{"id":77695,"date":"2018-03-09T23:23:17","date_gmt":"2018-03-09T23:23:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-cuantitativo-del-rendimiento-de-un-servicio-de-ciruga%c2%ada-sin-y-con-unidad-de-gestion-cla%c2%adnica-durante-los-bienios-2000-2001-y-2002-2003\/"},"modified":"2018-03-09T23:23:17","modified_gmt":"2018-03-09T23:23:17","slug":"analisis-cuantitativo-del-rendimiento-de-un-servicio-de-ciruga%c2%ada-sin-y-con-unidad-de-gestion-cla%c2%adnica-durante-los-bienios-2000-2001-y-2002-2003","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/analisis-cuantitativo-del-rendimiento-de-un-servicio-de-ciruga%c2%ada-sin-y-con-unidad-de-gestion-cla%c2%adnica-durante-los-bienios-2000-2001-y-2002-2003\/","title":{"rendered":"An\u00e1lisis cuantitativo del rendimiento de un servicio de cirugia, sin y con unidad de gesti\u00f3n cl\u00ednica, durante los bienios 2000-2001 y 2002-2003"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Resola Garc\u00eda Antonio  Evaristo <\/strong><\/h2>\n<p>La gesti\u00f3n cl\u00ednica constituye un proceso de redise\u00f1o organizativo que incorpora a los profesionales sanitarios en la gesti\u00f3n de los recursos utilizados en su propia pr\u00e1ctica cl\u00ednica. Dentro de las nuevas formas de gesti\u00f3n (microgesti\u00f3n), el plan estrat\u00e9gico del servicio andaluz de salud reconoce la importancia de la gesti\u00f3n cl\u00ednica y de las  unidades de gesti\u00f3n cl\u00ednica (ugc). En la hip\u00f3tesis del trabajo se intenta demostrar una mejora de la asistencia sanitaria con el nuevo modelo de ugc en comparaci\u00f3n con el tradicional. Se establecieron como objetivos el compara las distintas variables econ\u00f3micas, asistenciales y de calidad\/eficiencia entre los dos modelos. Los 16.636 y 17.137 pacientes asistidos en el servicio de cirug\u00eda\/ucg del hospital san agust\u00edn, en linares (ja\u00e9n), durante los bienios 2000-2001 y 2002-2003, sin y con ugc, constituyen el material. En lo que respecta al m\u00e9todo, se ha realizado un estudio descriptivo, comparativo, de unidades muestrales, de coste-efectividad, de todos los pacientes citados. Los principales resultados obtenidos reflejan los siguientes diferenciales:     el gasto total del servicio: +4,25     gasto en cap\u00edtulo i: +5,7%     gasto en cap\u00edtulo ii: -1,5% (farmacia: +13,06%; fungibles: -6,43%; pr\u00f3tesis: -45,8%)     ingresos totales: -4,25%     estancias totales: -7,81%     ingresos programados: -10,26%     estancia media: -23%     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: +17,26%     \u00edndice de gasto total por ingreso + cma: -7,04%     farmacia: + 0,81%     fungibles: -26,6%     pr\u00f3tesis: -42,8%     ahorro en estancias del grd 162: +789,5%     ahorro en gasto del grd 162: +905,8%     incremento del \u00edndice de sustituci\u00f3n del grd 162: + 62%     \u00edndice de utilizaci\u00f3n de quir\u00f3fanos:<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis cuantitativo del rendimiento de un servicio de cirugia, sin y con unidad de gesti\u00f3n cl\u00ednica, durante los bienios 2000-2001 y 2002-2003<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis cuantitativo del rendimiento de un servicio de cirugia, sin y con unidad de gesti\u00f3n cl\u00ednica, durante los bienios 2000-2001 y 2002-2003 <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Resola Garc\u00eda Antonio  Evaristo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/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:  Fuente perucha agust\u00edn de la <\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<li>franciso Rivera hueto (vocal)<\/li>\n<li> S\u00e1nchez gallego Mar\u00eda  del pilar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Resola Garc\u00eda Antonio Evaristo La gesti\u00f3n cl\u00ednica constituye un proceso de redise\u00f1o organizativo que incorpora a los [&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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