title: [The conceptual bases for an entrepreneurial management of local health systems].
abstract: Health management has become a fashion and it is now common to talk about strategic or service management, or of total quality management applied to health systems. However, all these elements of business management are being translated to health systems without a previous analysis on the implicit health model and the rationality of the prevalent production functions, which can lead to a higher level of efficiency but with an inadequate use of resources. This paper suggests the importance of integrating the advances in management and health sciences and proposes what are considered to be the conceptual basis for the design of a management tool geared to conduct local health systems with effectiveness, efficiency, quality and equity.
authors.affiliation: Programa de Liderazgo y Gestión de Salud, Instituto FES de Liderazgo, Santa Fé de Bogotá, Colombia.
authors.forename: F J
authors.initials: FJ
authors.lastname: Yepes
authors.forename: L
authors.initials: L
authors.lastname: Durán-Arenas
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D016520:Entrepreneurship / Q000458:organization & administration* / Q000639:trends; D006301:Health Services Needs and Demand / Q000458:organization & administration; D017146:Models, Organizational; D009936:Organizational Innovation
vernacular_title: Bases conceptuales para una gestión empresarial de los sistemas locales de salud.