Global and prospective structural analysis with repercussions in hospitals

Martha K. Torres-Salgado, Sección de Investigación y Posgrado, Unidad Profesional Interdisciplinaria de Ingeniería Ciencias Sociales y Administrativas, Instituto Politécnico Nacional, Ciudad de México, México

Introduction: Structural analysis (SA) shows the knowledge of the environment to act strategically and interprets reality for the future. Objective: To identify and analyze variables of global and health impact in order to prioritize the degree of influence on medical care within the framework of prospective hospital planning. Method: Study with a quantitative approach, with deductive reasoning through the SA model with crossed impacts matrix and applied multiplication for a classification (MICMAC) of 17 global and health factors, that identifies, prioritizes and visualizes the variables of greatest strategic relevance. The added value is to generalize the data of a sample for induced convenience, in time and for accessibility to their hospitals of 1314 responses in hospitals of the Secretary of National Defense (SEDENA) in Mexico. Results: The determining variables that are identified are: vision and planning of development of regional-global strategy and quality in better medical care. Conclusions: The modeling of the SA and MICMAC visualizes the plan of determinant and key variables for regulatory, preventive and public policy strategies that will impact in the future to follow up on the Global Health Agendas that help guarantee hospital medical care.

Keywords: Prospective structural analysis. MICMAC. Priority. Key and conflict variables.