The Public Hospital System in Macedonia

Objective. Patient safety is challenging for health systems around the world, particularly in low- and middleincome countries such as Guatemala. The goal of this report is to summarize a strategic planning process for a national patient safety plan in Guatemala. Methods. This strategic planning process involved multiple stakeholders, including representatives of the Guatemala Ministry of Health and Social Assistance, medical leadership from across the public health system, and academic experts from Guatemala and the United States of America. We used mixed methods (quantitative and qualitative surveys) and a nominal group technique at a national symposium to prioritize patient safety challenges across Guatemala, and subsequent meetings to develop a national patient safety plan. Results. This national patient safety plan outlines four domains to advance patient safety across the public hospital system over a five-year period in Guatemala: leadership and governance, training and awareness, safety culture, and outcome metrics. For each domain, we developed a set of goals, activities, outputs, and benchmarks to be overseen by the Ministry of Health. Conclusions. With this national patient safety plan, Guatemala has made a long-term commitment to improving patient safety across the public hospital system of Guatemala. Future efforts will require its extension to all levels of the Guatemalan health system.

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Recent Shifts in Pediatric Inpatient Activity from Public to Voluntary Hospitals in the Bronx: Implications for the Public Hospital System† 671

Pediatric Research ◽

10.1203/00006450-199804001-00692 ◽

1998 ◽

Vol 43 ◽

pp. 117-117

Author(s):

Andrew D Racine

Keyword(s):

Public Hospital ◽

Hospital System ◽

The Public ◽

Pediatric Inpatient ◽

Public Hospital System

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Funding Melbourne?s hospitals:Some historical moments

Australian Health Review ◽

10.1071/ah980029 ◽

1998 ◽

Vol 21 (1) ◽

pp. 29

Author(s):

Christine Walker

Keyword(s):

Public Hospital ◽

Historical Research ◽

Hospital System ◽

The Public ◽

Casemix Funding ◽

Public Hospital System

In 1993 the Victorian Government introduced casemix funding as part of itsrestructure of the public hospital system. Casemix funding provides a new basis forgovernment funding according to outcomes. At the same time, restructure of hospitalsallows for a reconsideration of who is eligible to use them. Historical research intothe growth of the public hospital system in Melbourne shows that attempts to reformthe hospital system are as old as the system itself. This paper argues that the views ofhospitals in funding crises and the solutions that are recommended have more to dowith the politics of the day than the economics of running hospitals.

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Dying in the Public Hospital System

Dancing with Broken Bones ◽

10.1093/acprof:osobl/9780199760138.003.0003 ◽

2012 ◽

pp. 59-80

Author(s):

David Wendell Moller

Keyword(s):

Public Hospital ◽

Hospital System ◽

The Public ◽

Public Hospital System

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Dentists’ Entrepreneurial Intention and Associated Factors in Public Hospitals in Southeastern China: A Cross-sectional Study

10.21203/rs.3.rs-52297/v1 ◽

2020 ◽

Author(s):

Jiabi Wang ◽

Bin Peng ◽

Hongzhi Zhou ◽

Jing Hua Zhang

Keyword(s):

Public Hospital ◽

Entrepreneurial Intention ◽

Individual Characteristics ◽

Public Hospitals ◽

Snowball Sampling ◽

Southeastern China ◽

Cross Sectional ◽

Hospital System ◽

The Public ◽

Public Hospital System

Abstract Background: Due to the rising demand and fast growth opportunities, the private dental care sector in China tried to attracted experienced dentists from the public hospital system, which hence are faced with challenges of talents outflow and shortage.Methods：A dentist’s entrepreneurial intention (EI) was represented by his/her intention of leaving the public hospital system to be engaged in the private sector..Dentists from public hospitals in 9 major cities of 5 provinces in Southeastern China were surveyed in this study. Through a snowball sampling method, a total of 336 questionnaires were collected. The association between the dentists’ EI and their individual characteristics (basic demographic and professional characteristics, entrepreneurial behaviors) were analyzed using logistic regression analysis.Results: In the public hospitals in China studied, female dentists are consistently less likely to report entrepreneurial intention (EI) (OR=0.365, p=0.001). Dentists in the age group of 36 to 45 and those aged over 45 reported much stronger EI (OR=14.205, p=0.012; OR=8.45, p=0.066) than those in 20’s did. Compared with intern dentists, Attending Dentists (OR=7.812, p=0.016) and Associate/Chief Dentists (OR=9.857, p=0.021) were significantly more likely to report EI. Those with master level (OR=0.221, p=0.021) or Doctorate degrees (OR=0.118, p=0.005) are much less likely to report EI. Meanwhile, those in small hospitals ( with employee numbers < 50) reported much stronger EI than those in large hospitals (OR=2.398, p=0.044). Additionally, dentists’ entrepreneurial behaviors, risk aversion attitudes and their family background all have significant associations.Conclusions: The small public hospitals in China especially face a high risk of talented dentist outflow. As an offsetting strategy, these hospitals may consider more active recruiting policy for female dentists or those holding post-graduate degrees due to their good possibility of long term career path in the public hospital system.

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