<?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>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Sal Públ]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662023000300010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trayectoria de innovación integral en el Centro Nacional de Cirugía de Mínimo Acceso]]></article-title>
<article-title xml:lang="en"><![CDATA[Comprehensive Innovation Trajectory at The National Center for Minimum Access Surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Torres]]></surname>
<given-names><![CDATA[Julián Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roque González]]></surname>
<given-names><![CDATA[Rosalba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Nacional de Cirugía de Mínimo Acceso  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>49</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662023000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662023000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662023000300010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La innovación en la atención de la salud es una fuerza impulsora en la búsqueda de un equilibrio entre la limitación de costos y la calidad de la atención médica y, en la actualidad, emerge como paradigma la innovación integral que no descuida ninguna de sus dimensiones y se desarrolla en sus distintos niveles: de país, de institución y de las personas que la llevan a vías de hecho.  Objetivo:  Estudiar la trayectoria de innovación que, con un enfoque integral, ha llevado al Centro Nacional de Cirugía de Mínimo Acceso a convertirse en obligada referencia cuando se habla de instituciones hospitalarias con un alto nivel de calidad del servicio que se presta, en pro de la salud pública del país.  Posicionamiento:  La innovación integral, que combina la introducción de tecnologías médicas con innovaciones organizacionales en sistemas de gestión, permite alcanzar resultados importantes en la calidad de la atención médica y la formación de profesionales competentes en procederes terapéuticos y quirúrgicos mínimamente invasivos.  Conclusiones:  El análisis realizado permitió definir cuatro etapas en la trayectoria de innovación del Centro Nacional de Cirugía de Mínimo Acceso: Núcleo (1980-1992), Fundación (1993-2005), Consolidación (2006-2015), Acreditación y Certificación (2016-2022). Se caracterizan los elementos esenciales de cada etapa hasta llegar a la actual, en la que se logra que los resultados de la innovación organizacional y en tecnologías médicas del centro sean reconocidos en diferentes instancias y contribuyan a brindar servicios de salud de alta calidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Innovation in health care is a driving force in the search for a balance between cost limitation and quality of medical care; today comprehensive innovation that does not neglect any of its dimensions, emerging as a paradigm. It is developed at its different levels: country, institution and the people who take it to reality.  Objective:  To study the trail of innovation that, with a comprehensive approach, has led the National Center for Minimum Access Surgery to become an unavoidable reference when talking about hospital institutions with a high level of quality of service, in favor of the public health of the country.  Positioning:  Comprehensive innovation, which combines the introduction of medical technologies with organizational innovations in management systems, allows achieving important results in the quality of medical care and the training of competent professionals in minimally invasive therapeutic and surgical procedures.  Conclusions: The analysis carried out allowed us to define four stages in the innovation trajectory of the National Center for Minimum Access Surgery: Nucleus (1980-1992), Foundation (1993-2005), Consolidation (2006-2015), Accreditation and Certification (2016- 2022). The essential elements of each stage are characterized up to reaching the current one, in which the results of this institution&#8217;s organizational innovation and medical technologies are recognized at different instances, and they contribute to providing high-quality health services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[innovación organizacional]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos mínimamente invasivos]]></kwd>
<kwd lng="es"><![CDATA[acreditación de hospitales]]></kwd>
<kwd lng="es"><![CDATA[gestión de calidad]]></kwd>
<kwd lng="en"><![CDATA[organizational innovation]]></kwd>
<kwd lng="en"><![CDATA[minimally invasive surgical procedures]]></kwd>
<kwd lng="en"><![CDATA[hospital accreditation]]></kwd>
<kwd lng="en"><![CDATA[quality management]]></kwd>
</kwd-group>
</article-meta>
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