Publications IPH Magazine Annals of Summaries: 38th Congress of Hospital Administration and Health Management Interview with Scientific Coordinator of the Health Management Congress
- Editorial - 12th edition of IPH Magazine
- Interview with Scientific Coordinator of the Congress for Cost and Financial Management
- Interview with Scientific Coordinator of the Engineering, Architecture and Logistics Congress
- Interview with Santiago Venegas from Red de Clínicas Regionales - Santiago - Chile
- Interview with Scientific Coordinator of the People Management and Leadership Congress
- Interview with Scientific Coordinator of the Health Management Congress
- Testimony from Scientific Coordinator of the Hospital Hotel Congress
- Interview with Scientific Coordinator of Patient's Quality and Safety Congress
- Interview with Valdesir Galvan, Chairman of FBAH
- Interview with Paulo Roberto Segatelli Câmara, Chairman of the 38th Congress
- Summary: Implementation of disallowance indexes, control and reduction
- Summary: Perspectives for Hospitals Acting upon Public and Private Health in an Adverse Economic Scenario
- Summary: Unimed System's Own Resources Movement: Results and Challenges in the search for Cheaper Costs and Better Aid Quality
- Summary: Fee for Performance as a Tool to Support the Clinical Body and Aid Cost Management
- Summary: DRG and P4P: Supporting Tools to the Management of the Clinical Body and the Cost of Assistance
- Summary: How Should Hospitals Be Prepared to Handle the Entrance of Foreigner Investment? (1)
- Summary: How Should Hospitals Be Prepared to Handle the Entrance of Foreigner Investment? (2)
- Summary: TICs' role in the Search for Efficiency and Better Information in Hospitals ? An IT viewpoint
- Summary: The role of information technology and communication to increase efficiency and improve the quality of information in hospitals - the financial area viewpoint
- Summary: The Experience behind Setting up a New Management Model in a Cooperative of Medical Services
- Summary: How can Hospitals and Health Insurance Companies Build a Positive Agenda aiming at Sustainable Supplementary Health in an Unfavorable Economic Environment?
- Summary of the Master Conference: Whole Health - Planning to Serve
- Summary: Water and Energetic Resources - Cultural Change
- Summary: Water and Energetic Resources - Engineering Contribution - HCFMUSP
- Summary: Logistic Operation Center in Hospitals
- Summary: The Technical and Logistic Model of the Drug Advantage Program
- Summary: Compliance in Trading Special Materials (OPME)
- Summary: Tools for Integrated Planning - BIM System
- Summary: Master Plan and Project
- Summary: Case - Hospital Geral de Caraguatatuba
- Summary: Planning the Hospital Complex's Project and Building in Chile
- Summary: Planning the Hospital Complex's Project and Building in Portugal
- Summary: Undergoing the Construction - Managing Operations
- Summary: Commissioning Buildings and Systems of Buildings - Situation and Expectations
- Summary: Operational Tools and Costs
- Summary: Planning HR to Serve: The Workforce Blackout in the Health System
- Summary: Planning HR to Serve - the Workforce Blackout in the Health System
- Summary: HR Tools to Map Leaders (1)
- Summary: HR Tools to Map Leaders (2)
- Summary: HR Tools to Map Leaders (3)
- Summary: Case: "The 150 Best Places to Work" - The Strategies to Keep Employees' Satisfaction with Leaderships Beyond 80%
- Summary: Successful Case - How Elektro got elected the Best Place to Work by Guia 150 Melhores da Revista Exame with more than 90% of Employees Satisfaction?
- Reshaping Health - Progress and Perspective 2015
- Summary: Whole Health: The Situation in the Americas (1)
- Summary: Whole Health: The Situation in the Americas (2)
- Summary: The Completeness of Care and Integration in the Health System - Public-Private Relationship (1)
- Summary: The Completeness of Care and Integration in the Health System - Public-Private Relationship (2)
- Summary: The Entrance of Foreigner Investment to Finance Health Service Supply and the Market in Brazil (1)
- Summary: The Entrance of Foreigner Investment to Finance Health Service Supply and the Market in Brazil (2)
- Summary: The Intervention of the Law in the Health System (1)
- Summary: The Intervention of the Law in the Health System (2)
- Summary: Technologic Incorporation - Accurate Medicine (1)
- Summary: Technologic Incorporation - Accurate Medicine (2)
- Summary: Managing the Care: The Experience behind the Sociedade Beneficente de Senhoras Hospital Sírio-Libanês
- Summary: Managing the Care in the Institutions and the Net of Services
- Summary: Planning to Serve
- Summary: Sustainable Hospital Buildings (1)
- Summary: Sustainable Hospital Buildings (2)
- Summary: The "Amicão" Project
- Summary: "Amigos do Nariz Vermelho" Project
- Summary: The New Clients and the Challenges of Hospital Hotel
- Summary: A Panorama for the Safe Use of Medicines
- Summary: The Story of an Experience regarding the Safe Use of Medicines
- Summary: Safety in Anesthetic Procedures
- Summary: Safety in Auto Events
- Summary: Patient Safety - How Do I Do It?
- Summary: A Culture towards Safety (1)
- Summary: A Culture towards Safety (2)
- Summary: Transparency and Contact with Patient's Safety - the Patient's viewpoint
- Summary: Transparency and Contact with Patient's Safety - The Health Professional Viewpoint
- Summary: Transparency and Contact with Patient's Safety - The Health Institution's Viewpoint
- Summary: Integrality and Patient's Safety (1)
- Summary: Integrality and Patient's Safety (2)
- Summary: Safety Management within a Net
- Summary: Architectonic Safety
- Summary: Safety against Fire
Interview with Scientific Coordinator of the Health Management Congress
Gonzalo Vecina Neto
IPH - Health processes are supported by administrative processes. Which are the strategies to get the medical staff involved in the administrative processes?
Gonzalo Vecina - This the million-dollar question. How to integrate the doctor into the management process and how to integrate the doctor into the care process, the caring for healing issue we were discussing. It is clear that the doctor is a unique professional in this process, since, among all professionals, he is the one who gives the diagnosis and the treatment, which makes him unique. On the other hand, especially at private hospitals where you have an open clinic board, this difficulty is even more important. In public and private hospitals with a closed clinical body there is a set of rules that you can adopt. And I also see that in private hospitals working with open clinic body in closed unities. Often in closed unities, such as the ICU, you work with a closed clinic body hired, hence the doctor integration with the team, there is less difficulties, or even, it is easier. Considering the different levels of difficulties to integrate the doctor to the team, we have seen this idea that was mentioned here: patient-driven care with different levels of deepness. As our Osvaldo* used to say, taking things to the patient instead of the patients to the things, with limitations obviously, it is something to pursue. The same must happen with the team, which means, we have to think that for a better care to heal we must rethink the work division in health services. Our work is over segmented. In a way that, today, we have the guy that pushes the gurney, the guy that takes the patient out of the gurney, the guy that puts the patient on the gurney; it is a crazy division of work. So the nurses are responsible for maintaining the daily life, the physiotherapist is responsible for breathing physiotherapy. Then the patient is overwhelmed with activities and his treatment is aggrieved. You focus only on the healing, but taking care is as important. In some hospitals in Europe and the United States, the idea is to focus on the patient, so the professional rethinks his or her place of work. The professional closer to the patient is the one to undertake the care he or she needs at the time. This idea demands a reorganization of the work process, a schedule of work process and the creation of new work agreements inside the admission unit. It is also possible to take this idea to primary care, which means, with distinct process of treatment. It is a different way of treatment, but in fact, it demands a pact among the professionals in the team. And the doctor must be a part of this pact. This is much easier with a team composed by professionals within several areas of expertise, the doctor must be incorporated. This is the type of care management that we should spread in the team and the doctor has to believe in this project; it is feasible, but not easy.
*Osvaldo Artaza Barrios - Organización Panamericana de la Salud - México.
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