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AVENTURAS Y DESVENTURAS DE UN ECONOMISTA EN FINLANDIA (O COMO EMPAPARSE DE OTRA CULTURA Y DE OTRA FORMA DE HACER Y VER LAS...
<ul><li>Población: 5’5 millones. </li></ul><ul><li>Modelo Beveridge: cobertura universal con copago </li></ul><ul><li>Los ...
 
<ul><li>Mejores lugares de trabajo en el mundo. </li></ul><ul><li>Finlandia: uno de los 10 mejores, Hospital Quirúrgico de...
 
LAVADO DE MANOS
En cada cama…
En la entrada a la cafetería…
En cada lavabo…
Con campañas en cada hospital.  En este caso, el poster fue seleccionado de entre los presentados por los propios trabajad...
Lo más importante: la costumbre. Los trabajadores y los visitantes saben que tienen  que lavarse las manos con solución hi...
ALGUNOS DETALLES
 
Wifi  +  portátiles
Cada habitación tiene sus cajas de guantes…  Foto: habitación en planta quirúrgica
Panel informativo de corcho en cada habitación
El entorno ayuda… Pero…  ¿hay diferencias?  ¿Y de qué dependen?
(1929) Alvar Aalto diseña el Sanatorio de Paimio y cambia el concepto de habitación de hospital (2 camas, mucha luz, intim...
<ul><li>Cuidan el hospital. </li></ul><ul><li>Pacientes sin acompañantes. </li></ul><ul><li>Bajo nivel de quejas. </li></u...
¿Y QUE HAY DE LA COORDINACIÓN ASISTENCIAL?
<ul><li>AP: llamadas telefónicas atendidas por DUE para filtrar visitas. </li></ul><ul><li>Hospitales de 500 camas con 90 ...
Las nuevas ideas surgen de las diferencias. Los grandes conceptos y los grandes pasos hacia delante proceden de lo imprevi...
Hope 2008 Turku/Åbo - Finland
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Valencia 25062008 Hopefinland2

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Valencia 25062008 Hopefinland2

  1. 1. AVENTURAS Y DESVENTURAS DE UN ECONOMISTA EN FINLANDIA (O COMO EMPAPARSE DE OTRA CULTURA Y DE OTRA FORMA DE HACER Y VER LAS COSAS)
  2. 2. <ul><li>Población: 5’5 millones. </li></ul><ul><li>Modelo Beveridge: cobertura universal con copago </li></ul><ul><li>Los servicios públicos básicos son proporcionados por las municipalidades. </li></ul><ul><li>250 centros de salud y 90 hospitales. Algunos centros tienen camas (30-60 para corta estancia) </li></ul><ul><li>Identificación única. </li></ul><ul><li>Problemas fundamentales: alcohol y obesidad. </li></ul>Helsinki Turku Tampere Vaasa Oulu Rovaniemi Joensuu <ul><li>Atención Primaria: pago anual de 33 euros. </li></ul><ul><li>Urgencias: 15 euros </li></ul><ul><li>Atención hospitalaria: 22 euros cada visita al médico o DUE. Si hay ingreso, 26 euros. Cirugía sin ingreso cuesta 72 euros. </li></ul><ul><li>Penalización de 27 euros si se olvida la cita. </li></ul>
  3. 4. <ul><li>Mejores lugares de trabajo en el mundo. </li></ul><ul><li>Finlandia: uno de los 10 mejores, Hospital Quirúrgico de Coxa. </li></ul><ul><li>La satisfacción del trabajador en su lugar de trabajo es mucho mas que dinero, es mucho más que un edificio nuevo, es mucho más que imagen… Es pertenencia, es sentirse parte de un equipo, es sentir que el hospital es como tu propia casa. </li></ul><ul><li>Ah, por cierto, el Hospital Quirúrgico de Coxa es público… </li></ul>Sí, es una pecera frente al control de enfermería de una planta …
  4. 6. LAVADO DE MANOS
  5. 7. En cada cama…
  6. 8. En la entrada a la cafetería…
  7. 9. En cada lavabo…
  8. 10. Con campañas en cada hospital. En este caso, el poster fue seleccionado de entre los presentados por los propios trabajadores.
  9. 11. Lo más importante: la costumbre. Los trabajadores y los visitantes saben que tienen que lavarse las manos con solución hidroalcohólica, lo tienen “apuntado” en su cabeza y no lo olvidan…
  10. 12. ALGUNOS DETALLES
  11. 14. Wifi + portátiles
  12. 15. Cada habitación tiene sus cajas de guantes… Foto: habitación en planta quirúrgica
  13. 16. Panel informativo de corcho en cada habitación
  14. 17. El entorno ayuda… Pero… ¿hay diferencias? ¿Y de qué dependen?
  15. 18. (1929) Alvar Aalto diseña el Sanatorio de Paimio y cambia el concepto de habitación de hospital (2 camas, mucha luz, intimidad para el paciente, etc.) (2008) Habitación en el Hospital de Coxa. Nuevo diseño, totalmente informatizada… pero el concepto es igual que 80 años antes.
  16. 19. <ul><li>Cuidan el hospital. </li></ul><ul><li>Pacientes sin acompañantes. </li></ul><ul><li>Bajo nivel de quejas. </li></ul><ul><li>Pocas visitas. </li></ul><ul><li>Hospitales llenos de silencio. </li></ul><ul><li>Apenas hay robos, apenas hay vigilantes. </li></ul><ul><li>Similar nivel tecnológico. </li></ul><ul><li>Mayor sueldo en médicos, similar en resto de categorías. </li></ul>
  17. 20. ¿Y QUE HAY DE LA COORDINACIÓN ASISTENCIAL?
  18. 21. <ul><li>AP: llamadas telefónicas atendidas por DUE para filtrar visitas. </li></ul><ul><li>Hospitales de 500 camas con 90 urgencias diarias: uso adecuado de puntos de urgencias en AP. </li></ul><ul><li>Amplio despliegue de servicios sociosanitarios: unidades de valoración geriátrica en cada hospital, unidades de atención a pacientes ancianos con demencia, centros de corta estancia para pacientes ancianos. </li></ul><ul><li>E-Health: mismos objetivos que en España (historia clínica compartida, protocolos conjuntos, prescripción online…). Algunas experiencias en ciertas zonas. </li></ul>
  19. 22. Las nuevas ideas surgen de las diferencias. Los grandes conceptos y los grandes pasos hacia delante proceden de lo imprevisto, de una mezcla de personas, ideas, bagajes y culturas que por norma general no están mezclados. Nicholas Negroponte
  20. 23. Hope 2008 Turku/Åbo - Finland

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