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Repair for a broken market: the medical service company. 修复破碎的市场:医疗服务公司。
World hospitals Pub Date : 1993-01-01
A Greene
{"title":"Repair for a broken market: the medical service company.","authors":"A Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sky-rocketing costs are fueling debate over whether market mechanisms can work for the healthcare services industry. The market for health care certainly seems to be broken. Value is decreasing, services are fragmented and costly transactions among providers are exacting a great toll in efficiency and service. Perhaps ironically, this situation presents a golden opportunity for providers who understand that the market is merely responding to the combined stimuli of inflated demand and excessive regulation. We believe that Medical Service Companies, which unite physicians and hospitals under one corporate roof, can reduce market friction, improve the responsiveness of providers and provide better value than traditional provider organizations.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 3","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004110","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
Clinical quality assurance: practice parameters. 临床质量保证:实践参数。
World hospitals Pub Date : 1993-01-01
R Scalettar
{"title":"Clinical quality assurance: practice parameters.","authors":"R Scalettar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"30-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002661","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 needs and preferences of hospital staff and the scope of design. 医院工作人员的需求和偏好及设计范围。
World hospitals Pub Date : 1993-01-01
C Xanthopoulos
{"title":"The needs and preferences of hospital staff and the scope of design.","authors":"C Xanthopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The problem of matching the results of hospital design to needs and expectations of its staff has become exceedingly complex. Although it is easy to classify staff needs and preferences, we must go further than that; we must examine if and how they are incorporated in the processes of creating the appropriate hospital environment. All too often these processes--the ever-turning cycle of identifying problems, needs-briefing-designing and evaluating--deviate from the pathways of comprehensive, logical and sensible tactics. The author discusses the reasons for this.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 3","pages":"20-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004107","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
Doctors as managers. 医生是管理者。
World hospitals Pub Date : 1993-01-01
M Dixon
{"title":"Doctors as managers.","authors":"M Dixon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order that a hospital function efficiently, it is imperative that the management use its skills to best effect. On this subject, Dr Dixon discusses 'organizational bonding', a bonding which, among other things, will improve planning, budgetary control and quality control and speed up decision-making, by means of decentralization. '... the vertical divisions between different professional groups and hierarchies', she concludes, 'have to be replaced by horizontally integrated service units.'</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"29 2","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21032609","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
Development of a customer service program in a large, multi-site blood bank. 在大型多站点血库中开发客户服务程序。
World hospitals Pub Date : 1992-01-01
D A Barnes, R L Goldman
{"title":"Development of a customer service program in a large, multi-site blood bank.","authors":"D A Barnes,&nbsp;R L Goldman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concepts of Total Quality Management (TQM) and Continuous Quality Improvement (CQI) have been widely applied but not in the unique ambulatory care setting represented by Irwin Memorial Blood Centers (IMBC). The traditional definition of quality for blood banks has been concerned with the products offered to physicians, hospitals and patients. This program expanded the definition to include customer service. A Quality of Service Steering Committee (QSSC) identified the needs and requirements of Irwin's key customer groups as a first step in embarking on its Quality of Service Program (QSP).</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037834","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 renaissance of excellence: re-establishing good management in a devastated teaching hospital. 卓越的复兴:在被摧毁的教学医院重建良好的管理。
World hospitals Pub Date : 1992-01-01
J Shaw
{"title":"The renaissance of excellence: re-establishing good management in a devastated teaching hospital.","authors":"J Shaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An institutional development team of four technical advisers has been working at Mulago Hospital, the 1440-bed National Teaching and Referral Hospital, since 1983 to assist the hospital to re-establish working management systems, drug and supplies procurement arrangements and an engineering maintenance service. The hospital was in poor shape at the beginning of the project, but has improved over time. The Team works with counterparts to advise, coach, train, facilitate and support their development. External factors have contributed to the progress made, but the Team's contribution included long term availability in the hospital, the sustainable nature of the counterpart relationship, practical and material assistance, and access to outside charitable funds.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20994562","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
Designing the next generation of American hospitals. 设计下一代美国医院。
World hospitals Pub Date : 1992-01-01
T E Thomas, K L Saslaw
{"title":"Designing the next generation of American hospitals.","authors":"T E Thomas,&nbsp;K L Saslaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Change has always been a part of the hospital's operating environment, but the changes predicted for American Hospitals during the next two decades pose considerable challenge to those who manage health care services and those who design medical facilities. The next generation of American Hospitals are responding to changes in technology, availability of human resources and demand of the public, private and government interest groups. Hospitals and architects that understand the predictable changes and anticipate the unknown, will be able to plan a facility that responds to the needs of future health care delivery.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 1","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054508","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
Geriatric planning: planning for our elderly. 老年规划:为我们的老年人规划。
World hospitals Pub Date : 1992-01-01
J M Phillips
{"title":"Geriatric planning: planning for our elderly.","authors":"J M Phillips","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this article is to persuade policy-makers that we can improve planning for our elderly. An alternative model is presented--The Geriatric Centre--with location based upon city neighbourhoods, suburban and rural communities, and having neighbourhood responsibility, accountability and a comprehensive service delivery.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 1","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20994560","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
An analysis of the factors affecting the average length of stay in the otolaryngology unit. 影响耳鼻喉科平均住院时间的因素分析。
World hospitals Pub Date : 1992-01-01
A Cuchi, J M Bayas, R Lledó, L Bohigas, J Sentís, M A Asenjo
{"title":"An analysis of the factors affecting the average length of stay in the otolaryngology unit.","authors":"A Cuchi,&nbsp;J M Bayas,&nbsp;R Lledó,&nbsp;L Bohigas,&nbsp;J Sentís,&nbsp;M A Asenjo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Specific factors which have an influence on the average length of stay in the otolaryngology unit of a University Hospital are studied; the patients are covered by some type of insurance and have no out-of-pocket expenses. The effect of the following variables on the average length of stay is evaluated: age, sex and type of pathology. The periods of hospitalisation are significantly longer (Mann-Whitney test) in males (p < 0.0001), in older patients (p < 0.008) and in the case of tumours, which prolong the period of stay especially of males (p < 0.0001). It is suggested that the shorter stay in the case of females may be conditioned by social and family factors.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 3","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037835","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
Tuberculosis control in hospitals. Technical Panel on Infections within Hospitals, American Hospital Association. 医院的结核病控制。美国医院协会医院感染问题技术小组。
World hospitals Pub Date : 1992-01-01
{"title":"Tuberculosis control in hospitals. Technical Panel on Infections within Hospitals, American Hospital Association.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Below is a Technical Briefing on Tuberculosis Control in Hospitals elaborated by the Technical Panel on Infections within Hospitals, in January 1992. Several hospital outbreaks of multiple drug-resistant tuberculosis among HIV-infected persons underscore the need for immediate attention to TB infection control measures to prevent transmission in hospitals. This Technical Briefing recommends specific TB control measures that should be implemented in all hospitals.</p>","PeriodicalId":76826,"journal":{"name":"World hospitals","volume":"28 2","pages":"11-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001690","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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