{"id":110171,"date":"2018-03-11T10:36:04","date_gmt":"2018-03-11T10:36:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-y-desarrollo-de-un-plan-hemoterapico\/"},"modified":"2018-03-11T10:36:04","modified_gmt":"2018-03-11T10:36:04","slug":"analisis-y-desarrollo-de-un-plan-hemoterapico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/pediatria\/analisis-y-desarrollo-de-un-plan-hemoterapico\/","title":{"rendered":"\u00aban\u00e1lisis y desarrollo de un plan hemoter\u00e1pico\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Arrontes Caballero <\/strong><\/h2>\n<p>En el momento actual, el modelo hemoter\u00e1pico de la comunidad aut\u00f3noma de castilla-la mancha, se basa en tres centros de transfusi\u00f3n, situados en toledo (hospital \u00c2\u00bfvirgen de la salud\u00c2\u00bf); ciudad real (hospital \u00c2\u00bfnuestra se\u00f1ora de alarcos\u00c2\u00bf); albacete (hospital general universitario), que dan cobertura, respectivamente, a las \u00e1reas de salud de guadalajara, talavera y toledo (en el primer caso); ciudad real, la mancha centro y puertollano (en el segundo caso); albacete y cuenca (en el \u00faltimo caso). Por tanto, las tres \u00e1reas hemoter\u00e1picas engloban, cada una de ellas, varias \u00e1reas de salud, en las que se divide la comunidad. a d\u00eda de hoy, el modelo vigente, es similar a lo que, en la pr\u00e1ctica, se ha dise\u00f1ado en otras comunidades aut\u00f3nomas pluriprovinciales y con dispersi\u00f3n geogr\u00e1fica, con la particularidad de que, en aquellas que solo tienen un centro de transfusi\u00f3n, algunos servicios de transfusi\u00f3n desempe\u00f1an diversas funciones que la legislaci\u00f3n reserva \u00fanicamente para los centros de transfusi\u00f3n, con lo cual resultan, en la pr\u00e1ctica, un modelo mixto entre la denominaci\u00f3n y las funciones que realmente realizan. el modelo que se plantea en el presente trabajo supone la demostraci\u00f3n de que es posible dise\u00f1ar una red hemoter\u00e1pica con un \u00fanico centro de transfusi\u00f3n, en una comunidad aut\u00f3noma pluriprovincial y geogr\u00e1ficamente dispersa. Para ello, se ha considerado la creaci\u00f3n de un centro regional en una ubicaci\u00f3n centrada geogr\u00e1ficamente en la comunidad, cumpliendo todos los requisitos que la legislaci\u00f3n marca para este tipo de centros, dejando que el resto de dispositivos hemoter\u00e1picos, sean servicios de transfusi\u00f3n. Adicionalmente, el modelo propuesto, respeta estrictamente las funciones y cometidos que la legislaci\u00f3n marca para cada uno de ellos, por lo que podemos definirlo como un modelo estricto. metodolog\u00eda: el material y m\u00e9todos empleados en la elaboraci\u00f3n del trabajo, se incluye: 1.- Metodolog\u00eda y dise\u00f1o: es un estudio de planificaci\u00f3n sanitaria estrat\u00e9gica. 2.- Legislaci\u00f3n: se ha revisado y actualizado toda la legislaci\u00f3n actualmente existente, en el \u00e1mbito nacional y de la comunidad aut\u00f3noma de castilla-la mancha, en particular. 3.- Estructura hemoter\u00e1pica de la comunidad aut\u00f3noma de castilla-la mancha, tanto desde el punto de vista demogr\u00e1fico como de planificaci\u00f3n estrat\u00e9gica asistencial en las \u00e1reas de salud y \u00e1reas hemoter\u00e1picas de la comunidad. 4.- An\u00e1lisis de la seguridad y calidad de los hemoderivados. 5.- Marco presupuestario de la implantaci\u00f3n y funcionamiento posterior. 6.- An\u00e1lisis estad\u00edstico objetivos: 1.- Autosuficiencia en hemoderivados 2.- Sistema de calidad total y seguridad 3.- Autosuficiencia presupuestaria conclusiones: 1.- Autosuficiencia en hemoderivados: el modelo crea una estructura de red hemoter\u00e1pica regional en castilla-la mancha, que garantiza la total cobertura de las necesidades de los distintos hemoderivados de la regi\u00f3n. Posibilita el intercambio de los excedentes a otras comunidades lim\u00edtrofes. Por tanto, no genera dependencia del exterior. 2.- Calidad total y seguridad: el modelo garantiza el cumplimiento de la legislaci\u00f3n vigente, normas de buenas pr\u00e1cticas (aplicaci\u00f3n de la lex artis, seg\u00fan el estado del arte en cada momento) y, la aplicaci\u00f3n de criterios de calidad adicionales (acreditaci\u00f3n, certificaci\u00f3n, seg\u00fan los modelos de calidad total elegidos). 3.- Autosuficiencia presupuestaria: el modelo es autosuficiente en t\u00e9rminos econ\u00f3micos. El balance de la cuenta de explotaci\u00f3n es positiva con sus propios medios. Lo cual permite, la reinversi\u00f3n en la estructura y\/o la amortizaci\u00f3n de los costes iniciales de inversi\u00f3n en su puesta en marcha. 4.- Por todo lo anterior: es posible crear una estructura centralizada de red regional de hemoterapia en comunidades aut\u00f3nomas con alto grado de dispersi\u00f3n geogr\u00e1fica. El modelo cumple los fines propuestos: cobertura asistencial plena en hemoderivados, calidad y seguridad, todo ello, a coste sostenible, resultando autosuficiente. El modelo es efectivo, para cumplir todos los objetivos propuestos y es eficiente, al realizarse bajo un entorno de m\u00e1ximo aprovechamiento de los recursos, minimizando los costes y aprovechando las econom\u00edas de escala. Permite la creaci\u00f3n de dos dispositivos complementarios, de los que la comunidad de castilla-la mancha, carece: banco de tejidos y laboratorio regional de referencia.  background: nowadays, the haemotherapic pattern in autonomous community of castile-la mancha\u00c2\u00bf, is based on three transfusion centres, located at toledo (\u00c2\u00bfvirgen de la salud\u00c2\u00bf hospital); ciudad real (\u00c2\u00bfnuestra se\u00f1ora de alarcos\u00c2\u00bf hospital); albacete (\u00c2\u00bfhospital general universitario\u00c2\u00bf) covering the health areas of guadalajara, talavera and toledo (in the first case); ciudad real, la mancha centre and puertollano (in the second case); albacete and cuenca (in the last one), respectively. Then, each one of the three haemotherapic areas comprises several health areas in which the community is divided. today, the current pattern, is similar to the pattern designed in other pluriprovincial and geographically dispersed autonomous communities, with the particularity that in those communities with just one transfusion centre, some transfusion services carry out several functions which are legally reserved to the transfusion centres. So, in practical terms, the result is a mixed pattern between denominations and functions carried out by them in fact. this work paper proposes a pattern assuming that is possible to design an haemotherapic network enclosing just one transfusion centre, in a pluriprovincial and geographically dispersed autonomous community. So that, the creation of a regional centre geographically located in the centre of the community according to all regulatory requirements for this type of centres, and allowing the other haemotherapics devices to work as transfusion services has been contemplated. Furthermore, the proposed pattern observes functions and assignments marked by the regulations, so we can define it as a tight pattern. framework material and methodology used for the work paper are as following: 1.- Methodology and design: is a model of strategic health planning. 2.-Loyal framework: all current national legislation and regulations from the community of castile-la mancha have been duly reviewed and updated. 3.- Haemotherapic structure at community of castile-la mancha, from both points of view of demography and strategic health and haemotherapics planning at the community. 4.- Security and quality analysis in blood derivatives 5.-The evaluation and control systems and its economic quantification have been taken into account to cost out the implementation and the maintenance plan. 6.- Statistical analysis. proposed aims: 1.- Self-sufficiency in blood-derivatives 2.- Whole quality and security system 3.- Budgetary self-sufficiency conclusions: 1.- Self-sufficiency in blood-derivatives, is guaranteed in total regional country and the different types of haemotherapeutic products. To the next communities, is easy to interchange of surplus blood products. The model is not depended. 2.- Whole quality and security system: its content is according to the literature, current law requirements, the good practices and the quality criteria, both general (iso, efqm) and specifics standards for blood banks (state of art). 3.- Sustainable cost in economic terms. The model is efficient because is performed in a resources optimization setting, minimizing costs and exploiting the economy of scale. 4.- It is feasible the creation of a centralized structure for an haemotherapy regional network in autonomous communities with high grade of geographical dispersion. The pattern is effective, complying with the proposed goals: self-sufficiency in blood derivatives, whole quality and security system with a sustainable cost; the model is not depended. Two complementary devices are developed providing the region with two lacked activities: tissular banks and regional reference laboratory.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00aban\u00e1lisis y desarrollo de un plan hemoter\u00e1pico\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00aban\u00e1lisis y desarrollo de un plan hemoter\u00e1pico\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Arrontes Caballero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/2011<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Luis Madero Lopez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ana Villegas Martinez <\/li>\n<li>rodolfo Alvarez-sala walther (vocal)<\/li>\n<li>Manuel Rodriguez zapata (vocal)<\/li>\n<li>carmen Burgaleta alonso de ozalla (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Arrontes Caballero En el momento actual, el modelo hemoter\u00e1pico de la comunidad aut\u00f3noma de castilla-la mancha, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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