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Operational restructuring for patient focused care: the facility implications. 以病人为中心的护理的业务重组:设施的影响。
World hospitals Pub Date : 1993-01-01
R M Guinn
{"title":"Operational restructuring for patient focused care: the facility implications.","authors":"R M Guinn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the typical hospital, customer service lags behind clinical care. In spite of the promised efficiencies of quality control/quality assurance, costs have continued to soar, whilst the concept of patient focused care has been overlooked. More than 50% of costs are accounted for at 'operational level', due to historical trends towards centralization of ancillary services. Operational restructuring to emphasize 'patient focused' delivery of care implies a number of facility changes which are described below.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 1","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The international health care challenge. "A vision for the future". 国际卫生保健挑战。“对未来的展望”。
World hospitals Pub Date : 1993-01-01
J M Caldeira da Silva
{"title":"The international health care challenge. \"A vision for the future\".","authors":"J M Caldeira da Silva","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 1","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The health of the world's children: reality and prospects. 世界儿童的健康:现实与前景。
World hospitals Pub Date : 1993-01-01
S de Mistura
{"title":"The health of the world's children: reality and prospects.","authors":"S de Mistura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For the children of some of the world's poorest and most populous countries things are getting better. Aids education and control programmes coupled with the spread of political democracy are the main reasons for the sharp fall in infant and child mortality rates. The health of the world's children and why it has improved in some parts of the world--and why it has deteriorated in others--are observed and discussed by the author from an economic, health, political and social point of view.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using quality assurance to meet the challenge of economic change. 用质量保证迎接经济变革的挑战。
World hospitals Pub Date : 1993-01-01
H M Lapsley
{"title":"Using quality assurance to meet the challenge of economic change.","authors":"H M Lapsley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The processes of quality assurance address a range of issues relating to the economics of hospital management. Size of hospital, role delineation, types and quantities of services delivered can all be analysed from a quality assurance perspective. Quality assurance processes can then be used first to identify and then to facilitate the introduction and implementation of economic changes in health services delivery.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 3","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The primary healthcare/hospital interface. 初级医疗保健/医院接口。
World hospitals Pub Date : 1993-01-01
C Ham
{"title":"The primary healthcare/hospital interface.","authors":"C Ham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this paper, the author attempts to review the changing relationship between primary care and hospital care. In doing so, he draws on recent experience in the UK which has sought to strengthen the role of primary care services. This has centred on a new employment contract for general practitioners (GPs) and the introduction of the GP fundholding scheme. Both reforms represent a radical change from past practice and illustrate both the opportunities and the risks involved in introducing new financial arrangements in the primary care sector. Not only does he comment on UK experience, but he also make brief references to broader trends in health services reform in various other countries, giving the speech a truly international dimension.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 3","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comprehensive assessment of Canadian health program guidelines: international health system implications. 加拿大卫生规划指南的综合评估:国际卫生系统的影响。
World hospitals Pub Date : 1993-01-01
D H Caro
{"title":"A comprehensive assessment of Canadian health program guidelines: international health system implications.","authors":"D H Caro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A comprehensive assessment of the Health Program Guidelines (HPG) in Canada was undertaken between January to September 1992. This review examined the strategic effectiveness and operational efficiency of the guidelines under the auspices of a Federal/Provincial/Territorial Committee on Institutional and Medical Services (ACIMS). To assess the perceived needs for the guidelines, over 185 structured mail questionnaires were sent to a sample of health care agencies, institutions and organizations across Canada. A key informant approach was also used to assess the perceived effectiveness and efficiency of the guidelines. Based on the results of the questionnaires the findings and recommendations were made, that are relevant to the international health system community.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare finance and economics. 医疗金融和经济。
World hospitals Pub Date : 1993-01-01
S A Tabish
{"title":"Healthcare finance and economics.","authors":"S A Tabish","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is a wide-ranging overview of the field of healthcare financing, health economics and the development of financial management. It vividly demonstrates that all healthcare systems have too many demands and too few resources, and that problems can manifest themselves in different forms depending on the precise funding structure of the health service concerned.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"11-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Project-managing the commissioning of the Chelsea and Westminster Hospital. 管理切尔西和威斯敏斯特医院的调试项目。
World hospitals Pub Date : 1993-01-01
T Ciorra
{"title":"Project-managing the commissioning of the Chelsea and Westminster Hospital.","authors":"T Ciorra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Feasibility studies to establish the reality of planning, designing and building a major new (650-bed) general teaching hospital on a restricted urban site in a time-scale of five years--instead of the more usual time-scale of twelve or more years for a similar UK National Health Service building--commenced almost six years ago. These studies constituted the groundwork for the birth of the new Chelsea and Westminster Hospital. This article discusses the process and time span of the commissioning and occupation of this new hospital, and deals specifically with the problems encountered.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health policy in a changing world. 变化世界中的卫生政策。
World hospitals Pub Date : 1993-01-01
F Beske
{"title":"Health policy in a changing world.","authors":"F Beske","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Perhaps never has the world changed--politically, economically and socially--as much as it is at present. With this in mind, Dr Beske asks how can adequate healthcare provision be guaranteed world-wide, and how can intensive co-operation to combat the inequity of health care be achieved? It is well known that the level of health care differs greatly throughout the world, but the author draws the conclusion that 'The organization of the health service is one of the tasks of each country. But just as solidarity is demanded on a national level, international solidarity is also required'.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient protocols: commissioning, design and use. 患者方案:调试、设计和使用。
World hospitals Pub Date : 1993-01-01
J Dukes
{"title":"Patient protocols: commissioning, design and use.","authors":"J Dukes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author begins by considering existing definitions of 'protocol' and related terms and later develops this into a discussion of how they work. Among other things, we learn from this article that methods of designing protocols have a significant influence on their implementation, creating a problem for organizations attempting to introduce protocols to promote uniform treatment. While the advantages and disadvantages of protocols are summarized, such a summary is to some extent unrevealing. It has to be appreciated that medicine is practised by social groups governed by informal arrangements which protocols may disturb. Furthermore, by making medical procedures explicit protocols may open up social and moral problems which have previously been concealed.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 3","pages":"15-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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