[Technical project for the management and functioning of an Internal Medicine care unit].
The Internal Medicine Services have a central role in the medical care in our hospital system both as to the volume of patients attended and their variety, reflecting of the preparation and multi-tasking ability of their professionals. The current norms for coverage of heads-of-service demands the presentation of a management project that must test our knowledge, skills and aptitudes for the clinical and medical management and in order to reflect them in a document of commitment with the management and with our fellows who are a part of the care unit. The person in charge of the service, as boss, agent or leader, is the one who must mark the strategic lines, to indicate the aims, to define the projects, to coordinate the tasks and to evaluate the results with other offers to obtain agreed-upon aims controlling the different points of view. Our professional and social commitment is: sharing clinical management with ethics, quality and welfare safety, to offer our patients (consumer or users) the best results (effectiveness), with useful measurements (efficacy) and with the minors drawbacks and costs (efficiency). The aim of this work is to offer the elements that are necessary for the accomplishment and introduction of a project of clinical management in a service of internal medicine, highlighting its methodology and the most important problems than can arise as well as the possible care alternatives.
del Castillo Rueda
A
A
Servicio de Medicina Interna IL, Hospital General Universitario Gregorio Marañón, Madrid. acr@ya.com
de Portugal Alvarez
J
J
D004501:Education, Medical; D006280:Health Workforce; D006740:Hospital Administrators; D006748:Hospital Departments / Q000458:organization & administration* / Q000706:statistics & numerical data; D006760:Hospitalization; D006801:Humans; D015274:Interdepartmental Relations; D007373:Interinstitutional Relations; D007388:Internal Medicine / Q000193:education / Q000458:organization & administration*; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital; D008962:Models, Theoretical; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012017:Referral and Consultation / Q000458:organization & administration; D012106:Research