OBJECTIVES AND STRATEGIES REQUIRED FOR A LEADER FOR ACHIEVING EFFECTIVE MANAGEMENT WITHIN A CLINICAL SECTION OF A STATE HOSPITAL UNIT. SPECIFIC FEATURES OF THE ROLE

The management of a hospital section from a health system subject to upper-level reforms and changes requires a coherent administration with internal solutions adapted locally to the existing resources and needs demanded by the beneficiaries. At the level of each section, their managers should set goals designed to optimize the activity of each section in such way that the medical service offered is of high quality, meets the requirements of the population segment served by the qualified hospital unit, and should find alternatives, depending on the specific, to provide on-demand medical services that supplement the revenues which the section determines. We will discuss the case of a psychiatric section of chronic patients, where the main sources of funding are the settlement of the medical services provided within the framework contract with the Healthcare Organization and the paid hospitalizations consisting in the payment of the period of hospitalization with a minimum of 14 days between two periods of admission under the regime with the Healthcare Organization. These paid admissions are ways to increase own incomes by providing on-demand medical services. The methodological course will imply the mix of qualitative with quantitative research and finalize with the validation of hypotheses established on the basis of the criteria for internal and external validation.