Portfolio of Services for the Manager Assistance Network Healthcare in Chile

Abstract

Objective: Identify the difficulties that Health Services administrators face when defining their clinical and administrative environments and identifying specific activities of Network Managers. Method: An exploratory qualitative study was carried out involving 32 health services managers and four former post-reform undersecretaries in Chile, where a legal reform was implemented that redefined their role in a new context. The category "Health Network Administrator" was created to evaluate the impact of the reform on the Development of healthcare services, considering five key categories: Health Network Management, Clinical-care coordination of providers, Economic management of the health network, Development of human resources for the health network and Investment management in the health network. Results: They indicate that eighteen differentiated services are the responsibility of the Network Manager. Some of these services require flexibility in the exchange, redistribution, and transaction of resources between members of the networks, which may require review in the current legal framework, especially in the financial and human resources areas. Conclusion: It postpones the discussion on the administrative reform of providers in Chile, emphasising the need to define specific objectives for managers that distinguish them from other actors in the health productive chain.