Influencia del modelo de gestión clínica en la calidad y eficiencia de una unidad asistencial. La relación del modelo con la sostenibilidad de los sistemas públicos de salud

Abstract

Public Health Systems (PHS), with total public funding for taxes, universal and which comprise the integral assistance of patients, constitute a social achievement of great magnitude, because they provide protection and prevention of the disease to the citizens in line with the rights and principles contained in the Universal Declaration of Human Rights, 1948. The support of PHS has included, from the beginning, significant difficulties for their support, aggravated in times like the present, where the great development and cost of medical science associated with the deep economic crisis that societies that manage them suffer cyclically, make that the feasibility of such systems, as they have been conceived, supposes perhaps the biggest management challenge in the Western Societies. The quality and efficiency together, as magnitudes directly related, with the active participation of professionals in the management of PHS, according to the precepts and the philosophy of Clinical Management, establish more rational and more effective strategies to achieve sustainability of these Services, without the quality of care would be compromised. The U.G.C. CCV has applied these concepts since 2008, when it was established, analyzed in this document the strategies used and the results achieved, especially on parameters of quality, efficiency and safety of patients, after 10 years of continuous activity, 17.852 patients and 95.376 clinic stays in the aforementioned unit of a tertiary hospital.