Awareness of health care managers about organization of the medical rehabilitation

2020 ◽  
Vol 96 (2) ◽  
pp. 13-17
Author(s):  
O.B. Chernyakhovskij ◽  
V.V. Kochoubey ◽  
G.E. Salamadina ◽  
O.A. Kalinina
Keyword(s):  
Health Care ◽  
Work Experience ◽  
Health Management ◽  
Medical Rehabilitation ◽  
Average Score ◽  
Health Care Managers ◽  
General Group ◽  
Hospital Managers ◽  
Care Managers ◽  
Significant Difference

Objective: determine the level of knowledge about the organization of medical rehabilitation among the heads of medical institutions. Materials and methods: A survey of 216 people studying in continuing education courses in the specialty "Organization of Health Care and Public Health" was conducted. The questionnaire included group characteristics data (work experience as the head of the institution, place of work, the presence of a specialized department) and test questions. A frequency analysis, calculation of the average score, a comparative analysis of percentages and means in the selected groups, a correlation analysis of the experience and awareness of the respondents were performed. Results: the average score in the general group is 2.4 ± 0.18, in the group of outpatient institutions managers 2.3 ± 0.29, hospital managers 2.6 ± 0.21. There is no significant difference between the average scores of the two groups (t= -0.78, p=0.44); 4 (1.9%) of the respondents answered correctly for all of the test questions; 52 (24.1%) of the respondent gave no correct answer. A significant relationship between the health management experience and the average rating was not found in the general group (p = 0.44), in the group of outpatient institutions managers (p=0.13), hospital managers (p=0.56). We found a correlation between the average score and the presence of a rehabilitation department: in the general group (t = -13.6, p <0.05) and in individual groups: t = -16.3, p <0.05, t = -9, 1, p <0.05. Conclusion: low awareness of health care managers about the organization of medical rehabilitation was found.

Competencies required by senior health executives in New South Wales, 1990 - 1999

2010 ◽  
Vol 34 (1) ◽  
pp. 52 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard
Keyword(s):  
Health Care ◽  
Health Management ◽  
New South ◽  
New South Wales ◽  
Health Sector ◽  
Health Care Managers ◽  
Care Managers ◽  
South Wales ◽  
Senior Health Care ◽  
Senior Health

It is accepted that health care reforms and restructuring lead to the change of the tasks and competencies required by senior health care managers. This paper examined the major tasks that senior health executives performed and the most essential competencies required in the NSW public health sector in the 1990s following the introduction of major structural reforms. Diverse changes, restructuring and reforms introduced and implemented in different health care sectors led to changes in the tasks performed by health care managers, and consequently changes in the competencies required. What is known about the topic?The literature confirms that health reform affects senior health care managers’ acquisition and demonstration of new skills and knowledge to meet new job demands. What does this paper add?This paper provides a detailed description of the competencies required for senior health care managers in New South Wales in the 1990s after the introduction of the area health management model, the senior executive service and performance agreements. It confirms that restructuring and reform in the health care sector will lead to changes of the tasks performed by health care managers and, consequently, changes in the competencies required. What are the implications for practitioners?The competencies required by health care managers are affected by distinct management levels, diverse health care sectors and different contexts in which health care systems operate. The competencies identified for senior health executives in this study could guide educational programs for senior health managers in the future.

The relationship of health-care managers' spirituality to their self-perceived leadership practices

2008 ◽  
Vol 21 (4) ◽  
pp. 236-247 ◽  
Author(s):  
James Gary Strack ◽  
Myron D Fottler ◽  
Ann Osbourne Kilpatrick
Keyword(s):  
Health Care ◽  
Leadership Practices ◽  
Effective Leadership ◽  
Health Care Managers ◽  
Spiritual Assessment ◽  
Care Managers ◽  
Significant Difference ◽  
Statistical Relationships ◽  
Effective Leadership Practices ◽  
The Relationship

This exploratory survey examines the relationship between selected dimensions of spirituality and self-perceived effective leadership practices of health-care managers. Kouzes and Posner's Leadership Practices Inventory and Beazley's Spiritual Assessment Scale were administered to a sample of health-care managers. Significant statistical relationships were found between and among the dimensions of both subscales. Analysis of variance revealed a statistically significant difference in three effective leadership practices by ‘more spiritual than non-spiritual’ managers. The confirmatory factor analysis of our theory-based model revealed a moderately positive correlation between spirituality and leadership ( r = 0.50). The paper concludes with a conceptual theory postulating a rationale for the relationship between spirituality and effective leadership.

Europe: Barbara Stocking King's Fund Centre for Health Services Development

1988 ◽  
Vol 4 (1) ◽  
pp. 143-152
Author(s):  
Bernard S. Bloom ◽  
H. David Banta ◽  
Paul F. Gross ◽  
Jorge Peña-Mohr ◽  
Jane E. Sisk ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
International Society ◽  
Technology Assessment ◽  
Health Technology ◽  
Modern Technology ◽  
National Society ◽  
Health Care Managers ◽  
Society Meeting ◽  
Care Managers

May and June were busy months in Europe for technology assessors. Following the International Society meeting in Rotterdam, many people went on to the quality assurance meeting at WHO in Copenhagen and the International Hospital Federation Congress in Helsinki. “Modern Technology—How Much and for Whom,” was one of the main themes of the congress; with an attendance of about 400 there was an opportunity to get the ideas about technology assessment across to a large group of health care managers and professionals. For those of us who spoke it was also a chance to meet members of the Finnish Society for Technology Assessment. This may be the only national society for health technology assessment, and with 70 members, it is clearly going to be influential.

Towards systematic reviews that inform health care management and policy-making

2005 ◽  
Vol 10 (1_suppl) ◽  
pp. 35-48 ◽  
Author(s):  
John Lavis ◽  
Huw Davies ◽  
Andy Oxman ◽  
Jean-Louis Denis ◽  
Karen Golden-Biddle ◽  
...  
Keyword(s):  
Health Care ◽  
Systematic Reviews ◽  
Policy Making ◽  
Care Management ◽  
Contextual Factors ◽  
Health Care Management ◽  
Health Care Managers ◽  
Executive Summary ◽  
Policy Makers ◽  
Care Managers

Objectives To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods We systematically reviewed studies of decision-making by health care managers and policy-makers, conducted interviews with a purposive sample of them in Canada and the United Kingdom (n=29), and reviewed the websites of research funders, producers/purveyors of research, and journals that include them among their target audiences (n=45). Results Our systematic review identified that factors such as interactions between researchers and health care policy-makers and timing/timeliness appear to increase the prospects for research use among policy-makers. Our interviews with health care managers and policy-makers suggest that they would benefit from having information that is relevant for decisions highlighted for them (e.g. contextual factors that affect a review's local applicability and information about the benefits, harms/risks and costs of interventions) and having reviews presented in a way that allows for rapid scanning for relevance and then graded entry (such as one page of take-home messages, a three-page executive summary and a 25-page report). Managers and policy-makers have mixed views about the helpfulness of recommendations. Our analysis of websites found that contextual factors were rarely highlighted, recommendations were often provided and graded entry formats were rarely used. Conclusions Researchers could help to ensure that the future flow of systematic reviews will better inform health care management and policy-making by involving health care managers and policy-makers in their production and better highlighting information that is relevant for decisions. Research funders could help to ensure that the global stock of systematic reviews will better inform health care management and policy-making by supporting and evaluating local adaptation processes such as developing and making available online more user-friendly ‘front ends’ for potentially relevant systematic reviews.

scholarly journals Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned

2021 ◽  
Vol 15 ◽  
Author(s):  
Valter Paz Nascimento-Júnior ◽  
Einstein Francisco Camargos
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
Health Insurance ◽  
Medical Records ◽  
Private Health Insurance ◽  
Medical Specialty ◽  
Health Care Managers ◽  
Inappropriate Use ◽  
Care Managers ◽  
Previous Diagnosis

OBJECTIVE: To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate TM test orders. METHODS: This study analyzed data regarding TM requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 TM tested within the study period. Tests were considered inappropriate when TMs were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician’s medical specialty, and test costs. RESULTS: Between 2010 and 2017, 1,112 TM tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD, 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with TM tests. Cardiology professionals were the medical specialty that requested the most TM tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). CONCLUSIONS: We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of TM tests in clinical practice.

scholarly journals Evidence-Based Practice in Primary Health Care From The Managerial Point of View: – A National Survey

2020 ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
National Survey ◽  
Evidence Based Practice ◽  
Direct Result ◽  
Evidence Based ◽  
Care Organization ◽  
Health Care Managers ◽  
Care Managers ◽  
Primary Health

Abstract Background: The vast availability of and demand for evidence in modern primary health care forces clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary health care managers play a key role in implementing these governing documents. Thus, the aim of this article was to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary health care managers.Methods: The study utilized a quantitative method based on a national survey of primary health care managers. The study population was recruited nationally from Sweden and consisted of 186 respondents. The data were analysed using empirically constructed themes and validated using factor analysis. To determine the statistical significance in making comparisons, the chi-square test was utilized. Associations between variables were calculated using Spearman’s correlation. All tests were two-sided, and the significance level was set to 0.05.Results: A majority (97%) of managers stated there was an impact of guidelines and policy documents on primary health care; 84% of managers could see a direct influence in daily practices. Most of the managers (70%) stated that some adaptation had to be made when new evidence was introduced. The managers emphasised the importance of keeping themselves updated and open to new information about work routines (96%). Conclusions: Evidence-based practice has a fundamental impact on Swedish primary health care. The study illustrated a nearly unanimous response about evidence influencing daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date can be seen as a direct result of this. An information-dense organization such as a primary health care organization would have much to gain from cooperation with regional information resources such as clinical libraries.Trial registration: Not applicable.

Sign in / Sign up

Export Citation Format

Share Document