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Ciência & Saúde Coletiva

On-line version ISSN 1678-4561Print version ISSN 1413-8123


CAMPOS, Gastão Wagner de Sousa  and  AMARAL, Márcia Aparecida do. Amplified clinic, democratic management and care networks as theoretical and pragmatic references to the hospital reform. Ciênc. saúde coletiva [online]. 2007, vol.12, n.4, pp.849-859. ISSN 1678-4561.

This paper uses elements of the Paideia concept to suggest guidelines for contemporary hospital reform, particularly the reorganization of work processes based on the concepts of extended general practice and democratic management. Instead of production-line work processes, an alternative way of structuring patient care is proposed, newly crafted with professional autonomy and clearly defined clinical responsibilities. An analysis is also presented of the difficulties and consequences of integrating hospitals with public health systems.

Keywords : Hospital management; Extended general practice; Democratic management.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )