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

• Méndez, Claudio A. ^[1] ; Miranda, Christian ^[2] ; Torres, M. Cristina ^[1] ; Márquez, Myriam ^[1]
  1. [1] Universidad Austral de Chile

     Universidad Austral de Chile

     Valdivia, Chile

     
  2. [2] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
• Localización: Revista Gerencia y Políticas de Salud, ISSN-e 2500-6177, ISSN 1657-7027, Vol. 13, Nº. 27, 2014
• Idioma: español
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• Resumen

  • 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.