de Oliveira M.C.,Fernando Pessoa University |
Carneiro F.,Centro Hospitalar Tamega Sousa
Arquivos de Medicina | Year: 2012
The quality of healthcare is needing urgent care, as patients are subjected to errors and losing confidence in the system, health staff is overwhelmed with information and regulations, health problems have a lot to do with social environment, and economic constraints impose a more efficient and reliable system. General Surgery as well as surgical specialities constitute no exception in this large picture, on the contrary, they will get their outcomes under better conditions when adhering to this new perspective. Improvement of healthcare demands convergent work at all its main levels: 1) patients (information/education, increase of autonomy, participation in evaluations/ decisions); 2) professionals (scientifictechnical preparation, reflective thinking, managerial skills, capacity to work in multidisciplinary teams, interaction with patients and families); 3) teaching and training; 4) healthcare system organization. Cross-talk among all these agents, institutions and activities are no better pursued than making them coincide at academic multidisciplinary centers where humanities, social sciences and health sciences are actively taught while interacting, both at pre-graduate and post-graduate levels. Enrollment of patient associations and health administrative authorities do also significantly enrich the skills of trainees. Furthermore, research work at any level, including the areas of patient safety and improvement of quality, may not only contribute to better professionals but also to an environment of self-sustained, continuous improvement.