Development and Appraisal of Multiple Accounting Record System (Mars).

UNLABELLED: The aim of the system is to achieve simplification of workflow, reduction of recording time, and increase the income for the study hospital. METHODS: The project team decided to develop a multiple accounting record system that generates the account records based on the nursing records automatically, reduces the time and effort for nurses to review the procedure and provide another note of material consumption. Three configuration files were identified to demonstrate the relationship of treatments and reimbursement items. RESULTS: The workflow was simplified. The nurses averagely reduced 10 minutes of daily recording time, and the reimbursement points have been increased by 7.49%. CONCLUSION: The project streamlined the workflow and provides the institute a better way in finical management.

Dificultades y oportunidades para la enfermería: una revisión narrativa sobre evaluación económica en salud / Difficulties and chances for nursing: a narrative review about the economic evaluation in health

Revisión narrativa sobre evaluación económica en salud que tuvo como objetivo identificar los estudios desarrollados sobre el tema en los últimos diez años. Fue utilizado el descriptor costo y análisis de costos en las bases de datos: LILACS, MEDLINE, IBECS y CAPES. Fueron encontradas 88 publicaciones y seleccionadas 65, de las cuales 44,62% pertenecían a la base LILACS, 44,62% a MEDLINE, 4,60% a IBECS y 6,16% a CAPES. 75,38% eran sobre evaluación parcial de costos y 24,62% sobre evaluación económica. La medicina fue la sub-área que más publicó (41,54%), considerando los dos tipos de metodologías; seguida por la enfermería, que solo publicó sobre evaluación parcial de costos (15,38%). El enfermero como herramienta administrativa dentro de la Institución de Salud, necesita buscar conocimientos sobre este segmento de la economía, reconociendo su papel como agente transformador y buscar el equilibrio entre calidad, cantidad y costos en el momento de decidir cómo distribuir los recursos financieros disponibles (AU)

It is a narrativre review about the economic evaluation in health which had as an objective to identify the developed studies about the topic in the last ten years. The expenses and cost analysis descriptors were used at the data bases: LILACS, MEDLINE, IBECS AND CAPES. 88 publications were found and 65 were selected, from which the 44’62% belonged to the database LILACS, the 44’62% to MEDLINE, 4’6% to IBECS and to CAPES. The 75’38% were about the partial assessment of expenses and the 24’62% about the economic assessment. The medicine was the sub-area that published (41’54%), considering the two types of methodologies; followed by the nursing, which only published about partial evaluation of expenses (15’38%). The nurse as an administrative tool in the Health Institution, needs to look for the knowledge about this segment of the economy, recognizying his role as a transformator agent and looking for the balance betewwen quality, quantity and expenses when deciding how to distribute the available financial resources (AU)

Crisis y futuro de la humanidad / Crisis and future of humanity

Vivimos tiempos inquietantes. La crisis económica nos llena de zozobra. Los jóvenes, en paro y atenazados por el miedo a acabar viviendo peor que sus padres, no se ven capaces de hacerse cargo de la situación. ¿Qué ha sucedido para que España y Europa, que hace menos de cuatro años parecían tierra de oportunidades para nativos y foráneos, se hayan convertido en territorios hostiles? La crisis económica no lo explica todo; es sólo un síntoma de que las bases sobre las que estábamos construyendo el futuro no eran tan firmes. Es cierto que la crisis ha puesto al descubierto la obscenidad del capitalismo financiero especulativo. También es cierto que esta crisis puede ser la gran oportunidad para construir el mundo sobre unas bases económicas humanas y sostenibles, es decir, justo lo contrario de la actual sumisión a la dictadura de los mercados financieros. Pero la crisis contemporánea tiene unas raíces más profundas y extensas. Voy a referirme a las otras crisis, tan importantes o más que la económica, porque para atisbar el futuro resulta imprescindible rastrear atentamente el presente y descubrir las «señales débiles» de las oportunidades latentes, que esperan que las convirtamos en realidades(AU)

We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e., just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the «weak signals» the latent opportunities that await we become them realities(AU)