Management and Quality in Non-Hospital Healthcare Services: Evidence from Physical Rehabilitation Centers in a District of Lima, Peru; Gestión y calidad en servicios de salud no hospitalarios: evidencias desde centros de rehabilitación física en un distrito de Lima, Perú

Abstract

Objective: To identify the relationships between management and quality of care in physical rehabilitation centers within a district of Lima, Peru. Methods: An observational, cross-sectional, and descriptive-correlational methodological design was used. The sample consisted of 85 patients over the age of 65, who were regular users of three specific centers in the district, selected through a census sampling method. Two Likert-type questionnaires were applied, both demonstrating high internal reliability (α = 0.942 and α = 0.948, respectively). Results: Positive and significant correlations were found between all dimensions of administrative management and quality of care: planning (r = 0.630), organization (r = 0.616), direction (r = 0.604), and control (r = 0.764). The overall correlation between administrative management and service quality was high (r = 0.794; p < 0.01), indicating a strong association. Conclusions: There is a direct and significant relationship between effective administrative management and perceived quality in the studied centers, with administrative control standing out as particularly important. The need to improve administrative strategies is also emphasized as a key factor in enhancing the quality of care perceived by users. © 2025 Elsevier B.V., All rights reserved.