scholarly journals Searching for the hospital yardstick:A case study of private hospital productivity bargaining

1997 ◽  
Vol 20 (4) ◽  
pp. 96
Author(s):  
Nils Timo
Keyword(s):  
Trade Unions ◽  
Private Hospital ◽  
Bottom Line ◽  
Bargaining Process ◽  
Private Hospitals ◽  
Hospital Productivity ◽  
Fixation System

The decentralisation of Australia?s centralised wage fixation system has been seen asproviding opportunities for employers and trade unions to tailor workingarrangements to suit the needs of the workplace and to provide better paid long-termjobs. This paper details the productivity bargaining between the Private Hospitals?Association of Queensland and The Australian Workers? Union in 1995?97 inQueensland that led to the introduction of a number of productivity-based enterpriseagreements. The case study shows that productivity bargaining in the private hospitalsstudied remains focused on ?bottom line? issues where cashable savings can readily begenerated. The paper concludes with an examination of the lessons drawn from theproductivity bargaining process.

scholarly journals Diagnosis associated with COVID-19 (U07.1), Pneumonia- Unspecified (J18.9) and other types of admissions: A restricted medical scheme case study- South Africa

2021 ◽  
Vol 8 (1) ◽  
pp. 001-016
Author(s):  
Michael Mncedisi Willie ◽  
◽  
Asnath Motsepe ◽  
Keyword(s):  
Private Hospital ◽  
Hospital Admissions ◽  
Primary Objective ◽  
Inclusion Criteria ◽  
Pcr Assay ◽  
Private Hospitals ◽  
Review Period ◽  
Icd 10 ◽  
Secondary Objective

The primary objective of this study was to assess the characteristics of patients admitted for COVID-19, ‘J18.9 Pneumonia, unspecified organism’ and other types of diagnoses. The aim was to assess as to what extent do COVID-19 related admissions changed to pneumonia, and as to what extent do ‘J18.9 Pneumonia, unspecified organism’ related admissions that changed to COVID-19 diagnosis at discharge stage. The secondary objective of the study was to assess’ predictors of readmissions in private hospitals. The review period was private hospital claims received by the scheme between January and August 2020. The inclusion criteria for COVID-19 admissions were patients that had a laboratory-confirmed (RT – PCR assay) COVID-19. Predictors of readmissions were modelled using logistic regression. The study found that restricted scheme patients admitted for a COVID-19 diagnosis changed to a ‘J18.9 Pneumonia, unspecified organism’ diagnosis. The converse was found to be true in that some patients that were admitted as J18.9 Pneumonia, unspecified organism’ diagnosis changed to a COVID-19 diagnosis. This study showed underlying factors associated with hospital admissions and predictors of readmissions in private hospitals. Keywords: COVID-19, Diagnosis, Hospitalisation, ICD-10, Pneumonia, Risk factors

Opd Service Quality And Satisfaction: A Case Study Of A Private Hospital In Malaysia.

GIS Business ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 31-46
Author(s):  
Priscila Rajah Davarajah ◽  
Syriac Nellikunnel Devasia ◽  
Hanim Norza Baba ◽  
Hanim Norza Baba ◽  
Maria Josephine Williams ◽  
...  
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Quantitative Data ◽  
Private Hospital ◽  
Outpatient Department ◽  
Statistical Tools ◽  
Private Hospitals ◽  
Outpatient Departments ◽  
Klang Valley

This study is to find out the customer satisfaction in the context of outpatient department services in a private hospital in Klang Valley.  SERVPERF model is used to understand the depth of service quality in outpatient departments. The quantitative data is analysed using SPSS statistical tools analyse customer satisfaction in relation to the five dimensional aspects of the service quality in private hospital, namely; tangibility, reliability, responsiveness, assurance and empathy. The findings and conclusion of the study serves as guideline to the researchers and managers to design a strategic plan with an improved outpatient department services to satisfy customers’ demands. The limitations of this study is that it covers only the outpatient customers and does not cover all the private hospitals in Malaysia.

scholarly journals ‘Women take care and men take charge’: The case of leadership and gender in the Public and Commercial Services Union

2020 ◽  
pp. 0143831X2094368
Author(s):  
Julie Prowse ◽  
Peter Prowse ◽  
Robert Perrett
Keyword(s):  
Leadership Style ◽  
Trade Unions ◽  
Union Leader ◽  
The Public ◽  
Union Leadership ◽  
Positive Attitudes ◽  
Union Leaders ◽  
And Gender ◽  
Survey Responses

This article presents the findings of a case study that aimed to understand the specific leadership styles that are valued by women and men lay representatives in the Public and Commercial Services Union (PCS) and to determine the gendered implications for increasing women’s leadership and representation in trade unions. Survey responses from PCS lay representatives (reps) show the majority of women and men agreed that the leadership style they value, and that makes a good union leader, is post-heroic (communal) leadership. This approach is associated with leadership characteristics such as being helpful, sensitive and kind and are generally practised by women. This contrasts with male union leaders who are associated with a traditional, heroic (agentic) leadership style characterised by confidence, self-reliance and decisiveness. Although some differences exist that highlight gender issues, both women and men lay reps have positive attitudes towards increasing women’s representation and participation in union leadership.

scholarly journals Digital Product–Service Innovation and Sustainability: A Multiple-Case Study in the Capital Goods Industry

2021 ◽  
Vol 13 (11) ◽  
pp. 6342
Author(s):  
Alberto de la Calle ◽  
Inmaculada Freije ◽  
Aitor Oyarbide
Keyword(s):  
Supply Chain ◽  
Service Innovation ◽  
Multiple Case Study ◽  
Bottom Line ◽  
Capital Goods ◽  
Case Study Methodology ◽  
Digital Product ◽  
Product Service ◽  
Multiple Case

Digitalisation, servitisation, and sustainability are keywords for the current and future development of the manufacturing industry. However, their interaction in the context of an organisation and its supply chain is unclear. This study examines how digital product–service innovation (PSI) or digital servitisation affects sustainability, considering the triple bottom line perspective, as well as identifies the underlying causes. Moreover, this study analyses the role played by supply-chain strategic collaboration, both internal and external to the company, in digital PSI and sustainability. Using a multiple-case study methodology and B2B market perspective, four companies belonging to the capital goods industry were analysed. Our findings indicate that digitalisation is leveraging both basic and advanced services in their impact on economic and environmental sustainability dimensions, while the results are limited in social sustainability. In addition, supply-chain integration is relevant for digital PSI. Internal integration is required for both basic and advanced services, while external integration is especially important in advanced services. We conclude by emphasising that companies should acquire digital capabilities to develop defensive and offensive business strategies that ultimately affect sustainability.

When Scientific Knowledge and Ignorance Make It Difficult to Improve Occupational Health: A French and European Perspective

2021 ◽  
pp. 104829112110191
Author(s):  
Émilie Counil ◽  
Emmanuel Henry
Keyword(s):  
Occupational Health ◽  
Trade Unions ◽  
Public Health Intervention ◽  
Implementation Process ◽  
Health Issues ◽  
Political Debate ◽  
Exposure Limits ◽  
Attributable Fractions ◽  
Blind Spots

This article analyzes the consequences of the increasing reference to scientific expertise in the decision and implementation process of occupational health policy. Based on examples (exposure limits and attributable fractions) taken from an interdisciplinary seminar conducted in 2014 to 2015 in France, it shows how the measurement or regulation of a problem through biomedicine-based tools produces blind spots. It also uses a case study to show the contradictions between scientific and academic aims and public health intervention. Other indirect implications are also examined, such as the limitation of trade unions’ scope for action. Finally, the article suggests launching a broad political debate accessible to nonspecialists about collective occupational health issues—a dialogue made difficult by the rise of the afore-mentioned techno-scientific perspective.

scholarly journals THE CO-PRODUCTION OF INNOVATION: A CASE STUDY IN A REHABILITATION HOSPITAL

2016 ◽  
Vol 17 (4) ◽  
pp. 109-129
Author(s):  
REGIS SILAS CARDOSO ◽  
ANTONIO ISIDRO DA SILVA FILHO ◽  
LEAR VALADARES VIEIRA
Keyword(s):  
Private Hospitals ◽  
Public And Private ◽  
Production Studies ◽  
Rehabilitation Hospital ◽  
Innovative Process ◽  
Innovation Capacity ◽  
Public And Private Hospitals ◽  
Methodological Aspects ◽  
Research Analysis

ABSTRACT Purpose: Understand how the user, the provider/supplier and the decision maker interact in the innovative process, as well as identify how the co-production occurs. Originality/gap/relevance/implications: There is evidence that the innovation derives among other factors from elements that characterize the co-production. Studies involving co-production of innovation are scarce. This study contributes to increase the theoretical knowledge in innovation in hospitals, mainly regarding co-production of innovation. Key methodological aspects: It is a qualitative study with case study strategy. Data collection through interviews and documentary research. Analysis of the data by technique of content analysis. Summary of key results: The logic of product development is still applied in the development of technological solutions for the hospital, against the logic of services, involving the interaction of customer with supplier. The results also suggest the possibility of relationship between innovation capacity and occurrence of innovation, pointing out the need to test this relationship in future works. Key considerations/conclusions: It is necessary to understand and investigate the mechanisms that allow the interaction of users, from design to implementation of innovation. It is also important to investigate whether the elements that characterize the co-production are relevant to explain innovation in hospitals, because elements were identified related to the concept of innovation that deserves to be better understood, including in contexts of public and private hospitals.

scholarly journals Market concentration trends in South Africa’s private healthcare sector

2016 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Marine Erasmus ◽  
Nicola Theron
Keyword(s):  
Market Structure ◽  
Private Hospital ◽  
Market Concentration ◽  
Competitive Dynamics ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Hospital Market ◽  
Private Healthcare ◽  
Structure Changes ◽  
Relative Bargaining Power

The Competition Commission (CC) commenced with an enquiry into South Africa’s private healthcare sector at the beginning of 2014, the outcome of which could have far-reaching consequences for the medical industry in South Africa. The panel appointed to consider competition in the private healthcare sector has indicated that they are interested in understanding increased consolidation in the private hospital market and the effect this may have on competitive dynamics. This article considers historical concentration trends in the private hospital market from 2000 to 2012. In addition it also deals with changes in market structure in the medical scheme and administrator markets. These trends provide a complete picture of market structure changes and the implications for relative bargaining power of the various parties. It finds that whereas the market concentration of private hospitals has remained relatively stable since 2004, the market concentration of medical schemes and administrators has increased over this period.

scholarly journals Evaluating a methodology for assessing the strategic alignment of a mining company recruitment function

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Adelé Janse van Rensburg ◽  
Gerhard Roodt
Keyword(s):  
Best Practice ◽  
Strategic Alignment ◽  
Research Data ◽  
Focus Group Interviews ◽  
Bottom Line ◽  
Mining Company ◽  
Strategic Objectives ◽  
Emerging Themes ◽  
Group Interviews

In the human capital era, the strategic importance of measurement is unmistakable.  Therefore, the  objective  of  this  study  was  to  qualitatively  evaluate  a  methodology  for  assessing  the strategic alignment of a recruitment function. Persons working in the recruitment best practice community of a mining company were targeted as the case study for this research.  Individual (one-on-one) and focus group interviews were conducted to elicit the research data.  Thematic coding was used to identify the emerging themes from the research data.  The findings indicated that  this methodology can be used effectively  to determine  the alignment of  the  recruitment function with the strategic objectives of the company.  However, the bottom line contribution is still unclear.

scholarly journals Closing the Equity Gap of Access to Emergency Departments of Private Hospitals in Thailand

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paibul Suriyawongpaisal ◽  
Pongsakorn Atiksawedparit ◽  
Samrit Srithamrongsawad ◽  
Thanita Thongtan
Keyword(s):  
Emergency Care ◽  
Private Hospital ◽  
Financial Incentive ◽  
Gender Disparity ◽  
Lessons Learned ◽  
Care Seeking ◽  
Health Coverage ◽  
Private Hospitals ◽  
Middle Income ◽  
Strategic Policies

Background. Previous policy implementation in 2012 to incentivize private hospitals in Thailand, a country with universal health coverage, to provide free-of-charge emergency care using DRG-based payment resulted in an equity gap of access and copayment. To bridge the gap, strategic policies involving financial and legal interventions were implemented in 2017. This study aims to assess whether this new approach would be able to fill the gap. Methods. We analyzed an administrative dataset of over 20,206 patients visiting private hospital EDs from April 2017 to October 2017 requested for the preauthorization of access to emergency care in the first 72 hours free of charge. The association between types of insurance and the approval status was explored using logistic regression equation adjusting for age, modes of access, systolic blood pressure, respiratory rate, and Glasgow coma scores. Results and Discussion. The strategic policies implementation resulted in reversing ED payer mix from the most privileged scheme, having the major share of ED visit, to the least privileged scheme. The data showed an increasing trend of ED visits to private hospitals indicates the acceptance of the financial incentive. Obvious differences in degrees of urgency between authorized and unauthorized patients suggested the role of preauthorization as a barrier to the noncritical patient visiting the ED. Furthermore, our study depicted the gender disparity between authorized and unauthorized patients which might indicate a delay in care seeking among critical female patients. Lessons learned for policymakers in low-and-middle income countries attempting to close the equity gap of access to private hospital EDs are discussed.

scholarly journals Organizational conflicts in hospitals and their impact on employee turnover: A case study of Jordan

2021 ◽  
Vol 19 (2) ◽  
pp. 206-216
Author(s):  
Akif Al-Khasawneh ◽  
Bassam Abu Khadar
Keyword(s):  
Employee Turnover ◽  
Well Being ◽  
Private Hospitals ◽  
Institute Of Public Administration ◽  
Work Pressure ◽  
High Level ◽  
Research Facilities ◽  
The Impact ◽  
Organizational Conflicts

The research aims to investigate the most common types of organizational conflicts among employees in private hospitals and discover the impact of organizational conflicts on employee turnover. The research outlined the relationship between the variables to present the idea of organizational conflicts and employee turnover. The hypotheses were tested using a survey data of 340 questionnaires distributed randomly to employees working in four private hospitals in Jordan. Random selection of private hospitals was made among eight hospitals in the northern governorates of Jordan (Irbid, Jerash, Mafraq, and Ajlun), which are considered the largest districts in the country. The collected data were analyzed using the SPSS program, and initial statistical techniques were applied. The results showed that the highest level of impact of organizational conflicts on the internal turnover of employees was related to the conflict between employees and direct supervisors. However, the highest level of the impact of organizational conflicts on the external turnover of employees was related to the conflict between employees and top management. The low-level job conflicts of employees were those with owners and middle management. Thus, to create stability, prevent work pressure, and retain employees, managers of private hospitals necessarily need to provide an appropriate work environment, develop high level of well-being, and decrease the workload. AcknowledgmentsWe would like to thank Al-Balqa Applied University in the Kingdom of Jordan and the Institute of Public Administration in the Kingdom of Saudi Arabia for their kind support and for giving us access to the research facilities.

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