{ Copensar, espacio abierto, pensamiento sistémico, creatividad ... aplicado a los sistemas sanitarios "insuficientes" (pueden, pero no pueden con todo) }
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Documentos
©2002 lgs
URL de trackback de esta historia http://copensalud.blogalia.com//trackbacks/28336
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Se me ocurren multitud de cuestiones por las que asistiría a un coloquio o a una reunión.
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MacAnthony - fantástico lo de que invites! Tienes bitácora?
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NOTA AL MARGEN - revisión de quiénes has mencionado:
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Tengo una página en pruebas: www.webcalidad.preica.net/ |
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el espacio está abierto para todos los que vengan ... |
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La salud no como sistema, sino como espacio es algo que estaba en el post de hace un par de días que recuperé de memoria.
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He leido los artículos de Tom Munnecke y no me acaban de convencer. Parte de un concepto muy restrictivo de lo que son los sistemas y en realidad se está refiriendo más a sistemas cerrados que a sistemas complejos adaptativos. Prácticameente todas las propiedades de los espacios se dan en los sistemas complejos.
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Todos conocemos el paradigma problema/solución, aplicando la metodología médica de anamnesis,exploración,diagnóstico diferencial,presunción diagnóstica, tratamiento. El problema de la Sanidad Pública es plurietiológico, pero empieza en cuanto no se autoreconoce como problemático: Se maquilla y se da paso a curas paliativas, como el paso a la privada de listas de espera, la contratación de profesionales de fuera del sistema (importación de mano de obra que se prepara desde los informes que dicen que de las profesiones que se más se necesita en este país son ¡¡¡médicos y enfermeros!!! ¿y la plétora médica?) cuando en cambio el déficit se ha fomentado por un sistema MIR ineficiente y no ajustado a las necesidades reales. Otros signos de enfermedad del sistema serían el creciente endeudamiento merced al traspaso a las autonomías y el traspaso de la formación a entes con interés económico en la misma, la industria farmacéutica (merced a la visión a corto del gestor del sistema, el gobernante en cualquiera de sus niveles), una cartera de prestaciones excesiva y abultada, haciendo tender a una sanidad de máximos lo que empezó siendo un derecho de mínimos por obra de intereses políticos y no de necesidades razonables y razonadas (¿por qué no hay una cobertura de TAC 365 dias al año, hecho que cuesta vidas, y en cambio se financia los cambios de sexo? ¿donde está la bioética y la equidad?). Y hablando de equidad y universalidad, ¿deben los contribuyentes seguir asumiendo el coste de patologías provenientes del extranjero sin que ninguna agencia estatal reclame los costes a los países o lugares de origen? ¿Debe ser nuestro país la beneficencia sanitaria de Magreb y los países subsaharianos?
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Me queda claro señores que a todos ustedes les interesan temas relacinados con la salud, es por eso que los invito a que visiten www.todoensalud.org, donde ustedes podran incribirse, ver articulos con informacion reelevante e incluso recibir boletines, y si es interes de alguien compartir sus anecdotas pueden hacerlo, visitenlo es un sitio muy bueno!!!!!!!!!! |
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