Abstract

The models of care are based on the strategy of integrated networks of health services, conform complex systems to overcome the fragmentation and segmentation of health services, and improve your performance. The attributes defined by OPS as essential for the proper functioning of the health model care has a concrete representation in the National Integrated System of Health in Uruguay, however, they have not been systematized in scientific publications neither have developed procedures that allow evaluation in the national context. The objectives and principles of SNIS make it necessary to design the procedures for examining the care model with a systemic approach, to be able to take the actions aimed at solving the deficiencies found, stimulate initiatives and propose higher goals to achieve. The objective of this article is to show the scientific-technical work developed by the author for the design of a "Procedure to evaluate the performance of the integrated networks of public health services", through the use of a tracer disease, with a quality assurance approach. To this end, research was carried out on the development of health services in a network of public effectors in Uruguay, in the period from 2012 - 2015. It is concluded that the main difficulty identified in the Uruguayan health system, which refers to the lack of procedures valid for assessing the performance of integrated health networks, delimited by this research, which is exposed the process of elaboration and validation of the procedure itself.

Keywords:Network Integrated Health Services; Integrated National Health System; Health Services Evaluation; Quality Assurance Health Care; Uruguay

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