Health Services at the crossroad

The Planning and Management of Health Services Working on the interface Jos é Francisco García Gutiérrez OPS/PAHO HSS/HR Nassau, 24 November 2011

My apologies ….but we do need to get to know each other ,[object Object],[object Object],[object Object],[object Object]

To understand my discourse ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Evidenciators, Calidators, Implementators, Proceseitors, Genderators & Determinators What´s next?

A new syndrome: Power Point Toxicity Funny but banal !

Moving into the mud! ,[object Object],[object Object],[object Object],[object Object]

HEALTH MANAGERS The dark side of the force?

Manager ´s Triangle ,[object Object],[object Object],[object Object],[object Object]

Citizen ´s Triangle ,[object Object],[object Object],[object Object],[object Object]

The low moral among the professionals

Julian Tudor Hart ,[object Object]

Changing practice Cambio de prácticas clínicas

Are you wearing a wrist watch ? … why ???

From Baby-Boomers to G e n e r a t ion 2 0 2 0

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Is HEALTH a consumer good? …and health care?

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The other framework Model Paterna- listic Informative Shared Ro l e No informed Partially informed Well informed Active Undecisive Pasive Information

That Old Dilemma ,[object Object],[object Object],[object Object]

Pictures of the future of health care

Dangers of predicting the future ,[object Object],[object Object]

Why bother with the future? ,[object Object],[object Object]

Why bother with the future? ,[object Object],[object Object],[object Object]

The future of health care systems

Fee for service for the rich Marks and Spencer style managed care for the middle classes Safety net service for the poor

“ McDonalization” of medicine

Official Frameworks ,[object Object],[object Object],[object Object],[object Object],[object Object]

Six L ines 4 a New Code ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Final thought ,[object Object],[object Object],[object Object]

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