Author/Editor     Mlakar, Tatjana
Title     Razmišljanje o razvoju kontrolnega modela v sistemu zdravstvenega varstva Slovenije
Type     članek
Source     Bilt Ekon Org Inf Zdrav
Vol. and No.     Letnik 24, št. 1
Publication year     2008
Volume     str. 28-35
Language     slo
Abstract     The model excludes the possibility of excessive self-organisation, probability synergies and one-side intuitive measures; since such measures are usually a result of an inappropriate preparation of implementation regardless of the disadvantages of the model. At the same time it allows and supports professional and especially inter-disciplinary creativity and inhibits bureaucratic rigidity. An important fact, arising from the new Control Systems Theory model concept, is that it adjusts in its possible application to the current organisational scheme of health care system in Slovenia; and hence does not contradict or demands any statutory change of individual sub-systems within the health care system. This is in particular important as it enables the implementation of the proposed model in a relatively short timeperiod without major statutory and organisational interventions in the system. The control systems theory model does not include any elements of workorganisation, that would demand essential staff reorganisation in the sub-systems of the Slovenian health care system. The model transforms itself informatively and instructively into a self-controlled and self-supervised system. This way it aims at eliminating the impact of errors and mistakes in the work process and the impact of the negative emotions of the human beings on the results of work. However, it introduces a number of essential novelties in the health system, that could gradually become innovations.
Summary     Model izključuje možnost pretiranega samoorganiziranja, verjetnostnih sinergij in enostranskega intuitivnega ukrepanja, ker je takšno ukrepanje praviloma posledica površne priprave izvedbe ne glede na pomanjkljivost modela. Hkrati dopušča in podpira strokovno in še zlasti medstrokovno ustvarjalnost in zavira birokratsko togost. Pomembno dejstvo, ki izhaja iz predloga novega modela kontrolne teorije sistemov, je, da se le-ta v možni aplikaciji prilagaja v Sloveniji veljavni organizacijski shemi delovanja sistema zdravstvenega varstva, kar pomeni, da ne ruši ali ne zahteva zakonske spremembe delovanja posameznih podsistemov v sistemu zdravstvenega varstva. To je pomembno predvsem s stališča, da je možno predlog modela vzpostaviti v relativno kratkem času in brez večjih zakonskih in reorganizacijskih posegov v sistem. Model kontrolne teorije sistemov prav tako ne vsebuje elementov organizacije dela, ki bi zahtevali v Sloveniji bistvene kadrovske reorganizacijske spremembe znotraj podsistemov v sistemu zdravstvenega varstva. Model se informativno, učeče preoblikuje v samokontrolni in samonadzorovani sistem. S tem želi izničiti vpliv pomot in napak v procesu dela in vpliva negativnih čustev izvajalca - človeka, na rezultate dela. Vendar vnaša v obvladovanje zdravstvenega sistema bistvene novosti, ki bi zmogle postati inovacije vsaj postopno.