{"id":77659,"date":"2005-12-12T00:00:00","date_gmt":"2005-12-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/organizacion-y-funcionamiento-de-un-servicio-de-cirugia-general-en-un-hospital-comarcal-durante-los-bienios-2000-2001-y-2002-2003\/"},"modified":"2005-12-12T00:00:00","modified_gmt":"2005-12-12T00:00:00","slug":"organizacion-y-funcionamiento-de-un-servicio-de-cirugia-general-en-un-hospital-comarcal-durante-los-bienios-2000-2001-y-2002-2003","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-abdominal\/organizacion-y-funcionamiento-de-un-servicio-de-cirugia-general-en-un-hospital-comarcal-durante-los-bienios-2000-2001-y-2002-2003\/","title":{"rendered":"Organizaci\u00f3n y funcionamiento de un servicio de cirugia general en un hospital comarcal durante los bienios 2000-2001 y 2002-2003"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Olea Cano <\/strong><\/h2>\n<p>Recientemente se esta aplicando un nuevo modelo de gesti\u00f3n asistencial basada en la participaci\u00f3n y la implicaci\u00f3n directa de los profesionales, que se ha dado en llamar unidades de gesti\u00f3n cl\u00ednica (ugc). Este modelo de gesti\u00f3n se viene aplicando en sustituci\u00f3n del modelo convencional desarrollado en el decreto 105\/86. Para ello nos planteamos la hip\u00f3tesis de constatar la eficiencia de la ugc sobre el modelo convencional, plante\u00e1ndonos como objetivo el comparar los indicadores obtenidos en dos bienios sobre las variables de recursos materiales no estructurales y sobre las variables asistenciales para valorar la eficiencia y la calidad total el material lo compone los 16.636 y 17.137 pacientes atendidos en el servicio de cirug\u00eda\/ugc del hospital san agust\u00edn, de linares, durante dos bienios consecutivos (2000-2001 y 2002-2003), sin y con unidad de gesti\u00f3n cl\u00ednica. En cuanto al m\u00e9todo , se trata de un estudio descriptivo, comparativo de unidades muestrales, de coste-efectividad, de todos los pacientes atendidos en el citado servicio\/ugc durante dos bienios consecutivos (2000-2001 y 2002-2003), sin y con unidad de gesti\u00f3n cl\u00ednica. Los resultados principales, muestran el siguiente diferencial del 2\u00c2\u00ba bienio con respecto al primero:     ingresos totales -4,26%     estancias totales -7,81%     ingresos programados -10,26%     estancia media -2,3%     urgencias no ingresadas + 22,91%     intervenciones totales + 10,7%     intervenciones programadas con ingreso -12,1%     intervenciones de cirug\u00eda mayor ambulatoria (cma) +341%     intervenciones de cirug\u00eda menor ambulatoria + 12,76%     ahorro en estancias por cma + 331,13%     \u00edndice de utilizaci\u00f3n de quir\u00f3fanos + 15,76%     \u00edndice de intervenciones suspendidas -72,2%     \u00edndice de infecciones nosocomiales &#8211; 8,35%     n\u00c2\u00ba de pacientes en lista de espera -69,09%     media de d\u00edas de lista de espera -77,55%     \u00edndice global de satisfacci\u00f3n del usuario + 9,32%.     l<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Organizaci\u00f3n y funcionamiento de un servicio de cirugia general en un hospital comarcal durante los bienios 2000-2001 y 2002-2003<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Organizaci\u00f3n y funcionamiento de un servicio de cirugia general en un hospital comarcal durante los bienios 2000-2001 y 2002-2003 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Olea Cano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/12\/2005<\/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>Jos\u00e9 Mar\u00eda Ortega Bevia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: gonzalo Carranza albarr\u00e1n <\/li>\n<li>Francisco Rivera hueto (vocal)<\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<li>Manuel Hidalgo pascual (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Olea Cano Recientemente se esta aplicando un nuevo modelo de gesti\u00f3n asistencial basada en la participaci\u00f3n [&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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