There are many weaknesses such as: 1. the managerial process is extremely bureaucratic. 2 Prevailing corruption and the political bias. 3. The Administration is very centralized.
(in some regions) 4. The maintenance of hospital facilities and the equipment is extremely poor. 5 There are no ambulances due to the great deterioration in which are found. 6. the security of the hospital material and medical teams is precarious. Faced with this reality in an open forum on the subject, in the kind of managerial topics of the postgraduate Area of faces, of the University of Carabobo, under my responsibility, the scope, implications of this reality and above all was analyzed as it should manage the connection. Precisely, on the latter, present an opinion that deserves be taken in account, such: as Manager of a hospital institution indicated management would be based on three main pillars: decentralization, leadership and care culture change. Decentralization: Within the complex political panorama described, the Venezuelan State must begin the process of devolution of health services to federal authorities who proceeded to request according to the legal framework and its regulation. Promote effective leadership: leadership in the management of health should be the spearhead for achieving the goals and objectives of the hospital through a management that encourages participation and the development of the hospital. Culture change: taken into consideration that the cultures of hospital care have changed considerably in developed countries passed care basic to a much more satisfactory attention and specialized care to treat the patient as a customer, this provides highest quality in health services. Original author and source of the article.
Memory introduces the chapter mentioning itself it ‘ ‘ as property to conserve certain informaes’ ‘ , on to the psychic functions, through which the man can ‘ ‘ to bring up to date impressions or information passadas’ ‘ (p.423). He also cites the diverse systems of education of the memory that had existed in some societies and different times: the mnemotcnicas. Between the cited authors, it deserves a special attention Pierre Janet, which supplies to the concept of memory presented here, the slight knowledge of ‘ ‘ behavior narrativo’ ‘ ‘ ‘ function social’ ‘ , related to the mnemonic act while communication of an information, in the absence of the event or the object motivated that it (p.424-425).
The author cites Leroi-Gourhan that mentioned memory to it in liberal interpretation, distinguishing three types of memory: the specific memory for ‘ ‘ to define the setting of the species behaviors animais’ ‘ , the ethnic memory that ‘ ‘ humanas’ assures the reproduction of the behaviors in the societies; ‘ the artificial memory, that ‘ ‘ encadeados’ makes possible the reproduction of mechanical acts; ‘ (p.425-426). Still in the introduction of the chapter it delimits the base of its analysis, sidewalk in the valuation of the relations between memory and history. Its work presents initially a study of the memory in the societies without writing, old or modern, distinguishing in the history of the memory, in the societies that have verbal memory simultaneously and written memory, the old phase of predominance of the verbal memory where the written or appeared memory has specific functions; it presents, in one second stage, the medieval phase of balance enters the two memories with important transformations of functions of each one of them; the modern phase of decisive processes of the written, on memory to the press and the alfabetizao; e, finally, in one third stage, relatively regroups the developments of the last century what Leroi-Goourhan calls ‘ ‘ the memory in expanso’ ‘ (p.427)..