Me preocupa que la atención sanitaria que reciban los pacientes sea lo más segura posible; me interesa que los profesionales sanitarios trabajen en un ambiente libre de culpas, de cargas añadidas de trabajo y que hagan bien lo que saben; me gustaría que la organización sanitaria sea menos opaca y de verdad practique lo que predica: que el ciudadano es el eje del sistema de salud. Y que cuando todo se viene abajo, seamos capaces de afrontar la crisis con conocimiento y de la manera más propicia.
jueves, 17 de marzo de 2016
lunes, 14 de marzo de 2016
Era 3 for medicine and health care
Era 3 for medicine and health care
Berwick DM
Journal of the American Medical Association. 2016 [epub]. DOI http://dx.doi.org/10.1001/jama.2016.1509
In this Viewpoint piece Don Berwick describes medicine as undergoing “an epic collision of 2 eras with incompatible beliefs” before positing a new era, era 3. While “Era 1 is the era of professional dominance. Era 2 is the era of accountability and market theory” he argues that “It is time for era 3—guided by updated beliefs that reject both the protectionism of era 1 and the reductionism of era 2.” His era 3 requires nine important changes:
1. Reduce Mandatory Measurement
2. Stop Complex Individual Incentives
3. Shift the Business Strategy From Revenue to Quality
4. Give Up Professional Prerogative When It Hurts the Whole
5. Use Improvement Science
6. Ensure Complete Transparency
7. Protect Civility
8. Hear the Voices of the People Served
9. Reject Greed.
Berwick DM
Journal of the American Medical Association. 2016 [epub]. DOI http://dx.doi.org/10.1001/jama.2016.1509
In this Viewpoint piece Don Berwick describes medicine as undergoing “an epic collision of 2 eras with incompatible beliefs” before positing a new era, era 3. While “Era 1 is the era of professional dominance. Era 2 is the era of accountability and market theory” he argues that “It is time for era 3—guided by updated beliefs that reject both the protectionism of era 1 and the reductionism of era 2.” His era 3 requires nine important changes:
1. Reduce Mandatory Measurement
2. Stop Complex Individual Incentives
3. Shift the Business Strategy From Revenue to Quality
4. Give Up Professional Prerogative When It Hurts the Whole
5. Use Improvement Science
6. Ensure Complete Transparency
7. Protect Civility
8. Hear the Voices of the People Served
9. Reject Greed.
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