Resumen en español

Se diseñó y se probó una metodología de evaluación del desempeño de estudiantes de salud, realizada por la comunidad, tomando como indicador la satisfacción del usuario. Participaron 50 estudiantes de medicina y 94 familias de dos áreas de Cali, Colombia. Según criterios de las familias, la calidad de la atención brindada por los estudiantes está relacionada con las variables servicios mínimos, conocimientos sobre el tema, comunicación e información brindada a los usuarios y liderazgo para mejorar la prestación. La comunidad participó en el diseño de la metodología de evaluación. Se utilizaron entrevistas, grupos focales, conversaciones y un cuestionario semi-estructurado. Se analizó la validez del instrumento y la consistencia interna mediante el estadístico Kappa y el coeficiente Kuder Richardson. Se encontró que hay dos lógicas en la evaluación de calidad, la de los proveedores, cuyo énfasis está en el cumplimiento de normas técnicas, y la de los usuarios, que enfatiza en las relaciones proveedor-usuarios. Los programas académicos están fundamentados en la primera, pero deberían considerar ambos enfoques. A methodology for evaluation of health student’s achievement, taking as an indicator the user’s satisfaction, was designed and proved. Fifty medicine student’s (50%) and 94 families from two region of Cali, Colombia participated. According to family’s opinion, the quality of care given by the students is related with type of services provided, knowledge about the situation, communication and information given to the users and leadership to improve the service. The methodology used covered interviews, focus group discussions, meetings with key informants, and the application of a structured questionnaire. Statistic such as Kuder Richardson and Kappa Statistic were used to analyzed the inter rater validity and the internal consistency of the questionnaire. It was found that there are two logical in the evaluation of the quality; one from the suppliers, which emphasis is in the action done according to clinical protocols; and the users, that makes emphasis in the relations between suppliers - and users. The academic programs are based mainly on the first one. The results of this study demonstrate that the proposed assessment activity will allow the educational and health services institutions to have relevant and dynamic information as feedback for planning and adjustment their programs. At the same time, it will allow the community to participate in an effective way in aspects related to their health. It was concluded that the permanent participation of the community in the evaluation of the students it is a key aspect to adjust the educational programs to the needs and expectations of the society.