Hospital General De La Plaza De La Salud
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Hospital General de la Plaza de la Salud (HGPS) is a
non-profit A nonprofit organization (NPO) or non-profit organisation, also known as a non-business entity, not-for-profit organization, or nonprofit institution, is a legal entity organized and operated for a collective, public or social benefit, in co ...
entity with self-management in the selection and recruitment of staff and in the formulation and use of its budget. It is located on Avenida Ortega y Gasset Ensanche La Fe,
Santo Domingo , total_type = Total , population_density_km2 = auto , timezone = AST (UTC −4) , area_code_type = Area codes , area_code = 809, 829, 849 , postal_code_type = Postal codes , postal_code = 10100–10699 ( Distrito Nacional) , webs ...
, Distrito Nacional of the
Dominican Republic The Dominican Republic ( ; es, República Dominicana, ) is a country located on the island of Hispaniola in the Greater Antilles archipelago of the Caribbean region. It occupies the eastern five-eighths of the island, which it shares with ...
. The HGPS is technically and administratively managed by a board set up by Decree No. 131, April 18, 1996 and ratified by Congress through Law No.78-99, dated 24 July 1999. The Board is composed of distinguished doctors, businessmen, and individuals dedicated to serving the Dominican community as well as ex officio members: the Secretary of State for Public Health and Social Welfare, the Director of the Dominican Social Security Institute, the Chairman of National Council of Businessmen and the Secretary of Labor. Under the supervision of the Board, the HGPS has an organizational structure headed by the Executive Directorate, responsible for coordinating the planning and management to achieve its goals. Dependent on this Directorate are the Financial Management and Administration Directorate, Medical Directorate and the Directorate of Hospital Support. These in turn have different departments headed by managers and service units under the supervision of their heads. HGPS medical staff is composed of specialists, sub-specialists and general or internal practitioners, grouped into the following departments: Internal medicine and specialties, General Surgery and specialties,
OB-GYN Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and ...
,
Gastroenterology Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract ...
and
Endoscopy An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inse ...
, Pediatrics and specialties, Family Medicine Education and Research,
Orthopedics Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
and
Traumatology In medicine, traumatology (from Greek ''trauma'', meaning injury or wound) is the study of wounds and injuries caused by accidents or violence to a person, and the surgical therapy and repair of the damage. Traumatology is a branch of medicine. ...
. Other services offered are:
Diagnostic Imaging Medical imaging is the technique and process of imaging the interior of a body for clinical analysis and medical intervention, as well as visual representation of the function of some organs or tissues ( physiology). Medical imaging seeks to r ...
,
Pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...
,
Geriatrics Geriatrics, or geriatric medicine, is a medical specialty focused on providing care for the unique health needs of older adults. The term ''geriatrics'' originates from the Greek γέρων ''geron'' meaning "old man", and ιατρός ''iatros ...
,
Physical medicine and rehabilitation Physical medicine and rehabilitation, also known as physiatry, is a branch of medicine that aims to enhance and restore functional ability and quality of life to people with physical impairments or disabilities. This can include conditions su ...
, Dentistry,
Laboratory A laboratory (; ; colloquially lab) is a facility that provides controlled conditions in which scientific or technological research, experiments, and measurement may be performed. Laboratory services are provided in a variety of settings: physic ...
and
Blood Bank A blood bank is a center where blood gathered as a result of blood donation is stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a department of a hospital usually within a Clinical Pathology laborat ...
,
Cardiology Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular h ...
, Onco Hematology,
Ophthalmology Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
, Breast Pathology, Emergency Medicine,
nursing Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health ...
, pharmacy, nutrition and social work. Each year, the HGPS benefits more than 13,000 low-income patients who receive up to a 40 percent discount or are exempt from payment according to their financial condition. The HGPS receives a grant from the Dominican Government that covers the annual cost of exemptions and discounts to patients with limited resources. Since 2003, the HGPS is a teaching facility and has three medical residency programs in the areas of Family and Community Medicine, Medical Emergency and Disasters and Rehabilitation Medicine, supported by the Universidad Iberoamericana (UNIBE). At present, the HGPS has become a major center for training and education for the health sciences faculties of major universities in the country: UNIBE, INTEC, UNPHU, UCE, UASD, and the Catholic University Santo Domingo (UCSD), for both its undergraduate and graduate programs. The HGPS is recognized as a center of excellence in Dominican medicine, setting quality standards for the entire country.


History

The medical institutions of the Plaza de la Salud: the General Hospital (HGPS) and the Centers for Diagnostics and Advanced Medicine and Medical Conferences and Telemedicine (CEDIMAT), part of the concept created by Dr. Juan Manuel Taveras Rodriguez, a world-renowned Dominican medical specialist, considered the father of
Neuroradiology Neuroradiology is a subspecialty of radiology focusing on the diagnosis and characterization of abnormalities of the central and peripheral nervous system, spine, and head and neck using neuroimaging techniques. Medical issues utilizing neuroradio ...
. In 1996, President
Joaquín Balaguer Joaquín Antonio Balaguer Ricardo (1 September 1906 – 14 July 2002) was a Dominican politician, scholar, writer, and lawyer. He was President of the Dominican Republic serving three non-consecutive terms for that office from 1960 to 196 ...
, by decree designated an area of for these buildings. The area is divided into equal parts between HGPS and CEDIMAT and shares its grounds with other health institutions such as the
Pan American Health Organization The Pan American Health Organization (PAHO) is an international public health agency working to improve the health and living standards of the people of the Americas. It is part of the United Nations system, serving as the Regional Office for ...
(PAHO / WHO), the Emergency Operations Center (COE) and the Presidential Commission for AIDS (COPRESIDA) among others. The initial construction was built with funds by the Dominican State. Law 163-03, dated February 10, 2003, approved the grant contract between the Dominican State and the Boards of both HGPS and CEDIMAT for the assignment and transfer of land of the Plaza de la Salud. The law was promulgated by the Executive Power, dated 13 September 2003.


HGPS Highlights

*It has helped more than 140,000 low-income patients with discounts and waivers of its health treatment plans, helping to improve their quality of life and their physical and emotional well-being. *Blood Bank with a high level of reliability and credibility, as well as the creation of the section of
Cryopreservation Cryo-preservation or cryo-conservation is a process where organisms, organelles, cells, tissues, extracellular matrix, organs, or any other biological constructs susceptible to damage caused by unregulated chemical kinetics are preserved by co ...
of
stem cells In multicellular organisms, stem cells are undifferentiated or partially differentiated cells that can differentiate into various types of cells and proliferate indefinitely to produce more of the same stem cell. They are the earliest type of ...
at the Blood Bank, which supports the HGPS's
bone marrow transplant Hematopoietic stem-cell transplantation (HSCT) is the transplantation of multipotent hematopoietic stem cells, usually derived from bone marrow, peripheral blood, or umbilical cord blood in order to replicate inside of a patient and to produce ...
services (only one in the country). *It is a teaching hospital facility with a board of educational programs in the following specialties: Family and Community Medicine, Medical Emergency and Disasters and Rehabilitation Medicine. *Conducts a yearly Scientific Symposium to present the institution's research and medical advances. *CENTOX, the first
Poison control center A poison control center is a medical service that is able to provide immediate, free, and expert treatment advice and assistance over the telephone in case of exposure to poisonous or hazardous substances. Poison control centers answer questions ...
in the Dominican Republic. *Followed the successful pregnancy, delivery and birth of the first sextuplets in the Dominican Republic with only 26 and a half weeks of gestation. The children are now 4 years of age and healthy (2009). *
Pediatric intensive care unit A pediatric intensive care unit (also paediatric), usually abbreviated to PICU (), is an area within a hospital specializing in the care of critically ill infants, children, teenagers, and young adults aged 0-21. A PICU is typically directed by ...
(PICU) as a national reference of care. * Pacemaker Clinic *
Hemodialysis Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of purifying the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinin ...
Unit *Center for
Integrated medicine Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability, or evidence from clinical trials. Complementary medicine (CM), complementary and alte ...
*
Thorax The thorax or chest is a part of the anatomy of humans, mammals, and other tetrapod animals located between the neck and the abdomen. In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the cre ...
Pain Unit *Organ and tissue transplantation program., which has a Transplant Counsel and an Organ Captivity Coordination Unit. The program achieved the first kidney transplant from a deceased donor in the country, liver transplants from deceased donors and corneal transplantation. *Physical Medicine and Rehabilitation Hospital, with
Urodynamics Urodynamic testing or urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests can help explain symptoms such as: * incontinence * frequent urination * sudden, str ...
and Isokinetic Diagnostics units. *Volunteerism unit to work with the hospital community with a high degree of solidarity and commitment. *First
Primary Care Primary care is the day-to-day healthcare given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates other specialist care ...
Center of the Dominican Republic. *The country's first
outpatient surgery Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same-day surgery, is surgery that does not require an overnight hospital stay.The International Association for Ambulatory Surgery (IAAS) would not consider a ...
program. *The permanence of the only functioning hospital bioethics committee in the country, meeting regularly since 1997. *Implementation of the first free hip and knee replacement program in the country called Operation Walk, a medical mission for patients with limited resources. It was led by a team of local and international specialists from Brigham and Women's Hospital and since 2008, has benefited over 80 Dominican patients and their families. *Units of Care and Solidarity (UNASOL), offering medical assistance to thousands of people affected by tragedies of force majeure. *
Diabetic foot A diabetic foot is any pathology that results directly from peripheral arterial disease (PAD) and/or sensory neuropathy affecting the feet in diabetes mellitus; it is a long-term (or "chronic") complication of diabetes mellitus. Presence of severa ...
Clinic to prevent and treat all foot diseases in any patient. *
Dengue Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic ...
Clinic, as a national reference for all those who present symptoms.


Criticism

Since its inception, the HGPS has been perceived by the Dominican people as being a State-run facility that should offer free services as it was initially built using State funds. However, by decree, the HGPS was created to provide non-profit medical assistance and uses the fees for services to continue to run its day-to-day operations. While the HGPS receives a government grant to cover services offered to low-income patients at discount or free of charge, the cost of operations can only be met charging a below market fee for its renown medical services.


References


External links

* * * * *{{cite web, title=HGPS in the News – Operation Walk, url=http://www.hoy.com.do/el-pais/2008/4/3/101115/Realizan-cirugias-de-cadera-enHospital-General-Plaza-de-la-Salud, archive-url=https://web.archive.org/web/20110716055039/http://www.hoy.com.do/el-pais/2008/4/3/101115/Realizan-cirugias-de-cadera-enHospital-General-Plaza-de-la-Salud, url-status=dead, archive-date=2011-07-16 Hospitals in the Dominican Republic Buildings and structures in Santo Domingo Hospitals established in 1996