title: Clinical management departments for the neurosciences.
abstract: BACKGROUND
  Neuroscience-related clinical management departments (UGC in Spanish) represent a means of organising hospitals to deliver patient-centred care as well as specific clinical and administrative management models.
  
  
  METHODS
  The authors review the different UGC models in Spain and their implementation processes as well as any functional problems. We pay special attention to departments treating neurological patients.
  
  
  CONCLUSIONS
  Neuroscience-related specialties may offer a good framework for the units that they contain. This may be due to the inherent variability and costs associated with neurological patients, the vital level of coordination that must be present between units providing care, and probably to the dynamic nature of the neurosciences as well. Difficulties associated with implementing and gaining acceptance for the new model have limited such UGCs until now.
authors.affiliation: Instituto de Neurociencias, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España. Electronic address: neurol.hcsc@salud.madrid.org.
authors.forename: J
authors.initials: J
authors.lastname: Matías-Guiu
authors.affiliation: Instituto de Neurociencias, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España.
authors.forename: R
authors.initials: R
authors.lastname: García-Ramos
authors.affiliation: Instituto de Neurociencias, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Ramos
authors.affiliation: Director Gerente del HCSC Instituto de Neurociencias, Hospital Clínico San Carlos, Madrid, España. Electronic address: inc.Hcsc@Salud.Madrid.Org.
authors.forename: J
authors.initials: J
authors.lastname: Soto
mesh_terms: D006757:Hospital Units / Q000458:organization & administration; D006801:Humans; D009422:Nervous System Diseases / Q000628:therapy*; D009488:Neurosciences / Q000193:education*; D013030:Spain
keywords: Atención centrada en el paciente; Clinical management; Clinical management departments; Gestión clínica; Hospital; Neurociencias; Neurosciences; Patient-centred care; Unidades de gestión clínica