oblitas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mosqueira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Heredia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Liderazgo transformacional en gestión hospitalaria: una revisión bibliográfica]]></article-title>
<source><![CDATA[Acta Médica del Centro]]></source>
<year>2023</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>819-34</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Monsalve]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mejora continua en la gestión de servicios de salud: estrate- gias para la excelencia administrativa]]></article-title>
<source><![CDATA[epsir]]></source>
<year>2024</year>
<volume>9</volume>
<page-range>1-16</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pabón]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mora]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Buitrago]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Castiblanco]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estrategias para fortalecer la hu- manización de los servicios en salud en urgencias]]></article-title>
<source><![CDATA[Revista Ciencia y Cuidado]]></source>
<year>2021</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>94-104</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Padilla]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Calvopiña]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La empatía y la prestación de los servicios de la salud del Centro de Especialidades La Ecuatoriana IESS]]></article-title>
<source><![CDATA[Revista Científica Internacional]]></source>
<year>2024</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>472-84</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gámez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Labori]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eficacia, efectividad, eficiencia y equidad en relación con la calidad en los servicios de salud]]></article-title>
<source><![CDATA[INFODIR]]></source>
<year>2021</year>
<volume>17</volume>
<numero>35</numero>
<issue>35</issue>
<page-range>1-27</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gage]]></surname>
<given-names><![CDATA[A. D]]></given-names>
</name>
<name>
<surname><![CDATA[Gotsadze]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Seid]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mutasa]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The influence of Con- tinuous Quality Improvement on healthcare quality: A mixed-methods study from Zim- babwe]]></article-title>
<source><![CDATA[Social Science &amp; Medicine]]></source>
<year>2022</year>
<volume>298</volume>
<page-range>114831</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mehra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[M. K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measures of sustainability in healthcare]]></article-title>
<source><![CDATA[Sustain- ability Analytics and Modeling]]></source>
<year>2021</year>
<volume>1</volume>
<page-range>100001</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Szulik]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reflexiones en torno a la calidad de la atención en salud]]></article-title>
<source><![CDATA[Ciencia, Docencia y Tecnología]]></source>
<year>2023</year>
<volume>34</volume>
<numero>67</numero>
<issue>67</issue>
<page-range>1-15</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Rodríguez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rivas-Ruiz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Espinosa-Rafful]]></surname>
<given-names><![CDATA[C. J]]></given-names>
</name>
<name>
<surname><![CDATA[Montano-López]]></surname>
<given-names><![CDATA[M. A]]></given-names>
</name>
<name>
<surname><![CDATA[Robles-Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Tellez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pelayo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bonifaz]]></surname>
<given-names><![CDATA[L. C]]></given-names>
</name>
<name>
<surname><![CDATA[Cuesta]]></surname>
<given-names><![CDATA[L. A. G. O.-G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Las TIC en la evaluación de la calidad de la atención médica]]></article-title>
<source><![CDATA[Revista Médica del Instituto Mexicano del Seguro Social]]></source>
<year>2025</year>
<volume>63</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zeh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Christalle]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Zill]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Härter]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What do patients expect? Assessing patient- centredness from the patient&#8217;s perspective]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2021</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
