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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]
Tony Judt remembered
 
 
[object Object],[object Object],[object Object],[object Object]
 
Evidenciators, Calidators, Implementators, Proceseitors, Genderators & Determinators     What´s next?
S m a ll   d i g re ss io n s
A new syndrome:  Power Point Toxicity Funny but banal !
[object Object],[object Object],[object Object],[object Object]
Moving into the mud! ,[object Object],[object Object],[object Object],[object Object]
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
 
FROM 2
 
Julian Tudor Hart ,[object Object]
MEDICINE 2.0 ,[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
 
 
 
The Side B
[object Object],[object Object]
Is  HEALTH  a consumer good?  …and  health care?
 
[object Object],[object Object],[object Object]
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]
Why bother with the future? ,[object Object],[object Object]
The future of health  care systems
STREET VISIONS
 
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
 
[object Object],[object Object]
Where do we want to go?
 
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]
THANKS 4 YUR ATTENTION

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