An approach to the actuality of the management by values in Cuban Public Health

Abstract

Introduction: values-based management in public health is part of the third major reform of health education. It consists of collaborative and interprofessional decision-making based on the norms and principles of healthcare systems, which is connected to distributed leadership. It underpins a practice that guarantees Comprehensive Healthcare focused on the individual, the family, and the community. Objective: to substantiate the need for values-based management in Cuban healthcare institutions as an axiological basis for effective interprofessional collaborative practice. Method: a documentary review was conducted in English and Spanish in various databases: Google Scholar, SciELO, and the National Health Information Network (Infomed). The information was systematized, and critical inferences were drawn from the authors consulted regarding healthcare management and medical ethics. Results: values-based leadership in health under current conditions requires empowerment in interprofessional collaborative practice in different settings and becomes a support for quality care as demanded by society and health systems, and is a necessary requirement for quality and safe care. Values-based leadership mainstreams the coordination, integration, and fusion of useful knowledge among different health professionals. A close connection between health institutions and other territorial actors is required based on the alignment of competencies, resources, and infrastructure to improve health services. Conclusions: values-based leadership in Cuban Public Health under current complex conditions mainstreams sustainable interprofessional collaborative practice in health services at all levels of care within the health system.