Abstract

This article aims to describe our model of healthcare management, analyze its results and explain the innovative proposals we developed in primary care linked to this management model.We outline our service, its organization, human and technical resources, quality management, coordination with primary care, services’ portfolio and activity for 2009. The management model and its results, as well as the proposals we are currently developing in primary care are described.The Mutua de Terrassa University Hospital is linked to the Catalan health system but has private management. Healthcare activity is carried out across distinct levels of care. The management model is based on three main points: the continuum of care, the single product, and the direct management of human and technical resources by the departmental head, who also actively participates in the project. This model has required the implementation of a physical structure and human and technical resources and the establishment of closer links with primary care through computerized medical records and education programs in rehabilitation for multidisciplinary groups.A cross-disciplinary model ensures the continuum of care and the single product. Comprehensive management of the rehabilitation process is essential for this purpose. The hospital must address complex diseases. A strong primary care structure is essential. Equally important are geriatric and home-based services. The specialty of rehabilitation must move forward and education is crucial in stimulating the quality of clinical practice and research.

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