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05 Nov
Publicado en Leadership Academy

Leadership Academy: glosario III

Vuelvo a escribir desde la Academia de Liderazgo, con una nueva tanda de términos para el glosario.


Y os recuerdo que la forma en que utilizamos el lenguaje define la realidad.



En inglés (por Muir Gray - Better Value Healthcare)


  • Programme budgeting - The fundamental idea behind programme budgeting is decision making based on explicit criteria related to the wellbeing of the whole population, as opposed to decision making by compromise among various institutional, parochial, or other vested interests.


Marginal analysis - Starting with a particular mix of services and analyzing changes in that mix. If resources can be shifted to produce greater benefit then this should be done.

Opportunity cost - The value of the next best alternative forgone as a result of the decision made.


  • System - A set of activities with a common set of objectives with an annual report, for example a system of care for people with epilepsy or people with back pain or people with multiple morbidities.


Network - If a system is a set of activities with a common set of objectives, the network is the set of organizations and individuals that deliver the systems.

Pathway - The actual care process of care experienced by each individual patient/client; also described as maps that define best practice.

Programme – a programme is a set of systems for example the programme for people with musculoskeletal problems, or  a programme for  people with respiratory problems


  • Population healthcare –the design and delivery of the care with a primary focus on the population in need, not the healthcare institutions, where the populations in need are defined not bureaucratically but by the optimum population size for high value care for individuals and the group in need


  • Population medicine or population clinical practice – a style of practise in which the clinician feels, and is given responsibility for, all of the people in the population in need whether or not they have been referred


Culture - “Culture is the shared tacit assumptions of a group that is has learned in coping with external tasks and dealing with internal relationships.

01 Nov
Publicado en Leadership Academy

Leadership Academy: el glosario continúa

Continuamos con la traducción al español del glosario sanitario de la sanidad basada en valor:


Términos (Sir Muir Gray - Better Value Healthcare)

Quality - The quality of a service is the degree to which it meets pre set standards of goodness. Low quality care is of low value but even high quality care may be of low value depending on what else could be done with the resources required to achieve the improvement in quality. Quality improvement projects improve performance compared with the standards, a continuous quality improvement programme seeks to improve performance and release resources year after year, and resetting the standards year after year so that the service has higher standards to seek to attain

Waste - Waste is any activity in a process that consumes resources without adding value for the patient

Cost effectiveness - The relationship between the cost of an intervention and its impact. Interventions that are not of proven cost effectiveness are of low value but even interventions deemed cost effective may not be of high value depending on what else could be done with the resources that would be required to inroduce it

Overuse and optimality - Optimality is reached when resources or productivity create maximal benefit with the least harm. Beyond optimality there is overuse.

Equity is a subjective judgment of unfairness.