Care management subdivision implementation in self managed hospitals, improvements and challenges for nursing

Abstract

In Chile a sanitary reform has been launched, among other modifications, it shows the option to create Self Managed Network Institutions (high complexity hospitals with autonomous management). To get this Grade, there are some requirements to comply with, between them; they must be accredited as Health Providers, which demands an implementation of “Care Management Subdivisions”.
This Paper aims to assess the implementation process status of the sanitary reform and the Nursing role in it. It critically examines the challenges that are presented at a professional level and it ponders over the scope towards the discipline and nursing training as well.
As methodology, bibliographical research was carried out on data based on PubMed, Scielo, Redalyc and Bireme. The outcome pointed out four thematic areas: Sanitary Reform in Chile, Implementation of Self Managed Network Institutions, Quality Assurance, Care Management and Professional Training.
Among the conclusions, it is highlighted that the bibliographic research could not give any evidence to determine whether the implementation of Self Managed Network Institutions have made any change in the impact on quality care provided to users, which could be caused by implementation time, nevertheless it is expected that accreditation processes will bring up related experiences that can be published.