<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742024000300014</article-id>
<article-id pub-id-type="doi">10.18004/rdn2024.dic.03.014.029</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Validación de un instrumento de medición de indicadores de gestión en salud pública]]></article-title>
<article-title xml:lang="en"><![CDATA[Validation of an instrument for measuring public health management indicators]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ayala]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caycho-Rodríguez]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortigoza-Alvez]]></surname>
<given-names><![CDATA[Edis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortigoza-Aquino]]></surname>
<given-names><![CDATA[Edis Emanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Aquino]]></surname>
<given-names><![CDATA[Jazmín María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Sandoval]]></surname>
<given-names><![CDATA[Ruth María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Columbia del Paraguay Dirección de Posgrados ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Sudamericana Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Pedro Juan Caballero ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Científica del Sur  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Previsión Social Hospital Central &#8220;Dr. Emilio Cubas&#8221; ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Carrera de Kinesiología y Fisioterapia]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>16</volume>
<numero>3</numero>
<fpage>14</fpage>
<lpage>29</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742024000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742024000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742024000300014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la investigación se centra en la necesidad de validar y medir de manera confiable indicadores de gestión en el campo de la salud pública en Paraguay mediante técnicas psicométricas.  Objetivo:  el objetivo principal de este estudio fue desarrollar un instrumento válido y confiable para medir indicadores de gestión de salud pública en Paraguay considerando sus propiedades psicométricas.  Metodología:  esta investigación siguió un enfoque cuantitativo con un diseño observacional descriptivo y proposicional. Se realizó una prueba piloto utilizando escalas Likert para capturar diferentes aspectos de los indicadores de gestión de salud pública. Se realizaron análisis factoriales exploratorias y confirmatorias para validar el constructo y para el análisis estadístico se utilizó el programa JASP. La muestra incluyó a adultos de Paraguay que estuvieron relacionados con el sistema público de salud en el año anterior.  Resultados:  los resultados mostraron que la V de Aiken para todos los ítems fue superior a 0,7, lo que indica validez de contenido. Los índices de ajuste del análisis factorial confirmatorio como RMSEA=0,064 y CFI=0,971 demostraron una buena validez de constructo. Además, los valores alfa y omega fueron superiores a 0,9, lo que garantiza la alta confiabilidad del instrumento.  Conclusión:  estos resultados permitieron concluir que el instrumento desarrollado es válido y confiable para medir indicadores de gestión de salud pública en Paraguay.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  this study focuses on the need to validate and reliably measure management indicators in the field of public health in Paraguay using psychometric techniques.  Objective:  the main objective of this study was to develop a valid and reliable instrument to measure public health management indicators in Paraguay considering its psychometric properties.  Methodology:  this study followed a quantitative approach using a descriptive and propositional observational design. A pilot test was conducted using Likert scales to capture different aspects of public health management indicators. Exploratory and confirmatory factor analyses were performed to validate the construct, and the JASP was used for statistical analysis. The sample included adults in Paraguay who were connected to the public health system in the previous year.  Results:  the results showed that Aiken's V for all items was higher than 0.7, indicating content validity. The fit indices of the confirmatory factor analysis, such as RMSEA=0.064 and CFI=0.971, demonstrated good construct validity. In addition, the alpha and omega values were higher than 0.9, which guarantees the high reliability of the instrument.  Conclusion:  these results indicate that the developed instrument is valid and reliable for measuring public health management indicators in Paraguay.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gestión]]></kwd>
<kwd lng="es"><![CDATA[calidad]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[psicometría]]></kwd>
<kwd lng="en"><![CDATA[management]]></kwd>
<kwd lng="en"><![CDATA[quality]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[psychometrics]]></kwd>
</kwd-group>
</article-meta>
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<name>
<surname><![CDATA[Suárez Álvarez]]></surname>
<given-names><![CDATA[Ó]]></given-names>
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<name>
<surname><![CDATA[Fernández-Feito]]></surname>
<given-names><![CDATA[A]]></given-names>
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<name>
<surname><![CDATA[Vallina Crespo]]></surname>
<given-names><![CDATA[H]]></given-names>
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<name>
<surname><![CDATA[Aldasoro Unamuno]]></surname>
<given-names><![CDATA[E]]></given-names>
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<name>
<surname><![CDATA[Cofiño]]></surname>
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<article-title xml:lang=""><![CDATA[Herramientas para una evaluación del impacto en salud de los programas de salud pública e intervenciones comunitarias con una perspectiva de equidad]]></article-title>
<source><![CDATA[Gac Sanit]]></source>
<year>2018</year>
<volume>32</volume>
<numero>6</numero>
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