tag:blogger.com,1999:blog-7866481864126764115.post4553376364889506499..comments2024-02-23T21:58:19.230+01:00Comments on El Gerente De Mediado: Continuidad: ese paternalista y anticuado enfoqueSergio Minuéhttp://www.blogger.com/profile/16156841778775761635noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-7866481864126764115.post-478066941136799582014-07-30T11:21:21.622+02:002014-07-30T11:21:21.622+02:00Hola de nuevo, Sergio.
El párrafo al que aludes, ...Hola de nuevo, Sergio.<br /><br />El párrafo al que aludes, en el documento definitivo es este: "the concept of a single professional taking responsibility for care of a person on a long-term basis appears (of itself) to be somewhat dated in modern Europe". Aparte de que el adjetivo "paternalista" se ha caído en esta versión defrinitiva, en el texto hay una palabra clave: "single". Es decir: "el concepto de UN ÚNICO profesional que toma la responsabilidad...".<br /><br />Lo que enfatiza este párrafo es que la continuidad de los cuidados es una tarea de equipo, no del médico de familia convertido en una suerte de "Llanero Solitario". Perdón por el largo párrafo, extraído de Annals of Family Medicine ("The Myth of the Lone Physician: Toward a Collaborative Alternative", http://annfammed.org/content/10/2/169.full):<br />"Cultural values and beliefs about the primary care physician bolster the myth of<br />the lone physician: a competent professional who is esteemed by colleagues and<br />patients for his or her willingness to sacrifice self, accept complete responsibility<br />for care, maintain continuity and accessibility, and assume the role of lone decision<br />maker in clinical care. Yet the reality of current primary care models is often<br />fragmented, impersonal care for patients and isolation and burnout for many<br />primary care physicians. An alternative to the mythological lone physician would<br />require a paradigm shift that places the primary care physician within the context<br />of a highly functioning health care team. This new mythology better fulfills the<br />collaborative, interprofessional, patient-centered needs of new models of care,<br />and might help to ensure that the work of primary care physicians remains<br />compassionate, gratifying, and meaningful."<br /><br />Esperando que mentes abiertas (y científicas) en ambas orillas vayan generando culturas profesionales que faciliten ese "cambio de paradigma", recibe un cordial saludo. Y gracias por tu magnífico blog, que siempre hace reflexionar.Juan F.https://www.blogger.com/profile/16577046019374977048noreply@blogger.com