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Once objetivos dignos para el liderazgo clínico de la reforma del sistema de salud
1Institute for Healthcare Improvement, Boston, MA 02116.
JAMA
|September 14, 1994
Resumen
Los médicos deben liderar la reforma de la atención médica centrándose en la mejora de la atención al paciente, no sólo en los cambios del sistema. La adopción de objetivos específicos como la reducción de procedimientos innecesarios y el tratamiento de los determinantes sociales puede mejorar los resultados y la equidad.
Área de la Ciencia:
- Servicios de salud Investigación Servicios de salud Investigación
- Política de la atención de la salud Política de salud.
- Mejoramiento de la Práctica Clínica.
Sus antecedentes:
- Los esfuerzos actuales de reforma de la atención médica a menudo se centran en cambios sistémicos en lugar de mejoras directas en la atención al paciente.
- Los médicos están en una posición única para liderar cambios significativos dentro del sistema de salud.
- Existe la necesidad de una agenda impulsada por los clínicos para abordar las necesidades de salud de la sociedad y mejorar la prestación de atención.
Objetivo del estudio:
- Abogar por el liderazgo clínico en la reforma de la atención médica.
- Identificar objetivos específicos y accionables para las iniciativas de mejora dirigidas por los clínicos.
- Proporcionar una base científica para priorizar los esfuerzos de reforma de la salud.
Principales métodos:
- El estudio propone 11 objetivos específicos para la reforma de la atención médica dirigida por clínicos, derivados de la investigación de servicios de salud.
- Estos objetivos se centran en mejorar la calidad, la eficiencia y la equidad de la prestación de atención médica.
- El resumen describe áreas de mejora, como la reducción de intervenciones inapropiadas, abordar los determinantes sociales de la enfermedad y mejorar la participación del paciente.
Principales resultados:
- Se presentan once objetivos plausibles para la reforma dirigida por los médicos, que cubren una amplia gama de aspectos de la atención médica.
- Las áreas clave incluyen reducir las intervenciones médicas innecesarias, abordar las causas profundas de la enfermedad y mejorar la atención para poblaciones específicas.
- Se hace hincapié en simplificar el uso farmacéutico y mejorar la participación del paciente en la toma de decisiones.
Conclusiones:
- Las profesiones y organizaciones de la salud deben adoptar estos 11 objetivos de reforma.
- El establecimiento de métricas para rastrear el progreso hacia estos objetivos es crucial.
- El compromiso con los cambios continuos y fundamentales en la práctica clínica es necesario para una reforma exitosa.
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