Abstract
We suggest that in order to fulfill the health needs of the majority of the Chilean population, which is beneficiary of the public health system, essential organizational skills should be developed for network administration among Self-administered Hospitals, Network Manager and Primary Health Care facilities. Self-administered Hospitals should be competent in managing service options according to their strategy for development, reference and counter-reference mechanisms and waiting lists, to optimize queuing. The Network Manager should be competent in demand management that is regulated, investments management that determines future development in terms of population needs and stakeholders' management, which is a political viability type of management. Finally, the Primary Health Care manager should be competent in demand management as a strategic partner of the Network Manager, community participation and management of interlinked areas, articulating social networks and sanitary impact management. At each level and within levels, there are crossroads that promote synergies. Based on the development of essential skills, a practice with strategic intentions, organization managers will develop team work skills.
Highlights
Bío Bío. aMagíster en Administración de Salud y Doctor en Salud Pública. bPsicóloga Organizacional y Magister en Administración de Empresas. cCirujano Dentista y Magíster en Salud Pública
We suggest that in order to fulfill the health needs of the majority of the Chilean population, which is beneficiary of the public health system, essential organizational skills should be developed for network administration among Self-administered Hospitals, Network Manager and Primary Health Care facilities
The Network Manager should be competent in demand management that is regulated, investments management that determines future development in terms of population needs and stakeholders’ management, which is a political viability type of management
Summary
We suggest that in order to fulfill the health needs of the majority of the Chilean population, which is beneficiary of the public health system, essential organizational skills should be developed for network administration among Self-administered Hospitals, Network Manager and Primary Health Care facilities. Las competencias esenciales de una organización o core competences[1] provienen del conjunto de conocimientos incorporados en aquellos ámbitos que le son propios y que están presentes tanto en el conjunto de la organización como en sus unidades conformantes. La Escuela de Salud Pública de la Facultad de Medicina de la Universidad de Chile cuenta con una experiencia pionera de acompañamiento a directivos de servicios de salud, de hospitales autogestionados en red y de centros de atención primaria (APS), trabajando con equipos directivos para el desarrollo de competencias esenciales para la gestión en red en sus organizaciones públicas[2]. Hospital autogestionado en red Distinguimos tres competencias esenciales: desarrollar una cartera de servicios, consolidar un sistema de referencia y contra-referencia desde y hacia el hospital y gestionar las listas de espera (Figura 1)[9]. En todo caso, debe ser aprobado por el gestor de red, quien tiene la perspectiva epidemiológica de la población a cargo y, en el caso chileno, no debería estar exento de la contrastación de criterios con aquellos vigentes y consensuados en el CIRA
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