scholarly journals The funding of private hospitals in Australia

2002 ◽  
Vol 25 (1) ◽  
pp. 19 ◽  
Author(s):  
Abby L. Bloom

Private hospitals are an essential component of Australia's complex mix of public and private health funding and provision. Private hospitals account for 34.3 per cent of all hospital separations, and over half (56.2%) of all same-dayseparations. The revenue (funding) of the sector approached $4 billion by 1998/99, and as a result of its recent rapid growth capital expenditure in the sector was nearly $550 million in the same year. Private casemix of privatehospitals is distinctive, and characterised by a high proportion of surgical procedures in general (48.1per cent), andmore than a majority of all services in such areas as rehabilitation, orthopaedics (shoulder, knee, spinal fusion, and hand surgery), alcohol disorders, same day colonoscopy and sleep disorders. This chapter synthesises data from amultitude of sources to produce a comprehensive picture of Australia's private hospital sector and its funding. It examines the funding (revenue) sources of private hospitals, and considers how and why private hospitals approach theissue of funding from a different perspective than their public sector colleagues. To illustrate how Australian privatehospitals approach revenue (funding) strategically, a series of indicative types of hospitals is explored.

2017 ◽  
Vol 9 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Selim Ahmed ◽  
Noor Hazilah Abd Manaf ◽  
Rafikul Islam

Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.


2021 ◽  
Vol 27 (2) ◽  
pp. 1-7
Author(s):  
Diwa Agus Sudrajat ◽  
Tri Oktavia Indrianti ◽  
Eva Supriatin ◽  
Suci Noor Hayati ◽  
Linlin Lindayani

Background/Aims Nurse burnout is a major issue among nursing staff and can affect the quality of nursing care. Little is known about burnout among nurses working in intensive care units in developing countries, such as Indonesia. This study was conducted to investigate and compare the prevalence of nurse burnout in private and public hospitals in Bandung, Indonesia. Methods A cross-sectional approach was used in the intensive care units of one private and one public hospital in Bandung, Indonesia, from June to July 2019. The Maslach Burnout Inventory was used to measure burnout levels among nurses. Univariate and bivariate data analysis was used to interpret the results. Results A total of 52 public hospital nurses and 66 private hospital nurses were included in this study. Burnout levels varied significantly between these groups, with private hospital nurses experiencing higher levels of emotional exhaustion (32.43±12.67 vs 29.35±9.78) and depersonalisation (10.23±6.58 vs 7.89±3.67) than public hospital nurses. Conclusions Over one third of both private and public hospital nurses experienced high levels of burnout syndrome, with nurses in the private sector being particularly affected. It is crucial for both public and private hospitals in Indonesia to adapt their working environments to protect the wellbeing of staff and the safety of patients by reducing the risk of nurse burnout.


Author(s):  
Mandisa Msomi ◽  
Lungile Preciouse Luthuli ◽  
Trywell Kalusopa

Hospitals are complex to operate, particularly in the implementation of electronic health records systems. The implementation and use of electronic health records (EHR) management in hospitals requires management to reinforce change and sustain results for good end results. The purpose of this chapter is to unveil tools used by public and private hospital management to reinforce change and sustain results in the implementation of electronic health records systems. Both public and private hospital are based in the eThekwini Municipality. The conceptual framework based on Kotter Leading Change Model was comprehensively discussed. The findings of the study revealed that there are no standard guidelines for both public and private hospitals in the implementation of EHR system in hospitals. Clarity regarding change management policies and procedures in the implementation of EHR system in both public and private hospitals is required. The study recommends that both public and private hospitals tools to reinforce change and sustain results in the implementation of electronic health records management need to be developed and officially documented.


2020 ◽  
Vol 18 (2) ◽  
pp. 178-185
Author(s):  
Puspa Mani Kharal ◽  
Prakriti Bhattarai ◽  
Prithutam Bhattarai ◽  
Shyam Thapa

Background: In Nepal, the private sector has prominently emerged as a provider of health services in recent years. The objective of this paper is to assess whether public and private hospitals are competing for patients with similar socioeconomic strata, or providing services to different segments of the patient population. Methods: Data were collected prospectively from one public hospital and one private-for-profit hospital, both located in close proximity to one another in Tanahu district. A total of 384 and 389 patients presenting themselves for outpatient services available at the district public hospital and a private hospital, respectively, were systematically selected and interviewed using a survey form. The profiles of the patients were comparatively analyzed, and the reasons for using a particular hospital were assessed. Binary logistic regression was used for multivariate analysis.Results: Compared to the patients using the public hospital, patients at the private hospital were younger, possessed a higher level of education, represented indigenous and disadvantaged ethnic groups, and belonged to business or agricultural occupations. The four prominent reasons for using the private hospital were: positive perception/prior experience, followed by recommendation/word-of-mouth, timely availability of services, and trustworthiness. Among the public hospital patients, the prominent reasons were: low fee for services or having insurance, positive perception/prior experience, and trustworthiness. Conclusions: Public and private hospitals have played a complementary role in serving the health needs of different patient population segments in the study district. Keywords: Nepal; private hospital; public hospital; reasons for use; users profile.


1970 ◽  
Vol 6 (4) ◽  
pp. 44-48 ◽  
Author(s):  
Saman Waqar ◽  
Saima Hamid

BACKGROUND: Job satisfaction is an important factor for retention of health workers within organization. Multiple factors have influenced the job satisfaction among nurses working in the public sector hospitals of Pakistan. This study was conducted to quantify and compare the levels of job satisfaction among nurses of tertiary care public and private hospitals. METHODS: A cross sectional comparative study was conducted in one Public and one Private hospital in Rawalpindi and Islamabad over the period of 6 months. The study included all nurses registered with Pakistan Nursing Council (PNC). Sampling was done by first acquiring the list of all the hospitals from Rawalpindi and Islamabad, 2 hospitals were then selected. Afterwards, the list of all the registered nurses was taken; sample size was determined by applying inclusion / exclusion criteria and by simple random technique by computer generated method. Data was analyzed by using SSS. RESULTS: Results showed that working conditions were more comfortable and working relations with male coworkers were friendlier in private hospital as compared to public hospitals. Satisfaction with the competence of senior nurses, and administrative support in service problems was also more in private hospital. Majority of public hospital nurses were satisfied with their profession because of manageable duty hours, pay and other benefits provided and administrative support in their domestic problems. On the other hand private hospital nurses were more satisfied with positive feedback of their performance, professional growth, and promotion system. CONCLUSION: There is a dire need to improve the conditions regarding working schedule, working environment and management support of nursing staff of hospitals in Pakistan.


2012 ◽  
Vol 2 (3) ◽  
pp. 46 ◽  
Author(s):  
Gaurav Singh ◽  
Ajay Singh ◽  
Shashi Singh

This paper analyses the perception of public and private hospital departmental heads and chief executives towards hospital management issues and compare their perceptions. A survey was conducted on private and public staff members. A total of 200 members formed the sample of which 100 belonged to public hospitals and 100 to private hospitals. The data were analysed with the help of t test analysis and the explanation of the responses of the respondents. The study reveals that there is no significant difference in the perceptions of heads towards the hospital management issues. It is also revealed that though there is no significant difference, yet private hospitals scores over public hospitals. Keywords: Public hospital, Private hospital, Departmental heads, Hospital Management


2016 ◽  
Vol 11 (2) ◽  
pp. 65-64 ◽  
Author(s):  
Neha Saxena ◽  
Himanshu Rai

The present study compares the organisational effect of compensation and benefits in public and private hospitals. It was observed that private hospital employees were more satisfied with their compensation and benefits as compared to the employees of government hospitals. Furthermore, the employees who were satisfied with their compensation and benefits were also found to be satisfied with their jobs. Abbreviations: HR – Human Resources.


Sign in / Sign up

Export Citation Format

Share Document