[Amplified clinic, democratic management and care networks as theoretical and pragmatic references to the hospital reform].
This paper uses elements of the Paideia concept to suggest guidelines for contemporary hospital reform, particularly the reorganization of work processes based on the concepts of extended general practice and democratic management. Instead of production-line work processes, an alternative way of structuring patient care is proposed, newly crafted with professional autonomy and clearly defined clinical responsibilities. An analysis is also presented of the difficulties and consequences of integrating hospitals with public health systems.
Departamento de Medicina Preventiva e Social, Universidade Estadual de Campinas, Campinas, SP. gastaowagner@mpc.com.br
Gastão Wagner de Sousa
GW
Campos
Márcia Aparecida
MA
do Amaral
D001938:Brazil; D003709:Democracy; D006739:Hospital Administration