RESUMEN
Hospital evaluation is a fundamental process to identify medical units' objective compliance, to analyze efficiency of resource use and allocation, institutional values and mission alignment, patient safety and quality standards, contributions to research and medical education, and the degree of coordination among medical units and the health system as a whole. We propose an evaluation system for highly specialized regional hospitals through the monitoring of performance indicators. The following are established as base thematic elements in the construction of indicators: safe facilities and equipment, financial situation, human resources management, policy management, organizational climate, clinical activity, quality and patient safety, continuity of care, patients' and providers' rights and obligations, teaching, research, social responsibility, coordination mechanisms. Monitoring refers to the planned and systematic evaluation of valid and reliable indicators, aimed at identifying problems and opportunity areas. Moreover, evaluation is a powerful tool to strengthen decision-making and accountability in medical units.
Asunto(s)
Hospitales Especializados/normas , Gestión de la Calidad Total , Personal de Salud , Humanos , México , Derechos del Paciente , Seguridad del Paciente , Gestión de la Calidad Total/organización & administraciónRESUMEN
Human beings have a natural resistance to think about their old age, both personally and professionally. Governments have targeted efforts to successfully prolong the life of the population, situation which already is a social and economic problem. "Old is a person with physical, intellectual and emotional limitations, who has a reduced autonomy and welfare, as a result of the years lived". Not everyone ages at the same age; it will depend on health, habits, physical and intellectual activity, nutritional status, vices and attitude towards life. A physician may decide not to continue exercising medicine due to: health problems, because they do not want to, because they do not feel competent, because of the risk of having to deal with a complaint or a lawsuit, to have a new life project, or because they have no patients. The options available for a doctor at the time of retirement will depend on his/her age, health status, stage of the aging process: autonomy, dependency or old age; his/her physical and mental condition, professional development, economic situation and family environment. A doctor may remain independent, join another family or seek shelter in a retirement home.
Asunto(s)
Relaciones Familiares , Médicos , Jubilación , Anciano , HumanosRESUMEN
In the present work, we present an analysis of ethics in the practice of medicine, as a fundamental element of the quality of medical care. We present a brief review of factors related to the development of ethics. In this paper we have shown different institutional and societal conditions for the definition and promotion of ethics. We present a conceptual analysis of the quality of medical care and how ethics interplays with the care given by medical practitioners and how that combination of quality medical care and adherence to ethical principles are used to solve health problems, with a high-degree of satisfaction to both patients and their families. Before entering into the conceptualization of each of the ethical principles of medical practice, the concepts of morality, ethics, bioethics, medical ethics, and ethical deontology are defined. We continue with the proposal of ten ethical principles of medical practice that include charity, fairness, autonomy, confidentiality, respect, dignity, solidarity, honesty, loyalty, and justice, and the concept of each of them, as well as the precepts that each principle contains.
Asunto(s)
Ética Médica , Médicos/ética , Humanos , Derechos del PacienteRESUMEN
Estudio de la calidad de la atención médica y los avances que ha tenido, con el propósito de mejorar la calidad, eficiencia y satisfacción de los usuarios y prestadores de servicios en las unidades hospitalarias mediante la identificación, seguimiento y solución de los problemas que las afectan. Contiene: 1. Objetivo 2. Definición de calidad de la atención 3. Definición de evaluación, garantía y acreditación de calidad de la atención médica 4. Políticas 5. Universo 6. Responsables de la aplicación 7. Responsabilidad del manejo de resultados 8. Evaluación del proceso de la atención médica 9. Evaluación de resultados 10. Metodología para la evaluación de la calidad de la atención médica