Thursday, 10 December 2009

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PUBLIC HEALTH: efficiency or quality ' 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...