scholarly journals Improving the efficiency of management mechanisms of health care institutions

Author(s):  
Iryna Yaremko ◽  

The article summarizes the theoretical foundations of public and domestic management mechanisms in the field of health care. The essence, structure and functional orientation of mechanisms in the theory of management and the specifics of their formation for health care institutions are revealed. The analysis of the level of validity of the existing theoretical and methodological bases of construction of mechanisms in the system of national and internal economic management in the medical field, their practical efficiency and effectiveness in modern Ukrainian conditions is carried out. The content and functional orientation of the system changes of management technologies and ways of increase of efficiency of mechanisms in management of establishments of branch offered in research works are estimated. Some examples of foreign practice in the field of health care organization are given with an assessment of the possibilities of implementing certain components of foreign experience in Ukrainian practice. Based on the results of the assessment of theoretical and analytical principles and information on the practice of domestic health care institutions, some proposals are formulated to improve the conceptual principles of management of domestic health care institutions, ways to optimize mechanisms in the management system and approaches to analytical evaluation of their functioning. The results that have the greatest practical significance include the proposed approaches and ways to develop qualified management in medical institutions in the industry through the introduction of modern economic mechanisms in management systems. Among them, it is proposed to implement in the existing management systems of health care facilities a system of market tools adequate to the industry specifics, including business planning, the latest mechanisms and tools of financial and strategic management. The development of public-private partnership in the medical field is considered.

Author(s):  
Rolandas Drejeris ◽  
Egle Drejeriene

Frequent employee resistance to innovation is one of the main barriers of change failure in a health care organization and one of the negative stimuli of employment relationships. Identifying the reasons of resistance is a topical issue for every organization, as the speed of change can affect their competitiveness. Consequently, it is helpful not only to know the causes of potential resistance but also to be ready to control any implicit opposition. The organizational climate and the attitude of the staff play an important role in understanding and accepting innovation. Purpose of the study is to develop a model, which would facilitate the choice of an appropriate strategy necessary to enable the health care organization to eliminate or at least to reduce resistance to often essential innovative changes. The article analyses the root causes of resistance and identifies strategies that help to mitigate or eliminate staff resistance for innovation. Use of suggested model can make easier reducing staff resistance to change processes and thus speed up the implementation of innovations. This methodology can be used to eliminate the reasons for staff resistance to change in health care institutions of different countries, but it was tested in Lithuania and achieved good enough results.


2020 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
A. V. Kolomoets ◽  
◽  
V. M. Mikhalchuk ◽  
O. K. Tolstanov ◽  
Z. V. Gbur ◽  
...  

In the logistics approach, the health care organization is seen as a system that incorporates many interconnected processes, the ultimate goal of which is to provide quality health services. Modern system and process approaches to management have also undergone significant changes in the management of medical institutions, applying new methods and technologies of resource management, which are based on the concept of logistics. The positive aspects of logistics technologies in health care institutions are the following: the ability to influence the strategy and tactics of health care institutions, the formation of new competitive market advantages in this market segment. The use of logistics methods and technologies optimizes the processes of information input on the amount of resources consumed, its receipt and transmission of information, thus improving the quality of medical care. The main idea of the logistics process is to create a certain result from the resources available in medical institutions. It should be noted that today companies in various sectors of the economy are interested in the transition to logistics management. The advantage of the logistical approach in health care is the ability to influence the strategy and tactics of the medical organization, to create new competitive advantages in the market of medical services. The use of logistics accelerates the process of obtaining and transmitting information about the necessary resources as a result, improving the quality of medical services. In this way, logistics coordinates the resource provision of the health care organization as a whole. Conclusion. Implementation and use of the world best practices of the logistics concept "just in time" to optimize the needs and time of supply of medical devices of each structural unit of the medical institution will ensure continuity of processes in the health care facility as medical supplies and property arrive on time, and , at the same time do not accumulate in warehouses unclaimed (which, in turn, reduces the turnover of working capital and as a result negatively affects the financial stability of the organization), which contributes to the rapid restructuring of the supply system to the needs of health care


Organizacija ◽  
2009 ◽  
Vol 42 (3) ◽  
pp. 95-102
Author(s):  
Jaka Vadnjal ◽  
Jurij Bernik ◽  
Andrej Baričič

Some Aspects of the Health-Care Institutions Management in SloveniaNot much has research has so far been done into the peculiarities of health-care organization management. The motivation was to explore the possible perspectives of the health-organization management system in comparison to other business forms. The hypotheses were tested through a questionnaire that was mailed to managers in health-care institutions. It has been confirmed to a certain degree that managers with a medical training background have different managerial scopes, oriented more to their own profession, including economics of their organization, need for enhanced knowledge and, their managerial style. The implications of the study are at two levels. The future design of training programs for top and middle management institutions will be influenced by the results and findings. At the other level, the implications are expected to arouse interest in the field of multidisciplinary education course design as well as some providing possible background for development of business consulting services in the field.


Author(s):  
Gianluca Miscione

This study is based on an ethnographic study of a telemedicine system implemented in Northeastern Peru. This system connects a hospital in the Upper Amazon with health care facilities scattered throughout that area of the jungle. Patients’ transport through the physical nodes of the public health care system relied on rivers and wooden boats, but voice and data can now flow directly through channels apart from the existing health care organization. The time required to reach a doctor might previously have been the travel distance for different medicines served as a justification for people not to follow new ways to recovery. After the implementation of telemedicine, the effectiveness of medical talks depends on the ability to understand each other. Locally there is no single health care practice that is believed to be the right one: patients follow different paths for recovery through traditional and biomedical treatments. Thus, the diverse social environment affects both directly and indirectly the use of the telemedicine system, which evolves accordingly with how public healthcare service is perceived and used.


1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin

AbstractLoosely structured documents can capture more relevant information about medical events than is possible using today’s popular databases. In order to realize the full potential of this increased information content, techniques will be required that go beyond the static mapping of stored data into a single, rigid data model. Through intelligent processing, loosely structured documents can become a rich source of detailed data about actual events that can support the wide variety of applications needed to run a health-care organization, document medical care or conduct research. Abstraction and indirection are the means by which dynamic data models and intelligent processing are introduced into database systems. A system designed around loosely structured documents can evolve gracefully while preserving the integrity of the stored data. The ability to identify and locate the information contained within documents offers new opportunities to exchange data that can replace more rigid standards of data interchange.


2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski

2011 ◽  
Vol 64 (5-6) ◽  
pp. 262-266 ◽  
Author(s):  
Branislava Brestovacki ◽  
Dragana Milutinovic ◽  
Tomislav Cigic ◽  
Vera Grujic ◽  
Dragana Simin

Introduction. Health care workers often come into conflict situations while performing their daily activities. People behave differently when they come into conflicts and they are usually not aware of their own reactions. The aim of this paper was to establish the presence of conflict styles among health workers and the differences in relation to demographic characteristics (education, working experience, managerial position). Material and Methods. The research was done as a cross-sectional study and through surveys. The conflict handling questionnaire was used as the research instrument. The questionnaire contained 30 statements arranged in five dimensions of conflict styles. The sample included one hundred nurses and fifty-five doctors. Results. The research showed that accommodating was the most often used conflict style. There was no significant difference in styles of managerial and non-managerial staff, but there was a significant difference in the styles adopted by doctors and nurses. It should be noted that nurses used avoiding and accommodating conflict styles much more often. Conclusion. It is important to increase the awareness of conflict existence and the possibility of solving the problem constructively in order to achieve more efficient duty performance.


Sign in / Sign up

Export Citation Format

Share Document