Validacion de un cuestionario de clima organizacional para organizaciones de salud/Validation of a Questionnaire on Organizational Climate Intended to Health Organizations/Validacao de um questionario de clima organizacional para organizacoes de saude

El presente trabajo rediseña un cuestionario de clima organizacional para hospitales de alta complejidad validando sus dimensiones y reactivos en unidades de atención primaria de salud. Se determinaron dos grupos muestrales: en Chile 389 casos y en Ecuador 583. Se sensibilizaron los reactivos mediante análisis de cargas factoriales y comunalidad y se validaron con modelamiento por ecuaciones estructurales. Cuatro dimensiones sintetizan 27 reactivos validados. Las relaciones directas e inversas entre los factores concuerdan con lo planteado por la teoría, se confirma homocedasticidad de las matrices de varianza y covarianza y se obtienen índices de bondad de ajuste que confirman el modelo. Se confirma que la tensión interna y el desarrollo profesional influyen significativamente y de manera inversa sobre los factores gestión interna y organización y desempeño. Los ajustes realizados al modelo y los índices de bondad de ajuste confirman que el modelo se asemeja adecuadamente a la realidad. Palabras clave: clima organizacional, validación multivariada, dimensiones del clima en APS, ecuaciones estructurales This work presents a redesign of the organizational climate questionnaire for high-complexity hospitals, by evaluating the hospital dimensions and reaction processes in the Primary Health Care (PHC) units. Two sample groups were used: 389 cases in Chile and 583 in Ecuador. The reaction processes were made sensitive according to an analysis of factor loads and commonalities and were then validated with a modelling based on structural equations. Four dimensions summarize the 27 reaction processes validated herein. Direct and inverse relations between the factors match the assumptions provided in the theory. The variance and covariance of the matrices confirmed that it is a homoscedastic model. The measures of goodness of fit validated the model. It is then confirmed that both the internal tension and the professional development influence significantly and inversely the internal management factors as well as the organization and performance. The adjustments done to the model and the goodness of fit measures confirmed that the model represents appropriately the reality. Keywords: organizational climate, multivariate validation, climate dimensions in the PHC, structural equations O presente trabalho redesenha um questionário de clima organizacional para hospitais altamente complexos validando suas dimensões e reativos em unidades de atenção primária de saúde. D