Clinical governance and clinical competence to support new scenarios and role of internal medicine

  • Antonino Mazzone Medical Area Department, Hospital of Legnano (MI), Italy.
  • Mauro Campanini Medical Department, University Hospital Maggiore della Carità, Novara, Italy.
  • Stefano De Carli Division of Internal Medicine 2, University Hospital of Udine, Italy.
  • Micaela La Regina Division of Internal Medicine, Sant’Andrea Hospital, La Spezia, Italy.
  • Andrea Montagnani Division of Internal Medicine, Misericordia Hospital, Grosseto, Italy.
  • Laura Morbidoni Division of Internal Medicine, Senigallia Hospital, Ancona, Italy.
  • Roberta Re Medical Department, University Hospital Maggiore della Carità, Novara, Italy.
  • Alba Sciascera Medical Area Department, Hospital of Legnano (MI), Italy.
  • Ilario Stefani Medical Area Department, Hospital of Legnano (MI), Italy.
  • Giancarlo Tintori | giancarlotintori@hotmail.it Division of Emergency Medicine, University Hospital of Pisa, Italy.
  • Roberto Nardi Division of Internal Medicine, Maggiore Hospital, Bologna, Italy.
  • for the FADOI Groups of Clinical Governance

Abstract

The complex patient, who has often multiple, chronic and progressive disorders, who has undergone polytherapy, should be evaluated totally with respect not only to medical side, but also to psychological and clinical side. The shortage of specialists in disciplines that require technical skills, obtained by training and performing a sufficient number of annual procedures, contributes to the need for reorganizing health care; in this background the Internist devolves less time to charitable activities in favor of competences related to the processes. The knowledge of the clinical governance (CG) should be the common heritage of all the actors of the health system, that need to be made up of professionals able to coordinate and make easy the implementation and the spread the CG culture. At least initially we propose to focus the testing strictly on the medical department. As already mentioned above, the natural Internist predisposition, cultural and training, leads him to a multidisciplinary vision of medicine that allows acquiring more easily the tools that make up the structure of CG, being able to facilitate the application. The acquisitions of professional competence and clinical governance play a key role in the Internist culture. The purpose of an Internist with professional skills and managerial capacity, is to act within the department to facilitate and simplify the horizontal interaction among other similar corporate structures and to help the Management to improve structural and clinical appropriateness in Hospital and to better the relations between hospital and territory, identifying the critical issues and the possible solutions.

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Published
2015-11-05
Section
Reviews
Keywords:
Internal medicine, clinical governance, clinical competence, complex patient.
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How to Cite
Mazzone, A., Campanini, M., De Carli, S., La Regina, M., Montagnani, A., Morbidoni, L., Re, R., Sciascera, A., Stefani, I., Tintori, G., Nardi, R., & Governance, for the F. G. (2015). Clinical governance and clinical competence to support new scenarios and role of internal medicine. Italian Journal of Medicine, 10(2), 92-95. https://doi.org/10.4081/itjm.2015.514