Implementing Hospital Self-Management Policy in Chile: Health Professionals’ Perceptions

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 ali...

Full description

Autores:
Méndez, Claudio A.; Universidad Austral de Chile
Miranda, Christian; Universidad de Chile
Torres, M. Cristina; Universidad Austral de Chile
Márquez, Myriam; Universidad Austral de Chile
Tipo de recurso:
Article of journal
Fecha de publicación:
2014
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
spa
OAI Identifier:
oai:repository.javeriana.edu.co:10554/25189
Acceso en línea:
http://revistas.javeriana.edu.co/index.php/gerepolsal/article/view/11961
http://hdl.handle.net/10554/25189
Palabra clave:
null
health Policy; health systems; health Services; health services research; healthcare reform; qualitative research
null
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional
Description
Summary: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.