Las áreas o unidades de gestión clínica como instrumento de microgestión hospitalaria
La gestión clínica pretende restaurar los niveles de salud de los pacientes, en la medida de lo posible, mediante acciones que conciernen a pacientes individuales o grupos de pacientes, agrupados por una patología o procedimiento comunes. Se pretende favorecer la evolución de la práctica de la medicina, hacia una mayor orientación a las necesidades del usuario, el creciente fundamento de la evidencia y la interiorización del coste de oportunidad de las actuaciones.
Por ello, antes de pasar a desarrollar el proceso de descentralización de toma de decisiones, analizamos en profundidad dos aspectos que son muy relevantes en el proceso asistencial, como son la gestión del conocimiento y la variabilidad de la práctica clínica, puesto que sobre ellos va a recaer la posibilidad de avance y mejora de la eficiencia en la gestión del proceso asistencial.
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