Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Prática de Grupo/organização & administração , Relações Hospital-Médico , Privatização , Serviços Técnicos Hospitalares/economia , Serviços Técnicos Hospitalares/organização & administração , Serviços Contratados/economia , Serviços Contratados/organização & administração , Prática de Grupo/economia , New Mexico , Reorganização de Recursos Humanos , Autonomia ProfissionalRESUMO
More and more healthcare companies are selling off noncore businesses to concentrate on what they do best. Hospitals are divesting radiology services, diagnostic businesses, home healthcare agencies and physician practices. The moves represent a pulling back from the vertical integration and massive system-building favored in recent years.
Assuntos
Financiamento de Capital/tendências , Reestruturação Hospitalar/economia , Administração de Linha de Produção/economia , Serviços Técnicos Hospitalares/economia , Prestação Integrada de Cuidados de Saúde/economia , Prestação Integrada de Cuidados de Saúde/tendências , Administração Financeira de Hospitais/tendências , Reestruturação Hospitalar/tendências , Investimentos em Saúde/tendências , Administração de Linha de Produção/tendências , Estados UnidosRESUMO
Despite major technological advances in the treatment of cancer, many patients are dissatisfied with conventional biomedical interventions. This is largely because they fail to resolve long term intractable problems such as chronic pain or stress. More emphasis is now being placed on quality of life. This shift in attitude has opened the door for complementary therapies as adjuvants to traditional models of cancer care. Changes within the NHS have facilitated this transition, by the creation of the 'internal market' and the development of central funding to individual clinical directorates. To exploit these opportunities, complementary, therapists must develop new skills and be prepared to adopt NHS standards of assessment to evaluate the efficacy of their work. Standards are a component of 'Quality assurance'. They are observable, achievable and measurable, and contribute towards an acceptable evaluation process. Standards are used by health care purchasers to assess which therapies should be made available to patients within the NHS. This paper describes the development of a massage service that has been integrated into the Hammersmith Oncology Department. The massage standard is seen to be fundamental and essential to the continued development and evaluation of the project.