The majority of professionals in the Hospital Infantil La Fe de Valencia has formed an Association in Defense of the pediatric hospital, concerned about the deterioration of quality of care will suffer the children in the New Hospital Universitario La Fe, soon to become operational, if not altered their likely care organization. Like other referral hospitals in Spain, the Children of the Faith has worked since its inception in 1970 as an autonomous unit, independent from the rest of the health complex, which gather the different specialties focusing on the child, a type of patient very different from the adult. The child is not a small adult, requires a particular attention by the various specialists, who must work well articulated among themselves to health insurance give comprehensive assistance. However, the configuration of the new Fe dissolves the unity and independence of the circuits of care, the children mix with adults, and does not officiate a place to care for children in the emergency department and hospital areas nor areas for special units. What reasons Health are adduced to justify this dispersion "Two at least are not unusual-the increasing specialization of health and the triumph of efficiency on the demand for quality, but both require careful review. In regard to the first, the specialization certainly represents progress in attendance, but provided that meshes so that will not break the unity of comprehensive care. There are no diseases but sick people, each with its unique configuration. And in regard to foot efficiency is a problem that we have dragged on for over three decades, when health spending began to increase enormously to gain strength and the welfare state were problems of justice in the distribution of the health resources. Nations then that branch of the economy, now booming, the Health Economy, which introduces health economic rationality, analysis of "cost / benefit" to rationalize spending. This, in public health centers began to be cited three types of actors, love of patients: health professionals concerned about their patients when they are good professionals, managers, engaged in the efficient management of resources , and the government, which appoints the managers and require that desired efficiency, measured in money and actions that generate votes. Get an affordable health insurance package from strives to offer affordable health insurance The question is very complex. Certainly, efficiency is a good thing, we must optimize resources, which are always scarce, and waste is immoral. And it is important that public health is efficient, because it is untrue, as is commonly believed that the public is necessarily inefficient, wasteful private while efficiency and effectiveness: the economic crisis that we are experiencing has come from a private sector irresponsible ambitious and incompetent. But also the public sector has to hospital be efficient, provided that balance efficiency and fairness, and above all, provided you keep the quality of healthcare. The monetary return can never be detrimental to the quality, the increased specialization can not bear to lose the medical bills vision of the patient, in this case, the child with its peculiarities. With so many players in the world of health (practitioner, manager and political) do not forget the obvious, the truisms: that the goals of health, which give meaning and social legitimacy, are to prevent illness, cure what is curable with available means, take care of what can not be cured and help to die peacefully. These goals have been achieved in the context of healthcare organizations, run by managers within the framework of political institutions, but the specificity of all this plot is to provide professionals with the means to promote the good of the patient.
Wednesday, 09 December 2009
