Suchergebnisse

In the European Union, Spain is seen as a "nation of services"; therefore, the whole of society, both in Spain and in Europe, must prepare for plural cohabitation. Health and sickness are daily occurrences for people and groups, and have become a part of everyday life for various social and cultural groups. The Spanish healthcare system, and more specifically the Alicante system (both public and private), are accustomed to catering for patients/customers from different cultural backgrounds. Regarding Nursing Management, the need has been observed to create schemes for the management of clinical practice, identifiyng and understanding the specific characteristics of our patients, in order to make decisions and intervene in health planning (Andrews, 2003). This requires a consideration of cultural care, beliefs, references and ways of living of people from both similar and different cultures; this will yield profitable and satisfactory results concerning the general quality of healthcare, as perceived by patients/customers. From June 2001, an intereuropean social and health project has been carried out for the reduction of waiting time for surgical procedures, by the Dutch Healthcare System and the Clinica Vistahermosa in Alicante, Spain. What kind of care management has been implemented in clinical practice? An attempt has been made to avoid ethnocentrism, i.e. believing that our Spanish standards are the suitable and relevant ones, but also no attempt has been made to transfer a "hospital from the Netherlands" into Spain. A negotiation-management process has been designed. ; En la Unión Europea, España se presenta como nación de servicios, tanto la sociedad española como la europea deben preparase para una convivencia plural. La salud y la enfermedad son realidades cotidianas de las personas y los colectivos. El cuidado de la salud y la enfermedad forman parte de la vida de las personas en los diferentes grupos socioculturales. El sistema sanitario español y en concreto el sistema sanitario alicantino, tanto ...

En la Unión Europea, España se presenta como nación de servicios, tanto la sociedad española como la europea deben preparase para una convivencia plural. La salud y la enfermedad son realidades cotidianas de las personas y los colectivos. El cuidado de la salud y la enfermedad forman parte de la vida de las personas en los diferentes grupos socioculturales. El sistema sanitario español y en concreto el sistema sanitario alicantino, tanto público como privado, se encuentra acostumbrado a trabajar con pacientes-clientes procedentes de diversas culturas. Desde la Gestión de Enfermería se ve la necesidad de crear programas de gestión de la práctica clínica, identificando y comprendiendo las peculiaridades de los pacientes con los que se trabaja, siendo capaces de tomar decisiones e intervenir en la planificación sanitaria (Andrews, 2003) tomando en cuenta los valores de los cuidados culturales , las creencias, las referencias y formas de vida de la gente de culturas similares y diversas, para obtener resultados beneficiosos y satisfactorios en cuanto a la calidad asistencial global, percibida por el paciente-cliente. Desde junio de 2001, se esta llevando a cabo un Proyecto Socio sanitario Intereuropeo de disminución de listas de espera quirúrgicas entre el Sistema de Salud holandés y la Clínica Vistahermosa de Alicante, España. En la práctica clínica ¿qué Gestión de Cuidados se ha realizado? Se ha intentado no caer en el etnocentrismo, de pensar que sólo lo nuestro es lo adecuado y pertinente, tampoco intentar trasladar "un hospital de su país" a España… Se trata de realizar una NEGOCIACIÓN - GESTIÓN. ; In the European Union, Spain is seen as a "nation of services"; therefore, the whole of society, both in Spain and in Europe, must prepare for plural cohabitation. Health and sickness are daily occurrences for people and groups, and have become a part of everyday life for various social and cultural groups. The Spanish healthcare system, and more specifically the Alicante system (both public and private), are accustomed to catering for patients/customers from different cultural backgrounds. Regarding Nursing Management, the need has been observed to create schemes for the management of clinical practice, identifiyng and understanding the specific characteristics of our patients, in order to make decisions and intervene in health planning (Andrews, 2003). This requires a consideration of cultural care, beliefs, references and ways of living of people from both similar and different cultures; this will yield profitable and satisfactory results concerning the general quality of healthcare, as perceived by patients/customers. From June 2001, an intereuropean social and health project has been carried out for the reduction of waiting time for surgical procedures, by the Dutch Healthcare System and the Clinica Vistahermosa in Alicante, Spain. What kind of care management has been implemented in clinical practice? An attempt has been made to avoid ethnocentrism, i.e. believing that our Spanish standards are the suitable and relevant ones, but also no attempt has been made to transfer a "hospital from the Netherlands" into Spain. A negotiation-management process has been designed.

During the last few years, there has been an increase of citizens from central and northern Europe along the Spanish Mediterranean coastline, either as residents or as tourists (who can also be admitted to hospital). Specifically in the Alicante province, a growing number of Scandinavians can be found in the Marina Alta County, and English people in Torrevieja. The chosen group for our study comprises mostly Dutch people. They are retired and mean age is older than 60. For age and health reasons, they tend to make a frequent use of the Spanish health care system (mostly private); that is why it is interesting to find out their opinion on health care professionals in Spain, in order to establish a comparison with other European countries (in this case, their own) within the professional context of the European union. In general, Spanish nurses excelled most of these patients' expectancies. A nursing professional profile could be therefore established as: reliable, empathic and communicative –in spite of the language barrier-; self-confident towards their job and transmitting security to patients accordingly; capable of a quick response, of giving an opinion and problem-solving; respectful with intimacy although somewhat distant when carrying out procedures affecting privacy. ; En los últimos años, en toda la costa mediterránea española, ha habido un aumento muy importante de la población del centro y del norte de Europa tanto como residentes durante todo el año como de no residentes, es decir, turistas o que ocupan un período vacacional (y que también son susceptibles de ingreso hospitalario). En concreto en la provincia de Alicante encontramos grupos numerosos de escandinavos en la comarca de la Marina Alta (sobre todo en Alfaz del Pí) e ingleses en Torrevieja. El grupo que nos ocupa comprende a holandeses en su mayoría. Estos grupos de población suelen estar jubilados y la edad media está por encima de los 60 años. Son pacientes que por razones de edad y salud suelen acudir a menudo al sistema sanitario español ...

The present crisis in health system is something common world wide. This crisis can be well detected when watching waiting lists for surgical care treatments, according to the increasing number of operation processes due to the better present surgical and anesthetic techniques. Also due to the more and more demands from the population. This is a process where finance for certain specific processes emphasizes. The health systems are looking for alternative ways to diminish their waiting lists as well as to decrease costs. For that reason, the European Union opens its borders to easy a possible traffic of patients among different countries to allow users of a certain Union Estate to move to another one. In some occasions a full team of professionals: doctors and nurses could move from their own European Estate to a different one. But of course, this type of transfers do present certain problems. The native country must guarantee that the care the patient will get in another country will be similar to its own. The receiving country faces the challenge of caring patients with a different culture, a different language and as a consequence different ways for considering health where illness and hospitalization differ as well. Clinica Vistahermosa – in Alicante – has been pioneer in that sense, in the whole Spain, and within Europe. CV. has agreements and protocols signed with Portugal, U.K. and Holland. As a matter of fact, it has been receiving patients from the later for several years now. As we have been showing in several studies, there is a new phenomenon we may call "Health Tourism" in Alicante, as patients integrate not only for health techniques but for leisure time as well as they book hotel rooms for post-operative sessions. Present situation, challenges and consequences of this new phenomenon are presented in this study. ; La crisis de los sistemas sanitarios es algo común en todos los países del mundo. Esta crisis se ve especialmente reflejada en las listas de espera para tratamientos de cirugía, en la ...

La crisis de los sistemas sanitarios es algo común en todos los países del mundo. Esta crisis se ve especialmente reflejada en las listas de espera para tratamientos de cirugía, en la medida en que el número de intervenciones aumenta debido a las mejoras de las técnicas quirúrgicas y anestésicas así como al incremento de la demanda de la población. Todo esto conlleva que los gastos en estas materias específicas se disparen. Los sistemas sanitarios vienen buscando alternativas que aceleren las listas y disminuyan los costes. Con este fin, la Unión Europea ha abierto las fronteras al tráfico de pacientes entre países, lo que permite que usuarios de un estado vayan a operarse a otro, en ocasiones con médicos y equipo del propio país de origen. Sin embargo esto plantea ciertos problemas: el país de origen debe garantizar que la asistencia va a ser similar a la que se le prestaría en este, debe elegir el tipo de intervenciones y el tipo de pacientes adecuados y un largo etcétera. El país de destino afronta el reto de cuidar a unos pacientes con una lengua y una cultura diferentes y por lo tanto con unas creencias sobre la salud, la enfermedad y la hospitalización diferentes. La Clínica Vistahermosa ha sido pionera a este campo en el ámbito español y europeo, gracias a los acuerdos firmados entre nuestro país y otros como Portugal, Gran Bretaña u Holanda. De este último venimos recibiendo pacientes desde hace varios años. Tal y como venimos reflejando en diferentes estudios, se esta dando un fenómeno nuevo que denominamos "Turismo de Salud" en la provincia de Alicante, puesto que los pacientes realizan actividades de ocio, y ocupan habitaciones de hotel tras los primeros días de hospitalización. El estado de la cuestión, los retos, problemas y repercusiones de este nuevo fenómeno son abordados en este estudio. ; The present crisis in health system is something common world wide. This crisis can be well detected when watching waiting lists for surgical care treatments, according to the increasing number of operation processes due to the better present surgical and anesthetic techniques. Also due to the more and more demands from the population. This is a process where finance for certain specific processes emphasizes. The health systems are looking for alternative ways to diminish their waiting lists as well as to decrease costs. For that reason, the European Union opens its borders to easy a possible traffic of patients among different countries to allow users of a certain Union Estate to move to another one. In some occasions a full team of professionals: doctors and nurses could move from their own European Estate to a different one. But of course, this type of transfers do present certain problems. The native country must guarantee that the care the patient will get in another country will be similar to its own. The receiving country faces the challenge of caring patients with a different culture, a different language and as a consequence different ways for considering health where illness and hospitalization differ as well. Clinica Vistahermosa – in Alicante – has been pioneer in that sense, in the whole Spain, and within Europe. CV. has agreements and protocols signed with Portugal, U.K. and Holland. As a matter of fact, it has been receiving patients from the later for several years now. As we have been showing in several studies, there is a new phenomenon we may call "Health Tourism" in Alicante, as patients integrate not only for health techniques but for leisure time as well as they book hotel rooms for post-operative sessions. Present situation, challenges and consequences of this new phenomenon are presented in this study.

En los últimos años, en toda la costa mediterránea española, ha habido un aumento muy importante de la población del centro y del norte de Europa tanto como residentes durante todo el año como de no residentes, es decir, turistas o que ocupan un período vacacional (y que también son susceptibles de ingreso hospitalario). En concreto en la provincia de Alicante encontramos grupos numerosos de escandinavos en la comarca de la Marina Alta (sobre todo en Alfaz del Pí) e ingleses en Torrevieja. El grupo que nos ocupa comprende a holandeses en su mayoría. Estos grupos de población suelen estar jubilados y la edad media está por encima de los 60 años. Son pacientes que por razones de edad y salud suelen acudir a menudo al sistema sanitario español (en su mayoría privado); es por ello que resulta interesante conocer cual es su opinión acerca de los profesionales de los cuidados en España, con la finalidad de establecer una línea comparativa con otros países europeos (en este caso, los suyos propios) dentro del contexto profesional de la Unión Europea. En líneas generales podemos afirmar que las enfermeras/os españoles superan positivamente y en su mayoría las expectativas de los pacientes centroeuropeos. Podríamos hablar pues de un perfil de profesional de Enfermería como: profesionales fiables, empáticos y comunicativos, aún tratándose de idiomas diferentes, seguros de su trabajo y que a su vez transmiten seguridad al paciente, con capacidad de respuesta, de establecer una opinión, así como resolutivos, respetuosos con respecto a los momentos íntimos, aunque poco comunicativos y cercanos durante la realización de los mismos. ; During the last few years, there has been an increase of citizens from central and northern Europe along the Spanish Mediterranean coastline, either as residents or as tourists (who can also be admitted to hospital). Specifically in the Alicante province, a growing number of Scandinavians can be found in the Marina Alta County, and English people in Torrevieja. The chosen group for our study comprises mostly Dutch people. They are retired and mean age is older than 60. For age and health reasons, they tend to make a frequent use of the Spanish health care system (mostly private); that is why it is interesting to find out their opinion on health care professionals in Spain, in order to establish a comparison with other European countries (in this case, their own) within the professional context of the European union. In general, Spanish nurses excelled most of these patients' expectancies. A nursing professional profile could be therefore established as: reliable, empathic and communicative –in spite of the language barrier-; self-confident towards their job and transmitting security to patients accordingly; capable of a quick response, of giving an opinion and problem-solving; respectful with intimacy although somewhat distant when carrying out procedures affecting privacy.