Integración del cuidado de la salud en Euskadiestudio cualitativo y diagnóstico del proceso de implementación de Osakidetza-Sistema Vasco de Salud.

  1. Goizalde Hernando Sarachaga
  2. Julen Izagirre Olaizola
  3. María Soledad Aguirre García
Revue:
Management Letters / Cuadernos de Gestión

ISSN: 1131-6837

Année de publication: 2021

Volumen: 21

Número: 1

Pages: 61-73

Type: Article

DOI: 10.5295/CDG.181030GH DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Management Letters / Cuadernos de Gestión

Résumé

This article analyzes the health care integration process implemented in the Basque Country (Spain) within its public health system (Osakidetza – an international benchmark), as well as the perception of people leading it. The integration process is necessary in the current context and it proposes to intervene with a broad vision on the health of citizens, which requires rejecting a limited vision of health in favor of a coordinated and transversal work of the health system with other public administrations and social agents. The new model aims to move towards a proactive and much more patient-centered system and implies a significant change in its structures and care tools. A qualitative methodology applied consists on a case study based on in-depth interviews. The research enables to identify its strengths and to detect the key elements to improve. Among these factors, we can identify the Integrated Sanitary Organization (ISO), the integrated information and ICT systems, the new roles of nurses, the program contract, as well as the changes addressed to the empowerment of the patient and to the coordination among professionals as well as among the community and social ambit.

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