[Clinical and urologic management]

The concept of clinical management try to incorporate to the physicians the importance of their decessions regarding the dinamical and complex process of efficiency and health expenses. In this article the authors carry out a reflexive analysis of the reliable repercussion of this process into the healthy people, governmental authorities and assistencial setting of patients. It establish the involvement of the doctor in management, clinical management and it concludes the regulatory function to achieve the true clinical efficiency which harmonizes the relationship between the assistencial process and the corresponding resources consumption.