Implementing Hospital Self-Management Policy in Chile: Health Professionals’ Perceptions

Hospitals have been considered a main component for health systemssuccess. Objective: To describe perceptions from hospital staff regarding the implementationof the hospital self-management policy in two highly complex facilities in Chile. Justification:A successful policy implementation demands ali...

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Autor Principal: Méndez, Claudio A.; Universidad Austral de Chile
Otros Autores: Miranda, Christian; Universidad de Chile, Torres, M. Cristina; Universidad Austral de Chile, Márquez, Myriam; Universidad Austral de Chile
Formato: info:eu-repo/semantics/article
Idioma: spa
Publicado: Editorial Pontificia Universidad Javeriana 2014
Materias:
Acceso en línea: http://revistas.javeriana.edu.co/index.php/gerepolsal/article/view/11961
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Sumario: Hospitals have been considered a main component for health systemssuccess. Objective: To describe perceptions from hospital staff regarding the implementationof the hospital self-management policy in two highly complex facilities in Chile. Justification:A successful policy implementation demands aligned health professionals regarding policychanges. Methods: Descriptive and exploratory qualitative study based on semi-structuredinterviews for health professionals from two hospitals in southern Chile. A convenience sampleof nineteen health professionals was selected for interviewing. The interviews’ analysis wasthought as the content analysis technique in its conventional approach. Results: For healthprofessionals, a hospital’s self-management policy is conceptualized from financial autonomy.Human resources for health and organizational capabilities still remain as weaknesses of theimplementation process. Conclusions: Overcoming gaps between design and implementationprocesses are crucial for success in hospital reform implementation.