Abstract
The project uses the reality of the Department of Surgery of the AOU G. Martino Messina, to plan and implement a new departmental organization, starting from the already matured experiences of hospital care for structured intensive care. The system is based on therapeutic needs and welfare of the citizen user with dedicated areas, according to real needs, with the help of multidisciplinary teams, overcoming the inpatient wards of UU.OO.CC., enhancement of professional capacity meritocratic and passing the management pyramid, resulting in smoothing of conflict and competition for the allocation of chief function. The sharing of the hospitality, the diagnostic and therapeutic guarantees, in addition to classic economies of scale, performance care that increase quality customer satisfaction, because the citizens being treated, have certain references and unique, adequate, coordinated, integrated, continuing the phases of the nursing staff. The perception of consistency, fairness, equality, personalization in the reception, in the comfort and enjoyment of the services and assistance. In addition, together with the use of evidence based medicine, that allows to provide reliable and therapies based on scientific evidence, it intends to introduce a new humanistic approach in the exercise therapy with the help of the Narrative Medicine that contextualizes and integrates clinical data and Scientific evidence with all the information concerning the individual's perception of the disease state and the meaning attributed to it. Narrative Based Medicine enables the active participation of the citizen in the process of taking care of care, emphasizes the uniqueness of the personality of the citizen user, recognizes its history of suffering and promotes straight primary determination.
Highlights
According to the schemes used by Henry Ford, the economies of scale are realized when there was a decline in average unit costs of output, by developing specialization, manufacturing automation and optimizing the use of fixed capital invested
Together with the use of evidence based medicine, which allows to provide reliable and therapies based on scientific evidence, it intends to introduce a new humanistic approach in the exercise therapy, with the help of the Narrative Medicine, which contextualizes and integrates clinical data and the scientific evidence with all the information concerning the individual's perception of the disease state and the meaning attributed to it
According to the Evidence Based Medicine (EBM) treatment decisions criteria, planned on the basis of reliable scientific evidence, should be materialized only after a thorough and objective assessment of symptoms and physical signs, and the semeiotics logical interpretation, it must focus on the specifics of the history and values subjective individual user Citizen
Summary
When in a production system, in a given time interval, there is a volume increase of the standard production, the economies of scale are realized, for the distribution of the fixed costs, on a greater number of units produced. In the wake EBM track, abandoned the old way of acting craft, the WHO has developed a new ability to produce health, based on standardized services, thanks to a new way of producing health paths, with the use of the characteristic principles Fordism, which is one of the fundamental pillars of the economy of the twentieth century. In this theater they are grafted new opportunities, to achieve "economies of scope" and system performance by leveraging and 'proper use of human resources, useful both on macro-economic scale (amalgamations of companies), both micro-economic (amalgamations of operating units). In the European scenario, it confirms and reinforces the need to identify and / or realize the hospitals of excellence, capable of providing health courses, tailored to the demands and needs of the population, networked, with increasing homogenization quality of the services provided, zeroing in territorial disparities, and the pursuit of goals, enshrined in the Constitution of law, equal, to the health of citizens
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