اهداف مدیریت برای پزشکان بیمارستان اخلاقی هستند

سال انتشار مقاله: ۲۰۱۹
عنوان به انگلیسی:
Are the management objectives for hospital physicians
ethical?
چکیده انگلیسی:
Abstract Management objectives at times create significant value conflicts that have so
far been seldom studied. This article analyses the ethical issues created by the operational
objectives of management for physicians who work in Spanish hospitals. These issues are as
follows: (1) the current system places quantity above quality, which represents a predominantly
economist management perspective; (2) the system is hierarchical, lacks participation
and deprives clinicians of decision-making authority; (3) the objectives are focused on outdated
activities in terms of the current reality of the healthcare system and should therefore
be updated considering, for example, chronicity and the continuity of care. After analysing
these issues, we created a proposal for developing management objectives based on prioritizing
quality care (which ultimately results in efficient management), developing objectives in
a participatory and mixed manner (with group and individual objectives) and designing new
objectives in keeping with the current reality of the healthcare system. Putting this proposal
into practice is not complicated because the final goal of clinicians and management is to
provide optimal health care.
© ۲۰۱۸ Elsevier Espa˜na, S.L.U. and Sociedad Espa˜nola de Medicina Interna (SEMI). All rights
reserved.
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