<?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>1560-4381</journal-id>
<journal-title><![CDATA[Correo Científico Médico]]></journal-title>
<abbrev-journal-title><![CDATA[ccm]]></abbrev-journal-title>
<issn>1560-4381</issn>
<publisher>
<publisher-name><![CDATA[Universidad Ciencias Médicas de Holguín]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1560-43812020000200515</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad de la atención médica al paciente con hemorragia digestiva alta]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of the medical attention to the patient with upper gastrointestinal bleeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varona Labacena]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elias Sierra]]></surname>
<given-names><![CDATA[Dr.C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elias Armas]]></surname>
<given-names><![CDATA[Est]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calzadilla Navarro]]></surname>
<given-names><![CDATA[Yamile]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cayón Poyeaux]]></surname>
<given-names><![CDATA[Onoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Dr. Agostinho Neto  ]]></institution>
<addr-line><![CDATA[Guantánamo ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Medicina Guantánamo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>515</fpage>
<lpage>526</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1560-43812020000200515&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1560-43812020000200515&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1560-43812020000200515&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el monitoreo de la calidad de la atención médica es una exigencia social.  Objetivo:  evaluar la calidad de la atención médica al paciente con hemorragia digestiva alta en un centro hospitalario.  Método:  se realizó un estudio observacional, prospectivo y longitudinal de 98 pacientes seleccionados aleatoriamente en el Hospital Dr. Agostinho Neto, Guantánamo, Cuba, durante el trienio 2015-2017. Se exploraron criterios de la estructura, el proceso y los resultados de esta atención médica.  Resultados:  el 21,4% de los indicadores de estructura (6 de un total de 28) y el 18,54 % de los indicadores del proceso (5 de un total de 27) fueron evaluados como poco adecuados y el 18,5 % de los indicadores de resultados se evaluaron en esta categoría (5 de un total de 27).  Conclusiones:  el 52,1% del total de los indicadores se evaluaron como adecuados, por lo que la calidad de la atención a estos pacientes no satisfizo las aspiraciones, sobre todo por limitaciones en la estructura para el desarrollo de este proceso atencional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the monitoring of the quality of the medical attention is a social demand.  Objective:  to evaluate the quality of the medical attention to the patient with upper gastrointestinal bleeding in hospital.  Method:  was a study a descriptive, prospective and longitudinal study of 98 patients selected at random in the Hospital Dr. Agostinho Neto, Guantánamo, Cuba, during the triennium 2015-2017. Approaches were explored on the structure, the process and the results of this medical attention. Results: 48.6% of the structure indicators, 48.4% of the indicators of the process were evaluated as Not very adequate and 77.7% of the indicators of results were evaluated as adequate.  Conclusions:  52.1% of the total of the indicators was evaluated as adequate, for what the quality of the attention to these patients didn't satisfy the aspirations, mainly for limitations in the structure for the development of this medical attention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemorragia digestiva alta]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención médica]]></kwd>
<kwd lng="es"><![CDATA[atención secundaria a la salud]]></kwd>
<kwd lng="en"><![CDATA[upper gastrointestinal bleeding]]></kwd>
<kwd lng="en"><![CDATA[quality of the medical attention]]></kwd>
<kwd lng="en"><![CDATA[secondary attention to the health]]></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[Martínez Ramírez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Manrique]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Chávez García]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Velázquez]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Valle]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Corona]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilidad de escalas pronosticas en hemorragia digestiva proximal secundaria a úlcera péptica]]></article-title>
<source><![CDATA[Endoscopia]]></source>
<year>2016</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>154-9</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[García Iglesias]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Botargues]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Feu Caballé]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva Sánchez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Calvet Calvo]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Brullet Benedi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo de la hemorragia digestiva alta no varicosa: documento de posicionamiento de la Sociedad Catalana de Digestología]]></article-title>
<source><![CDATA[Gastroenterol Hepatol]]></source>
<year>2017</year>
<volume>40</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>363-74</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[Laine]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Upper gastrointestinal bleeding due to a Peptic Ulcer]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2016</year>
<volume>374</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>2367-76</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[Monteiro]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Goncalves]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Magalhaes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cotter]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Upper gastrointestinal bleeding risk scores: Who, when and why?]]></article-title>
<source><![CDATA[World J Gastrointest Pathophysiol]]></source>
<year>2016</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>89-96</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Winograd Lay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Infante Velázquez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guisado Reyes]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Angulo Pérez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[González Barea]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra Eduardo]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escalas de predicción el paciente con hemorragia digestiva alta no varicosa]]></article-title>
<source><![CDATA[Rev Cubana Med Mil]]></source>
<year>2015</year>
<volume>44</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>195-204</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Infante Velázquez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Román Martínez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Winograd Lay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos Contreras]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Álvarez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Corujo Arias]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influencia de la comorbilidad en la evolución del paciente con hemorragia digestiva por úlcera péptica]]></article-title>
<source><![CDATA[Rev Habanera Cien Méd]]></source>
<year>2016</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>551-62</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[García Orozco]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Piña Prieto]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Romero García]]></surname>
<given-names><![CDATA[LI]]></given-names>
</name>
<name>
<surname><![CDATA[Escalona Rabaza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Algunas consideraciones sobre la mortalidad asociada a la hemorragia por enfermedad ulcerosa péptica gastroduodenal]]></article-title>
<source><![CDATA[Medisan]]></source>
<year>2015</year>
<volume>19</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>654-70</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[Donabedian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluating the quality of medical care]]></article-title>
<source><![CDATA[Milbank Q]]></source>
<year>2005</year>
<volume>83</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>691-729</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos Domínguez]]></surname>
<given-names><![CDATA[BN]]></given-names>
</name>
</person-group>
<source><![CDATA[Control de la calidad de la atención de salud]]></source>
<year>2011</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saturno Hernández]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[NI]]></given-names>
</name>
<name>
<surname><![CDATA[Poblano Verástegui]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Vértiz Ramírez]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez Ortiz]]></surname>
<given-names><![CDATA[EC]]></given-names>
</name>
<name>
<surname><![CDATA[Magaña Izquierdo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementación de indicadores de calidad de la atención en hospitales públicos de tercer nivel en México]]></article-title>
<source><![CDATA[Salud Pública Méx]]></source>
<year>2017</year>
<volume>59</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>227-35</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
<name>
<surname><![CDATA[Abdo]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Abdo]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<source><![CDATA[Protocolo de actuación en la hemorragia digestiva alta]]></source>
<year>2017</year>
<page-range>10</page-range><publisher-loc><![CDATA[Guantánamo ]]></publisher-loc>
<publisher-name><![CDATA[Hospital General Docente Dr. Agostinho Neto]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Águila Melero]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez Prendes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[González Batista]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Guedes Sardiña]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Capin Sarría]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía para el manejo de la hemorragia digestiva alta]]></article-title>
<source><![CDATA[Rev Cien Salud Cienfuegos]]></source>
<year>2006</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>134-8</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[Singh Chuy]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Espinosa Abreu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Columbié Colas]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Cantillo Fernández]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valores ético-morales y calidad de los servicios prestados de enfermería en Guantánamo]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2017</year>
<volume>96</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elias Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bordelois Abdo]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Trujillo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Estevan Soto]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[González Hechavarria]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad de la atención a la materna grave en el Hospital "Dr. Agostinho Neto"Guantanamo]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2018</year>
<volume>97</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>508-17</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[Jasso Gutiérrez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Durán Arenas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Cuevas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aranza Doniz]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz Hernández]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación integral de la calidad de atención médica de las unidades de cuidados intensivos neonatales financiadas por el Seguro Médico para una Nueva Generación de México]]></article-title>
<source><![CDATA[Bol Med Hosp Infant Méx]]></source>
<year>2013</year>
<volume>70</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>441-55</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[Pérez Pulido]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
<name>
<surname><![CDATA[Orlandoni Merli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ramoni Perazzi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Valbuena Vence]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción de la calidad en la prestación de servicios de salud con un enfoque seis sigma]]></article-title>
<source><![CDATA[Rev Cubana Sal Púb]]></source>
<year>2018</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>302-17</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
