Palabras clave
investigación en servicios de salud
investigación en sistemas de salud pública
políticas de investigación en salud
Cómo citar
Resumen
Introducción. La pandemia de COVID-19 expuso fragilidades y desigualdades en los sistemas de salud de Iberoamérica, impulsando la necesidad de establecer prioridades de investigación que fortalezcan la resiliencia, la innovación y la equidad en el periodo posterior a la sindemia. Objetivos. Identificar, mediante consenso de expertos, las prioridades de investigación en sistemas y servicios de salud en Iberoamérica tras la sindemia de COVID-19. Metodología. Se realizó un eDelphi modificado entre septiembre de 2022 y marzo de 2023. Se enviaron 228 invitaciones, de las cuales 167 personas aceptaron participar (73,2 %). En la primera ronda, 99 expertos (43,7 %) generaron 164 propuestas, que se agruparon en seis dimensiones. En la segunda ronda, 66 panelistas (39,5 %) evaluaron la importancia de los temas mediante escala Likert (1-5). Finalmente, en la tercera ronda, 66 especialistas (39,5 %) completaron la valoración final. Se consideraron prioritarios los temas puntuados con 4 o 5 por al menos el 70% de los panelistas, se utilizó el rango intercuartílico para medir el nivel de consenso. Resultados. Se identificaron 59 temas prioritarios organizados en seis dimensiones temáticas: (1) modelos organizativos y planificación en crisis sanitarias; (2) respuesta ante amenazas ambientales con enfoque One Health; (3) equidad y ética en asignación de recursos; (4) vigilancia, prevención y control de enfermedades transmisibles y zoonosis; (5) participación ciudadana y pacientes , y (6) innovación y tecnologías en crisis de salud pública. El rango intercuartílico indicó alto consenso sobre la mayoría de los temas. Conclusiones. Este consenso iberoamericano aporta un marco estratégico para orientar la agenda de investigación en sistemas y servicios de salud posteriores a la sindemia. Contribuye a guiar políticas, financiamiento y cooperación internacional, fortaleciendo la resiliencia de los sistemas y promoviendo la equidad regional.
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Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2024 Clara Bermudez Tamayo, Tomas López Peña, Ana Eduviges Sancho Jiménez, Jackeline Alger, Malvina Hortensia de León Méndez , Jaime Jiménez Pernett