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On Friday, July 6th, another program of Young Medical Leaders, taught by the Portuguese Catholic University, aims to provide young doctors with a set of tools to help them promote change and change their lives. innovation in the health services where they work. Health management is very different from the others: complexity and specificity, difficulty in finding the appropriate tools to evaluate the results, the unpredictability to which it is subjected, the different models of financing proposed and the fact it is inevitably the target of ideological conflict Health is a particularly difficult area when we talk about management and administration.
Health professionals and those who lead them will face many challenges they will face in the future: the aging of the population and necessarily patients. more co-morbidities, constant technological change, more innovative and more expensive drugs and increased competition between employers for the best professionals, all of which represent risks but also opportunities for all those working in health.
about the deterioration of the NHS being the latest announcement It is necessary that health professionals, especially doctors, denounce the situations that they deem objectionable, but at the same time, they have the necessary knowledge to deliver the heads of the team of the Emergency Department of Internal Medicine and Surgery of S. Jose Hospital. propose alternatives. The new Basic Health Law is a good opportunity for these professionals to make their contribution in order to collaborate to create a system that offers better services without compromising the financial equilibrium.
some of the health professionals, in this case physicians, showed a gap in their basic training in this area, with few medical faculties with units of specific management. Physicians are also increasingly concerned and willing to master the basic concepts of management and leadership, so they can make a better contribution to the places where they work.
The increasingly professional and specific management of health services can not fail to have in its administration professionals from the region, people who dominate the theme of health and who perceive idiosyncrasies and worries professionals. At the same time, more and more physicians want to be involved in the management of the hospitals and health centers where they work, so that the complementarity of health professionals with management training, patients and career managers benefits service delivery Know how it was founded, how the national health system is organized and funded and know the alternatives that exist in other countries, especially in Germany or Switzerland, where private health insurance and mandatory is in force. / or public, helps practitioners, managers and policy makers to define alternative strategies that can improve the current system. Like the National Health System (NHS), the NHS is funded directly by taxes, so the taxpayer does not know what percentage of what he's paid goes to health, to Education or defense. In Germany, for example, where compulsory insurance is in place, contributions to public health insurance depend on income. The base is the total gross income, from which a uniform contribution rate of 14.6% (from 2018) is applied. This amount is divided equally between the insured and the employer, each contributing 7.3%. In addition, each health insurance company charges an additional contribution (the amounts vary), which is paid solely by the employee. If the contribution limit (2018: € 4,425.00 per month) is exceeded, the income is not important for the calculation of the contribution. In the state health insurance, children and spouses can be covered for free by the family insurance.
The NHS will celebrate its 40th birthday in 2019. It's the right time to reform it and update it. The one who will come next, the new generations, will not forgive us if we do not provide them with the same benefits that this system, despite all its limitations, has brought us.
Graduate in Medicine
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