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[Clinical management units in primary care: a question under debate].

Abstract：

OBJECTIVE:To find the views of health professionals on how the terms of the new management agreement with clinical units affect the quality of health delivery. DESIGN:Qualitative study to find professionals' views. Individual opinions of key informers were obtained, secondary sources were analysed and a discussion group rounded off the study. The categories for the analysis were established on the basis of the results obtained. SETTING:Primary care districts in the provinces of Sevilla and Cádiz, in the Autonomous Community of Andalusia. Health districts of differing social-economic and geographical characteristics were chosen. PARTICIPANTS:9 professionals involved in the new system of management. The selection criteria refer to the kind of professional, the unit or work team and the characteristics of the health district. METHOD:The semi-structured interview with key informers and a discussion group were the basic techniques for gathering information. RESULTS:A view that the clinical management units were designed as a savings strategy was detected. There were differences about primary care teams. CONCLUSIONS:Professionals think there is too much rigidity and adding-up in the measurement of targets and objectives. This creates unfavourable working conditions, which affects the quality of health service delivery.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Alvarez Girón M,García Gil C,Solano Parés A

doi

10.1016/s0212-6567(03)70725-2

subject

Has Abstract

pub_date

2003-05-15 00:00:00

pages

514-8

issue

8

eissn

0212-6567

issn

1578-1275

pii

13047734

journal_volume

31

pub_type

杂志文章

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