Health management in pandemic

An emerging vision redimensioned from the circular economy

Abstract

Faced with the crisis of sanitary institutions managed towards service, to provide a sustainable productive mode, circular management emerges as an alternative to the need to conceive a management based on it. This article aims to redefine the management in larenses health organizations from the circular management in pandemic. Methodologically it is framed under the integrative transcomplex approach, with uncertain ontology, epistemologically based on a complex and transdisciplinary knowledge, approximate between explanation, understanding and transformation; contrasting the perceptions of three hospital managers with quantitative data from related references, articulated with a transparadigmatic complementarity, significant to redefine the health management phenomenon with critical reflexivity in the face of the resurgence of a pre-existing health crisis during the COVID19 pandemic and its resolution proposals. Among the main results and findings are a declining world and national economy that conditions a preceding local care crisis, aggravated by the pandemic and perceived by health managers as an ecological and financial threat to service provision, for which the faster circular management principles such as biomimicry and inter-institutional alliances as immediate resolution options. It concludes by emphasizing the possibility of applying these postulates under certain conditions.