{"id":349,"date":"2014-10-19T11:51:09","date_gmt":"2014-10-19T11:51:09","guid":{"rendered":"https:\/\/gtes.traperia.com\/?p=349"},"modified":"2020-01-02T12:20:54","modified_gmt":"2020-01-02T12:20:54","slug":"la-privatizacion-de-la-gestion-sanitaria-efecto-secundario-de-la-crisis-y-sintoma-de-mal-gobierno-informe-sespas-2014","status":"publish","type":"post","link":"https:\/\/gtes.traperia.com\/en\/2014\/10\/19\/la-privatizacion-de-la-gestion-sanitaria-efecto-secundario-de-la-crisis-y-sintoma-de-mal-gobierno-informe-sespas-2014\/","title":{"rendered":"La privatizaci\u00f3n de la gesti\u00f3n sanitaria: efecto secundario de la crisis y s\u00edntoma de mal gobierno. Informe SESPAS 2014"},"content":{"rendered":"

Gaceta Sanitaria<\/em><\/strong>, vol. 28(S1), pp. 75 – 80.<\/p>\n\n\n\n

Autores: Fernando I. S\u00e1nchez Mart\u00ednez, Jos\u00e9 Mar\u00eda Abell\u00e1n Perpi\u00f1\u00e1n<\/strong>, Juan Oliva-Moreno.<\/p>\n\n\n\n

Resumen<\/strong><\/p>\n\n\n\n

Con frecuencia se asegura que la gesti\u00f3n p\u00fablica de los centros sanitarios es ineficiente. A partir de esta premisa, no contrastada, se argumenta la necesidad de introducir elementos privatizadores en la gesti\u00f3n. En este art\u00edculo se revisa la evidencia disponible, a escala nacional e internacional, acerca de la aplicaci\u00f3n de mecanismos de gesti\u00f3n privada en sistemas predominantemente p\u00fablicos similares al Sistema Nacional de Salud espa\u00f1ol. Dicha evidencia sugiere que la gesti\u00f3n privada de los servicios sanitarios no es necesariamente mejor que la gesti\u00f3n p\u00fablica, ni tampoco lo contrario. La titularidad, p\u00fablica o privada, de los centros sanitarios no determina sus resultados. \u00c9stos, por el contrario, est\u00e1n mediatizados por otros elementos, tales como la cultura de los centros o el ejercicio de una adecuada supervisi\u00f3n por parte del financiador. El fomento de la competencia entre centros (con independencia de la forma jur\u00eddica de gesti\u00f3n) s\u00ed podr\u00eda, sin embargo, ofrecer mejoras bajo determinadas circunstancias. Conviene, por tanto, abandonar cuanto antes el debate, estrecho de miras, en torno a qu\u00e9 modelo de gesti\u00f3n es superior, para concentrar los esfuerzos en mejorar la gesti\u00f3n misma de los servicios sanitarios. Entender que la calidad del gobierno afecta a las pol\u00edticas de salud, a la gesti\u00f3n de las organizaciones sanitarias y a la propia pr\u00e1ctica cl\u00ednica es el requisito, quiz\u00e1s no suficiente, pero sin duda imprescindible, para avanzar en pol\u00edticas que favorezcan la solvencia del sistema.<\/p>\n\n\n\n

Abstract<\/strong><\/p>\n\n\n\n

It is often asserted that public management of healthcare facilities is inefficient. On the basis of that unproven claim, it is argued that privatization schemes are needed. In this article we review the available evidence, in Spain and other countries, on the application of private management mechanisms to publicly funded systems similar to the Spanish national health system. The evidence suggests that private management of healthcare services is not necessarily better than public management, nor vice versa. Ownership\u2014whether public or private\u2014of health care centers does not determine their performance which, on the contrary, depends on other factors, such as the workplace culture or the practice of suitable monitoring by the public payer. Promoting competition among centers (irrespective of the specific legal form of the management arrangements), however, could indeed lead to improvements under some circumstances. Therefore, it is advisable to cease the narrow-minded debate on the superiority of one or other model in order to focus on improving healthcare services management per se. Understanding that good governance affects health policies, the management of health care organizations, and clinical practice is, undoubtedly, an essential requirement but may not necessarily lead to policies that stimulate the solvency of the system. <\/p>","protected":false},"excerpt":{"rendered":"

Gaceta Sanitaria, vol. 28(S1), pp. 75 – 80. Autores: Fernando I. S\u00e1nchez Mart\u00ednez, Jos\u00e9 Mar\u00eda Abell\u00e1n Perpi\u00f1\u00e1n, Juan Oliva-Moreno. Resumen Con frecuencia se asegura que la gesti\u00f3n p\u00fablica de los centros sanitarios es ineficiente. A partir de esta premisa, no contrastada, se argumenta la necesidad de introducir elementos privatizadores en la gesti\u00f3n. En este art\u00edculo … <\/p>\n

Continue reading \u00abLa privatizaci\u00f3n de la gesti\u00f3n sanitaria: efecto secundario de la crisis y s\u00edntoma de mal gobierno. Informe SESPAS 2014\u00bb<\/span><\/a><\/p>","protected":false},"author":5,"featured_media":352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,4],"tags":[],"class_list":["post-349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulos","category-publicaciones"],"_links":{"self":[{"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/posts\/349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/comments?post=349"}],"version-history":[{"count":1,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/posts\/349\/revisions"}],"predecessor-version":[{"id":351,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/posts\/349\/revisions\/351"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/media\/352"}],"wp:attachment":[{"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/media?parent=349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/categories?post=349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gtes.traperia.com\/en\/wp-json\/wp\/v2\/tags?post=349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}