Ethics and management objectives

Prieto de Paula, J.M.; Franco Hidalgo, S.

doi:10.1016/j.rceng.2018.10.013

array:24 ["pii" => "S2254887418301991" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.10.013" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1595" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:102" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256518303047" "issn" => "00142565" "doi" => "10.1016/j.rce.2018.10.002" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1595" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:102" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 43 "formatos" => array:2 [ "HTML" => 31 "PDF" => 12 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Correspondencia" "titulo" => "La ética y los objetivos de gestión" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "102" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ethics and management objectives" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Prieto de Paula, S. Franco Hidalgo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Prieto de Paula" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Franco Hidalgo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887418301991" "doi" => "10.1016/j.rceng.2018.10.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301991?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518303047?idApp=WRCEE" "url" => "/00142565/0000021900000002/v1_201902270613/S0014256518303047/v1_201902270613/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887418301887" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.11.009" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1584" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:103-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "Hyperkalemia, also in acute heart failure" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "103" "paginaFinal" => "104" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hiperpotasemia, también en la insuficiencia cardiaca aguda" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 2500 "Tamanyo" => 201123 ] ] "descripcion" => array:1 [ "en" => "Prevalence of hyperkalemia in the Epidemiology of Acute Heart Failure in Emergency Departments cohort." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Jacob, L. Llauger, V. Gil, P. Javaloyes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Jacob" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Llauger" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Gil" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Javaloyes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S001425651830287X" "doi" => "10.1016/j.rce.2018.10.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651830287X?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301887?idApp=WRCEE" "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301887/v1_201902270625/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887418301279" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.06.001" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1545" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2019;219:100-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicine in Images" "titulo" => "Hutchinson's sign as a predictor of ocular impairment in herpes zoster ophthalmicus" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "101" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Signo de Hutchinson como predictor de afectación ocular en herpes zoster oftálmico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1175 "Ancho" => 1667 "Tamanyo" => 182636 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Cristóbal-Bilbao, D. Bernal-Bello, A. Zapatero-Gaviria" "autores" => array:3 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Cristóbal-Bilbao" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Bernal-Bello" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Zapatero-Gaviria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518301905" "doi" => "10.1016/j.rce.2018.06.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301905?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301279?idApp=WRCEE" "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301279/v1_201902270625/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "Ethics and management objectives" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "102" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Prieto de Paula, S. Franco Hidalgo" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Prieto de Paula" "email" => array:1 [ 0 => "jmprieto@saludcastillayleon.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Franco Hidalgo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Complejo Hospitalario de Palencia, Palencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La ética y los objetivos de gestión" ] ] "textoCompleto" => "We read the interesting study by Alonso et al.,<a class="elsevierStyleCrossRef" href="#bib0005">1</a> the title of which appears ambiguous to us, because it is unclear whether the word “for” means “in the perception of” or “directed at” (hospital physicians).There are 3 fundamental issues here: In the operational objectives, quantity is prioritized over quality; the clinicians are barely involved in preparing the objectives; and its approach is unfocused in terms of the reality of the healthcare system.We have observed a reluctant attitude from the outset regarding the desirability of management efficiency. When we read “Although healthcare institutions should conduct efficient management... their ultimate goal is... optimal patient care”, the concessivity of “Although” slyly pits management against optimal care, as if one is not directed towards achieving the other.The article has a number of nonspecific or generalized statements and states that physicians “... are incentivized to achieve quantitative results...”, that “... physicians are rewarded... for assisting more patients in a shorter time” and that management sends the proposed objectives to each department (from which we can infer a lack of participation) or that these are focused on indicators regarding the care of acute processes.We do not know the sources consulted, but in any case, the authors appear to have employed a synecdoche by identifying the reality of the hospitals of the country that the authors used as reference. We agree with much of the statements expressed in the article, some of which are so evident that they are beyond discussion. However, we do not agree that the “classical” indicators are, in and of themselves, negative. For example, establishing a mean stay or establishing, according to the criteria of scientific societies, a consultation time or an objective of delay or rescheduling does not conflict with ethics but rather contributes to it. This is not the case (as indicated with almost exaggerated flippancy in the text) of “unjustified” early discharges or not prescribing “recommended drugs” but rather avoiding inappropriate hospitalization and using drugs rationally." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Prieto de Paula JM, Franco Hidalgo S. La ética y los objetivos de gestión. Rev Clin Esp. 2019;219:102." ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "¿Son éticos los objetivos de gestión para los médicos de nuestros hospitales?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.B. Alonso" 1 => "E. Pacios" 2 => "B. Herreros" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2018.06.002" "Revista" => array:2 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2018" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301991/v1_201902270625/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000002/v1_201902270625/S2254887418301991/v1_201902270625/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301991?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

Indexed in:

Current Contents / Clinical Medicine , JCR / SCI-Expanded, Index Medicus / Medline y Excerpta Medica / EMBASE

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.3

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

0.7

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.162

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.211

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 219. Issue 2.

Pages 102 (March 2019)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)

Member of the society

Subscriber

Contact

Member

Si es usted socio de FESEMI siga los siguientes pasos:

Diríjase desde aquí a la web de la >>>FESEMI<<< e inicie sesión mediante el formulario que se encuentra en la barra superior, pulsando sobre el candado.