SciELO - Scientific Electronic Library Online

vol.16 número5La Atención Primaria de Salud: descentralización y eficienciaOpiniones de los gestores de la atención primaria sobre las fuentes de influencia en la práctica médica: Diferencias con la opinión de los médicos asistenciales índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados


Gaceta Sanitaria

versão impressa ISSN 0213-9111


LLANO, J. del; MARTINEZ-CANTARERO, J.F.; GOL, J.  e  RAIGADA, F.. Qualitative analysis of organizational innovations in Spanish public hospitals. Gac Sanit [online]. 2002, vol.16, n.5, pp.408-416. ISSN 0213-9111.

Objective: To determine the opinion of chief executive officers (CEOs) and physicians in public hospitals concerning new managerial trends. Methods: We performed a qualitative study designed to determine the opinion of CEOs and physicians on the organizational innovations that affect more than one level of health management intervention. In-depth semi-structured interviews were conducted to identify behavior, experiences, opinions, knowledge and other personal and institutional aspects related to the study's aim. Focus groups (two study groups and one control group) were also used. Interaction between groups was used to obtain different types of information on the development of ideas, operational capacity, and the degree of consensus and disagreement on the subjects discussed Results: Comparison between the control and the study groups revealed that the new management trends added value in the following areas: economy of contracts, delegation, administrative decentralization, incentives, risk avoidance, process re-engineering, heath care continuity, competitiveness, leadership, information systems and client centeredness. Conclusions: Physicians are showing increased interest in organizational innovations while CEOs are ambivalent about their changing role and respective responsibilities. There is evidence of resistance to change. There is no single institutional model; institutional design depends on internal factors (cohesion and leadership) and external factors (environment, size and technology). The incipient development of innovations reveals the need for changes in the style and characteristics of management structure (composition, functions, responsibilities). 

Palavras-chave : Management; Hospital; Qualitative analysis.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons