文章基本信息

标题：Implementing Hospital Self-Management Policy in Chile: Health Professionals’ Perceptions
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作者：Claudio A. Méndez ; Christian Miranda ; M. Cristina Torres 等
期刊名称：Gerencia y Políticas de Salud
出版年度：2014
卷号：13
期号：27
语种：English
出版社：Gerencia y Políticas de Salud
摘要：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.
关键词：health Policy;health systems;health Services;health services research;healthcare reform;qualitative research