Internal Medicine (IM) is the medical specialty hospital character preferably longer tradition. Internists are formed under the principle that any disease or clinical problem in adults is outside his purview and responsibility. This attitude promotes active participation in most of the challenges of care: clinical care and management, creation and development of several medical specialties and health care to new areas.
The internist as a guarantor of comprehensive care in the hospital environment is pivotal to health care focused on the overall needs of the person and is able to keep as a reference to specific diseases or new . In clinical practice there are various factors conditioning the variability in clinical practice, the growing expectations of citizens, the vast technological innovation and economic framework of public services, management and control which justifies the necessary existence of the management of intellectual resources human, technological and organizational best care for the sick .
Existing resources to cover health expenditures are limited and can not grow indiscriminately and also the demands of the citizens will continue to grow with an aging population and the development of new technologies . Acknowledging the imbalance between demand and available public resources which can lead to medicine is economically and politically unsustainable, the answer to these problems should not only focus on trying to improve the efficiency of organizational measures and productivity management-simple means-but in the end, the aims of medicine beyond the usual beat any illness and prevent death with the use of resources and appropriate technology, which is a bias toward healing the detriment of care. (more…)
