Specificities of communication and management in healthcare institutions

Prelaskom iz paternalističkog načina komuniciranja u zdravstvu na današnji suradno-partnerski način komuniciranja, značajno su se promijenile pardigme komuniciranja u oblasti zdravstva. Tome su značajno pridonijeli strelovit razvoj medicinske znanosti, informatika i vrlo izražen interes pacijenata za svoje zdravlje. Izgradnja modernih zdravstvenih sustava, specifična struktura rada u zdravstvenim ustanovama kao i proces rada, igraju važnu ulogu. U radu je razmotreno kompleksno funkcioniranje medicinskih timova i njihovih voditelja, uloga timskog rada, odlučivanje, vođenje, izbor vođe… Dijada, temeljni tim liječnika i medicinske sestre, u paternalističkom su modelu komuniciranja imali nadređen odnos prema pacijentu koji je bio pasivan objekt i koji je, bez dublje rasprave, jednosmjerno primao informacije. Danas su medicinari i pacijenti subjekti komunikacije, njihov je odnos ravnopravan, a njihova je komunikacija dvosmjerna. U radu su prikazani povijesni detalji složenog odnosa medicinara i pacijenata te specifičnosti komunikacije, paradigmatski primjeri u komunikaciji. Također je naglašen značaj komunikacije u unutarnjoj i vanjskoj javnosti.With the transition from the paternalistic method of communication in health care, to today\u27s collaborative-partnership way of communication, the paradigms of communication in the field of health care have changed significantly. The rapid development of medical science, informatics, and the very pronounced interest of patients in their health have significantly contributed to this process. Development of modern health systems, the specific structure of work in health institutions as well as the work process play an important role. The paper discusses the complex functioning of medical teams and their leaders, the role of teamwork, decision making, leadership, leader selection… The physician-nurse dya d, in the paternalistic model of communication had a superior relationship to the patient who was a passive object and who received information one-way, without deeper discussion. Today, medics and patients are subjects of communication, their relationship is equal and their communication is two-way. The paper presents historical details of the complex relationship between physicians and patients, as well as the specifics of communication, paradigmatic examples in communication. The importance of communication in the internal and external public was also emphasized