Developing GP Monitoring Systems Guided by a Soft Systems Approach

1995 ◽  
Vol 8 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Tony Hindle

This paper describes a selected aspect of a research project concerned with ‘contracts and competition’ in the recently reformed National Health Service. The particular feature highlighted in this paper is the central role played by the general practitioners in the health service as principal sources of the demands made on provider units (particularly hospitals) and, hence, critical determinants of volumes and costs in contracting. A practical outcome of the research has been the development of GP monitoring systems to be used by provider units particularly in the context of marketing-led referral expectations. The approach used to highlight areas of potential GP contract management and monitoring improvements has been a development of soft systems methodology.

Author(s):  
N. Gökhan Torlak

The chapter assumes organisational culture, which is most valuable resource of organisation, cannot often be treated coherently by managers in change management that ultimately leads to ineffectiveness and failure. In order to make organisational culture a powerful managerial instrument in change management resulting in high organisational performance the chapter proceeds through the following sequence. At first, it elaborates chief characteristics of organisational culture in order to underline its value; secondly, portrays significance of interpreting and managing organisational milieu; thirdly, emphasises necessity and difficulty of organisational culture change; and then offers a systems approach called two strands model of soft systems methodology to improve the effect of corporate culture on organisational performance. The last part describes the methodology in depth and shows how it is applied to a private hospital that generates its improved version dealing with the major issue of open, full and equal participation in organisational culture change management.


2015 ◽  
Vol 129 (9) ◽  
pp. 893-897 ◽  
Author(s):  
G S Bethell ◽  
P Leftwick

AbstractBackground:The two-week wait referral system for suspected cancer was introduced in the National Health Service in 2000. This study aimed to identify areas for improvement to the two-week wait system by seeking the opinions of doctors working in primary and secondary care.Method:A questionnaire was distributed to general practitioners and head and neck surgeons within North West England with ethical consent.Results:Twenty-seven general practitioners and 15 head and neck surgeons responded. Of the general practitioners, 59.3 per cent declared that they never attend training on referrals in this specialty. Overall, 59.3 per cent of general practitioners and 86.7 per cent of head and neck surgeons felt that the two-week wait system could be improved.Conclusion:The main areas for further work are development of pre-referral communication between primary and secondary care along with development of practical educational measures for general practitioners.


2021 ◽  
Vol 6 (1) ◽  
pp. 54-77
Author(s):  
Nur Muhammaditya ◽  
Sudarsono Hardjosoekarto

Artikel ini bertujuan menganalisis divergensi aktor-individual dalam pengelolaan bank soal digital menghadapi kebutuhan pemanfaatan big data pada masyarakat era 5.0. Kompleksitas divergensi tata kelola organisasi dilihat dari pendekatan berpikir sistem dimulai dari identifikasi permasalahan, pembuatan model konseptual, serta usulan yang berbasis tindakan secara menyeluruh dari setiap pemangku kepentingan. Ragam metode berpikir sistem yang digunakan berupa Soft Systems Methodology untuk menjawab pertanyaan penelitian yang menganalisis secara keseluruhan pemikiran, perkataan, dan tindakan pemilikmasalah. Hasil dari pendekatan sistem menunjukkan, transformasi digital di dalam pengelolaan bank soal mengalami hambatan ketercapaian pemanfaatan big data karena adanya divergensi institusional berupa hibridasi tata kelola administrasi publik yang disebabkan oleh mekanisme power, attraction, dan mimesis. Solusi yang dapat dilakukan dalam mendorong percepatan transformasi digital pertama terletak pada aspek power di level makro perlu adanya tata ulang aturan kelembagaan tranformasi digital yang terarahdan spesifik. Kedua pada aspek attraction perlu adanya penguasaan kompetensi bahasa pemrograman, data base enginering, dan data mining di setiap pegawai yang terlibat. Ketiga, pada aspek mimesis, organisasi dapat merujuk pada praktik terbaik keberhasilan organisasi lain. Kesimpulan penelitian menunjukkan terdapat dua belas aktivitas divergensi aktor individual yang menyebabkan hibridasi administrasi publik dan empat di antaranya mendukung perwujudan tranformasi digital. This article aims to analyze the divergence of individual actors in managing digital item banks in facing the needs of using big data in the 5.0 eras. The complexity of divergence in organizational governance captured from the systems thinking approach starting from the problems of making, conceptual models, and based on the overall actions of each stakeholder. Various systems thinking methods are used in the form of Soft Systems Methodology to answer research questions that analyse the overall thoughts, words, andactions of the problem owner. The results of the systems approach show that digital transformation in bank management is experiencing obstacles to achieving the use of big data due to institutional divergences in the form of hybridization in public administration governance caused by power, attractiveness and mimesis. The solution that can be done in encouraging the acceleration of the first digital transformation lies in the aspect of power at the macro level, there is a need for a directed and specific restructuring of the digitaltransformation institutional rules. Second, in the aspect of attraction, it is necessary to master the competence of programming languages, database techniques, and data mining for every employee involved. Third, in the mimetic aspect, organizations can refer to the best practices of other organizations’ success. The conclusion of the study shows that there are twelve individual actor-divergent activities that cause hybridization of public administration and four support the realization of the digital transformation.


2020 ◽  
Author(s):  
O.N. Ryabchikov ◽  
A.Yu. Shamanin ◽  
B.Kh. Aytbaev

The theory of systems allows to organize to more efficient management of the development and changes of the project. Classification of M. Jackson for classification of various practices of the systems approach was used for research and analysis. The paper deals with the use of systematic approach in organization management  to enhance efficiency in project progress and change management. Based on the classification of M. Jackson different applications of systematic approach are examined and analyzed. A case study of soft system thinking is described. The goal of ongoing research is development of a method to evaluate the effectiveness of project teams at HES MEPhI. The efforts involved application of soft systems methodology and yielded a unified methodology comprising tools and approaches of more efficient management of project teams. The merger of the soft systems methodology and evolution of developed tools into a combined methodology, its deployment in the practice of managing project teams in the field of education provides the launching site for its further extrapolation to other fields where project teams operate. Keywords: system approach, project teams, education, soft systems thinking, organizational cybernetics, changes, management, efficiency, project, team


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