Tuesday, 17 May 2011

Consequently, artificially appear ...

Therefore, there are artificial conditions of conservation of excess beds. Uniform translational motion due to the successful model of Soviet public health, over time, due to the accumulation of institutional information, diagnostic, therapeutic, etc. nature, it became slow. Require the allocation of "order parameters" to define the concept of further development of that time was not done. Theoretical, institutional, and other information loads are excessive for the most important and numerous health care - for therapeutic services. Development of ascending branches gradually, but much faster in time, passed into the next stage - the horizontal part of the schedule-time kind of stagnation, when the correction system tried to make palliative measures, which include proliferation and narrow specialization, allegedly contributing to the removal of the load from a therapeutic service and, above all with its outpatient care. Progressive, in principle, the system recognized at the WHO is one of the best in the world has gradually fade away. Imperceptibly, at first glance, the therapeutic office was in an unstable condition, which was caused not by formal calculations used to plan specific to sustained static systems are not able to provide the processes described by nonlinear dynamics, and human "factor" - the value is always non-linear, which should was to implement their plan. At the heart of unplanned psychological reactions and motivations lay, above all, dissatisfaction with new terms and conditions implement the skills and lower ratings performance specialty "therapy" because of widespread propaganda of a higher level of care by doctors narrow specialties. Population easily perceive this postulate, by analogy with simple crafts, which is really easier and easier to master in a single operation, but not many. In this case, even the majority of doctors escaped the loss of understanding of the properties of the whole at the expense of hyperbole particulars. Truncated in such a way from all sides therapy lost its appeal not only among the population, but among those who devote their working lives. The central figure in medicine is gradually transformed into a manager on the distribution of patients between the "experts". Himself as a therapist and in everyday life, and in the medical literature has ceased to be called an expert. Fulfilling a very important, an extensive social program, the therapist has not improved and their financial situation. The population also became part of the therapist with a touch of ironic disdain: "Specialists challenges do not serve, a good doctor will not run on the flats." Over time, the health system at the same time began to grow failures of a professional nature: narrow specialists were unable to solve the most common questions, integrate information of different profiles, as due to the limited knowledge only "their" section, and as a result of loss of understanding about the different behavior of the integrated information within the whole organism.

No comments:

Post a Comment