scholarly journals Clinical Pharmacy Administration

1988 ◽  
Vol 22 (11) ◽  
pp. 903-905
Author(s):  
Thomas R. Einarson

Clinical pharmacy administration has emerged as a separate discipline, but this new field has not been functionally defined. This article defines clinical pharmacy administration from an academic point of view and provides a framework within which it may be understood. It is an applied field of study that deals with the research, evaluation, and management of the patient, the drug, and the health care practitioner as they all relate to patient care. These entities and relationships are studied at the micro, macro, and global levels from financial, economic, managerial, legal, ethical, social, behavioral, educational, and historical perspectives. It is intended that this paper generate debate and discussion in order to refine and develop the field.

2018 ◽  
Vol 10 (12) ◽  
pp. 4439 ◽  
Author(s):  
Elio Borgonovi ◽  
Paola Adinolfi ◽  
Rocco Palumbo ◽  
Gabriella Piscopo

Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.


BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000509
Author(s):  
Marcel Levi

BackgroundThe NHS is a fascinating health care system and is enjoying a lot of support from all layers of British society. However, it is clear that the system has excellent features but also areas that can be improved.Story of selfA number of years as a chief executive in one of London’s largest hospital has brought me a wealth of impressions, experiences, and understanding about working in the NHS. Contrasting those to my previous experience as chief executive in Amsterdam (The Netherlands) provides an interesting insight.ObservationsVery strong features of the NHS are the high level of health care professionals, the focus on quality and safety, and involvement of patients and the public. However, the NHS can significantly improve by addressing the lack of clinical professionals in the lead, curtailing ever increasing bureaucracy, and reducing its peculiar preference for outsourcing even the most crucial activities to private parties. The frequent inability to swiftly and successfully complete goal-directed negotiations as well as the large but from a clinical point of view irrelevant private sector are areas of sustained bewilderment. Lastly, the drive for innovation and transformation as well as the level of biomedical research in the NHS and supported by the British universities is fascinating and outstanding.


2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country


2019 ◽  
Vol 24 (5) ◽  
pp. 438-444
Author(s):  
Stephen Webster ◽  
Christine Kane ◽  
Carly Brown ◽  
Heather Warhurst ◽  
Sandy Sedgley ◽  
...  

Despite recommendations from numerous health care bodies, some hospitals that care for children have struggled to establish or expand pediatric pharmacy services. The current state of dedicated pediatric operational and clinical pharmacy services was characterized by results from a survey of hospitals that provide care to pediatric patients. The discussion of quality of care, safety, and financial impact is meant to provide concepts for justification of pediatric pharmacy service expansion.


2021 ◽  
Vol 2 (517) ◽  
pp. 88-93
Author(s):  
I. V. Hubanova ◽  

The article is aimed at studying the methodologies of forecasting bankruptcy, their application in forensic economic expertise, which will allow to make managerial decisions substantiated from the point of view of financial security of an enterprise and create opportunities for stable functioning and development of the enterprise. All enterprises are affected by negative factors and may find themselves in a crisis situation. That is why the management of enterprise should apply all existing measures to prevent bankruptcy and overcome crisis situations. Any crisis situation can be corrected if you respond to crises in time and form a balanced and adequate management system. Therefore, the use of bankruptcy forecasting methodologies will allow the management of enterprise to identify in advance negative trends in its development. The article analyzed the existing discriminant models for determining the probability of bankruptcy with their application in forensic economic expertise. In modern practice of the financial-economic activities of foreign firms, to assess the probability of bankruptcy, the discriminant models of Altman, Beaver, Taffler, Tishaw and some others received the widest application. It is defined that for a more justified forecast, it is advisable to use several methods at the same time to predict the probability of insolvency (bankruptcy) of enterprise. It is proposed to use a set of models to determine the probability of bankruptcy of enterprise in solving issues of economic forensic expertise, which will significantly increase the degree of probability of the results obtained. The proposed measures can be used not only to diagnose the likelihood of bankruptcy, but also to develop anti-crisis measures.


2018 ◽  
Vol 31 (1) ◽  
pp. 17-32 ◽  
Author(s):  
Susanna Hihnala ◽  
Lilja Kettunen ◽  
Marjo Suhonen ◽  
Hanna Tiirinki

Purpose The purpose of this paper is to discuss health services managers’ experiences of management in a special health-care unit and development efforts from the point of view of the Lean method. Additionally, the aim is to deepen the knowledge of the managers’ work and nature of the Lean method development processes in the workplace. The research focuses on those aspects and results of Lean method that are currently being used in health-care environments. Design/methodology/approach These data were collected through a number of thematic interviews. The participants were nurse managers (n = 7) and medical managers (n = 7) who applied Lean management in their work at the University Hospital in the Northern Ostrobothnia Health Care District. The data were analysed with a qualitative content analysis. Findings A common set of values in specialized health-care services, development of activities and challenges for management in the use of the Lean manager development model to improve personal management skills. Practical implications Managers in specialized health-care services can develop and systematically manage with the help of the Lean method. This emphasizes assumptions, from the point of view of management, about systems development when the organization uses the Lean method. The research outcomes originate from specialized health-care settings in Finland in which the Lean method and its associated management principles have been implemented and applied to the delivery of health care. Originality/value The study shows that the research results and in-depth knowledge on Lean method principles can be applied to health-care management and development processes. The research also describes health services managers’ experiences of using the Lean method. In the future, these results can be used to improve Lean management skills, identify personal professional competencies and develop skills required in development processes. Also, the research findings can be used in the training of health services managers in the health-care industry worldwide and to help them survive the pressure to change repeatedly.


Health Policy ◽  
2003 ◽  
Vol 66 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Ana-Claudia Bara ◽  
W.J.A van den Heuvel ◽  
J.A.M Maarse ◽  
Jitse van Dijk ◽  
Luc P de Witte

2021 ◽  
Vol 7 (7) ◽  
pp. 69178-69195
Author(s):  
Paras Kumar Choudhary

Jharkhand is properly known as the land of forests. It consists of full of hills rivers; valley and green forests .This state has its own charm. So for as matter of pollution causing health point of view the Jharkhand is good place.Scientific method has been used for this study. The four villages of Namkom of Ranchi District are a areas of study. Purposive sampling method was applied for selection of 100 hundred respondents among the Uraon, Lohra, Munda, Chik Baraik and Mahli tribal?s women and data has been collected through Interview and observation method. Descriptive Research Design has been used for conducting the present study.After survey its is prevailed that there is contradiction between perception and the realization.The study finds that the most of the tribal?s women are being benefited from above efforts. Unfortunately a number of Govt. health activist are not in position to undertake a requirement of tribal people as a whole. The Indian Govt. spent a lot of money for the health care of tribal women but unfortunately they are being affected from the Anemia, Vitamin A deficiency T.B. Filaria, Blindness, Iodine deficiency Mal- nutrition and several diseases. 


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