scholarly journals Financial situation and challenges for management of SME hospitals: Evidence from Poland

2021 ◽  
Vol 16 (1) ◽  
pp. 231-250
Author(s):  
Aleksandra Szewieczek

The hospital represents a specific organisation, operating in a turbulent environment and financed to a large extent by public funds. The health sector is exposed to constant political and social pressure. This causes significant problems with maintaining its financial stability, which particularly affects hospitals in the SME sector. The aim of this paper is to examine the relationship between selected financial indicators and some environmental phenomena that affect the financial situation and future financial stability of a selected group of hospitals from the SME group. The results will also be compared to the situation of other SME entities. The research is based on descriptive analysis, descriptive statistics, and correlation analysis of selected data. The results indicate that the financial situation of hospitals belonging to the SME group differs significantly from the overall SME sector, and does not bode positively for their future development. The current financial situation presents particular challenges for managers in balancing financial streams and ensuring economic sustainability. At the same time, this situation should encourage decision-makers to ensure an adequate level of revenues for these public service providers, as well as face other challenges related to operational management.

Author(s):  
Erika Maia da Rocha ◽  
Francisco Ícaro Silvério de Oliveira ◽  
Rosângela Queiroz Souza Valdevino

Purpose: The research intends to verify the relationship between meeting the requirements for joining and staying at PROFUT and the economic and financial situation of Brazilian football clubs listed in the Ranking Nacional de Clubes (RNC). Methodology: The study was operationalized by the deductive method, taking an empirical approach, using the analysis of individuals, facts and consequences researched. As for the procedures adopted, the research is classified as a bibliographic and documentary review and a quantitative approach. The matter was addressed through the application of an investigation of the points of the legislation, through a checklist, and the presentation of economic and financial indicators: indebtedness, current liquidity, tangibility, size and return of net worth. Results: Given the investigation carried out, it was noticed that, even with the current requirements of the legislation and criteria of enforceability for participation in PROFUT, adherence to the program does not guarantee a better economic and financial situation, mainly related to the factors inherent to the capital structure. Contributions of the Study: The paper contributes in a theoretical way in the production of a contextualized analysis of the main existing researches and shows new explanations of the studied fact based on different perspectives. With regard to the practical contribution, based on the main findings found, and seeking to relate the level of commitment of the analyzed clubs, which adhered to PROFUT, with the management of their capital structure, it was noticed the absence of a direct relationship between adherence to this type of financing and the management of the sources of capital obtained.  


2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Avinda Avinda ◽  
Rudy Handoko

E-Health Effectiveness in General Hospital Region Dr. M. Soewandhie Surabaya. Public Service is the main obligation of the government to organize activities in order to meet the needs of the community. City officials do a service innovations as efforts to improve public services in the health sector by applying the principles of e-Government and one of these innovations is a service of E-Health. E-Health is an application that allows people to shorten queues at the clinic or hospital. The purpose of this study to determine the effectiveness of E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya. The focus of the study was based on Gibson's five effectiveness measurement indicators, namely Production, Efficiency, Satisfaction, Adaptability and Survival. The research method used is descriptive qualitative. The results of this study indicate that the service E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya is quite. It can be seen from Satisfaction Indicator, Adaptability and Survival. In satisfaction indicators, showed as many as 6 out of 10 patients stated that E-Healthservices already meet expectations. In adaptation indicators, show that E-Health services make it easier for the performance of the employees, especially employees of the registration window. On the Survival indicator, it shows that Dr. M. Soewandhie Surabaya as E-Health service providers already have plans to develop e-Health services in order to meet the needs of the community. Keywords: Public Service, Effectiveness, E-Health


Improving the quality of public services is inherent in the implementation of the tasks and functionsof the Regional Work Unit as an extension of the tasks of the central government. The public service unitbecomes a service node for integrated service offices in the district while improving the quality of service to thecommunity. This study aims to examine the relationship of power orientation behavior, the process of serviceimprovement through Peripheral Disorientation and Discipline for Public Service providers in the RegionalWork Unit in Central Java. This study used a sample population of 181 Regional Work Unit public serviceemployees. This study uses an analysis technique that is Regression weight in SEM which is used to examinehow much the relationship between the variables. The model for research is illustrated by a path diagram. Thisis to make it easier to see the causality relationship between the variables to be tested. Based on this research itcan be concluded that: Power-motivated behavior has a positive influence on disorientation of public services.Power behavior has a positive influence on the disqualities of peripheral services. The behavior of publicservice discuality affects the discuality of Peripheral services. Peripheral service orientation is positivelyinfluential on the Performance of Public Service Providers. Peripheral service disorientation has a positiveeffect on the performance of public service providers so that public service provider agencies in this one-stoppublic service center in Banyumas district can control the power-motivated behavior carried out by theBanyumas Government Officer. If this can be carried out, then it is likely that public service providers will beable to reduce the disorientation of public services carried out by public service providers when serving thepublic. This finding contributes to research on power motivation in organizations conducted by Dolatabadi &Safa (2010), Oloko and Ogutu (2012) and Feeney (2011).


2020 ◽  
Author(s):  
Taufique Joarder ◽  
Muhammad Nahian Bin Khaled ◽  
Mohammad Ainul Islam Joarder

Abstract BackgroundSince the emergence of COVID-19 outbreak, the Government of Bangladesh (GoB) has taken various measures to restrict virus transmission and inform the people of the situation. However, success of such measures largely depends on a positive public perception of the government’s ability to act decisively and the transparency of its communication. As the public perceptions of pandemic management efforts by the Bangladeshi health sector decision-makers have never been explored, this gap was addressed in this qualitative study.MethodsAs this qualitative research was conducted during COVID-19 pandemic, data was gathered through seven online mixed-gender focus group discussions involving 50 purposively selected clinicians and non-clinicians. The discussion transcripts were subsequently subjected to conventional content analysis.ResultsThe study participants concurred that, from the outset, decision-makers failed to engage the right kind of experts, which resulted in poor pandemic management that included imposing lockdown in periphery areas without arranging patient transport to the center, declaring certain hospitals as COVID-19 dedicated without preparing the facilities or the staff, and engaging private hospitals in care without allowing them to test the patients for COVID-19 infection. Several participants also commented on ineffective actions on behalf of the GoB, such as imposing home quarantine instead of an institutional one, weak point-of-entry screening, corruption, miscommunication, and inadequate private sector regulation.Perception of the people regarding service providers is that they lacked responsiveness (i.e., addressing the social needs of the patients) in providing COVID-19 treatment, with some doctors misleading the public by sharing misinformation on social and mainstream media. They also cited involvement of some doctors in running unauthorized testing centers, and promoting unproven medicines.Service providers, on the other hand, observed that decision-makers failed to provide them with proper training, PPE and workplace security, which has resulted in a high number of deaths among medical staff.ConclusionsThe Bangladeshi health sector decision-makers should learn from their mistakes to prevent further unnecessary loss of life and long-term economic downturn. They should adopt a science-based response to COVID-19 pandemic in the short term, while striving to develop a more resilient health system in the long run.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 170
Author(s):  
Taufique Joarder ◽  
Muhammad N.B. Khaled ◽  
Mohammad A.I. Joarder

Background: Since the emergence of the COVID-19 outbreak, Government of Bangladesh (GoB) has taken various measures to restrict virus transmission and inform the people of the situation. However, the success of such measures largely depends on a positive public perception of the government’s ability to act decisively and the transparency of its communication. We explored public perceptions of pandemic management efforts by the Bangladeshi health sector decision-makers in this study. Methods: As this qualitative research was conducted during the COVID-19 pandemic, data was gathered through seven online mixed-gender focus group discussions involving 50 purposively selected clinicians and non-clinicians. Results: The study participants concurred that, from the outset, decision-makers failed to engage the right kind of experts, which resulted in poor pandemic management that included imposing lockdown in periphery areas without arranging patient transport to the center, declaring certain hospitals as COVID-19 dedicated without preparing the facilities or the staff, and engaging private hospitals in care without allowing them to test the patients for COVID-19 infection. Several participants also commented on ineffective actions on behalf of the GoB, such as imposing home quarantine instead of institutional, corruption, miscommunication, and inadequate private sector regulation. The perception of the people regarding service providers is that they lacked responsiveness in providing treatment, with some doctors misleading the public by sharing misinformation. Service providers, on the other hand, observed that decision-makers failed to provide them with proper training, personal protective equipment, and workplace security, which has resulted in a high number of deaths among medical staff. Conclusions: The Bangladeshi health sector decision-makers should learn from their mistakes to prevent further unnecessary loss of life and long-term economic downturn. They should adopt a science-based response to the COVID-19 pandemic in the short term while striving to develop a more resilient health system in the long run.


2005 ◽  
Vol 71 (1) ◽  
pp. 19-34 ◽  
Author(s):  
Frédéric Colin

The public voucher system is a means of paying for a given public service. Vouchers are issued by the public authorities to individual users to enable them to gain access to any institution that is approved by the public authorities, for a specific purpose. The provider of the service is paid back the amount of the voucher by the public institution that provides the funding for the voucher. This system provides a means of reviewing the relationship between the user and the public service in terms of efficiency and freedom. The voucher system is designed to improve competition among public service providers and to make public service offerings more flexible. While it does offer some interesting possibilities in terms of diversification of the services on offer, nonetheless the voucher system poses certain risks. In particular, it may lead to community behaviour patterns among beneficiaries and undermine equal opportunity. In any case, as the voucher system brings closer together the practical arrangements for defraying services in the private and public sectors, it opens up some useful avenues of reflection for the modernization of public services.


2006 ◽  
Vol 1 (1) ◽  
pp. 3-20
Author(s):  
Bernt Krohn Solvang ◽  
Charlotte Kiland

The issue to be discussed in this article is to what extent does ICT create new challenges for the relationship between public service providers and users? It is important to recognize the concept of social capital because the concept is vital to the understanding of access to the information society and efficient functioning of government in its service to citizens. In this way we see social capital as a mediating “institution” between public authorities and the citizens (users).


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 170
Author(s):  
Taufique Joarder ◽  
Muhammad N.B. Khaled ◽  
Mohammad A.I. Joarder

Background: Since the emergence of the COVID-19 outbreak, Government of Bangladesh (GoB) has taken various measures to restrict virus transmission and inform the people of the situation. However, the success of such measures largely depends on a positive public perception of the government’s ability to act decisively and the transparency of its communication. We explored public perceptions of pandemic management efforts by the Bangladeshi health sector decision-makers in this study. Methods: As this qualitative research was conducted during the COVID-19 pandemic, data was gathered through seven online mixed-gender focus group discussions involving 50 purposively selected clinicians and non-clinicians. Results: The study participants concurred that, from the outset, decision-makers failed to engage the right kind of experts, which resulted in poor pandemic management that included imposing lockdown in periphery areas without arranging patient transport to the center, declaring certain hospitals as COVID-19 dedicated without preparing the facilities or the staff, and engaging private hospitals in care without allowing them to test the patients for COVID-19 infection. Several participants also commented on ineffective actions on behalf of the GoB, such as imposing home quarantine instead of institutional, corruption, miscommunication, and inadequate private sector regulation. The perception of the people regarding service providers is that they lacked responsiveness in providing treatment, with some doctors misleading the public by sharing misinformation. Service providers, on the other hand, observed that decision-makers failed to provide them with proper training, personal protective equipment, and workplace security, which has resulted in a high number of deaths among medical staff. Conclusions: The Bangladeshi health sector decision-makers should learn from their mistakes to prevent further unnecessary loss of life and long-term economic downturn. They should adopt a science-based response to the COVID-19 pandemic in the short term while striving to develop a more resilient health system in the long run.


2020 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Fadlan Fadlullah ◽  
Hanny Nurlatifah

<p>Abstrak: <strong>Tujuan dari penelitian ini adalah untuk mengetahui </strong><strong>pengaruh antara <em>Electronic Word of Mouth</em>, <em>Destination Image</em>, dan <em>Halal Islamic Tourism </em>terhadap <em>Travel Intention</em> melalui <em>Attitude Toward Destination</em></strong><strong>. Metode analisis data yang digunakan adalah analisis deskriptif</strong><strong> </strong><strong>dan analisis jalur</strong><strong> (<em>Path Analysis</em>)</strong><strong>.</strong><strong> </strong><strong>Populasi dalam penelitian ini adalah </strong><strong>pengambil keputusan memilih paket wisata destinasi halal</strong><strong>.</strong><strong> </strong><strong>Sampel dari penelitian ini adalah  </strong><strong>pengambil keputusan yang berniat melakukan perjalanan dalam kurun waktu 1 tahun terakhir untuk wilayah Jadetabek</strong><strong>, sebanyak 10</strong><strong>3</strong><strong> responden dengan menggunakan metode <em>purposive</em> <em>sampling</em>.</strong><strong> </strong><strong>Hubungan antara variabel </strong><strong><em>Electronic Word of Mouth</em></strong><strong>, <em>Destination Image</em>, dan <em>Halal Islamic Tourism </em></strong><strong>pada </strong><strong><em>Halal Destination</em></strong><strong> yang memiliki hubungan nyata terhadap variabel </strong><strong><em>Attitude Toward Destination</em></strong><strong> adalah variabel </strong><strong><em>Destination Image</em></strong><strong>.</strong><strong> </strong><strong> </strong><strong>Hubungan antara variabel </strong><strong><em>Electronic Word Of Mouth</em></strong><strong><em>, </em></strong><strong><em>Destination Image</em></strong><strong>, <em>Halal Islamic Tourism,</em></strong><strong> dan </strong><strong><em>Attitude Toward Destination</em></strong><strong> terhadap variabel </strong><strong><em>Travel Intention</em></strong><strong> pada </strong><strong><em>Halal Destination</em></strong><strong><em> </em></strong><strong>yang memiliki hubungan nyata terhadap variabel </strong><strong><em>Travel Intentio</em></strong><strong> adalah variabel </strong><strong><em>Destination Image</em></strong><strong>.</strong></p><p>Kata Kunci : <em>Electronic Word Of Mouth</em><em>, </em><em>Destination Image</em>, <em>Halal Islamic Tourism</em>, <em>Attitude Toward Destination</em>, <em>Travel Intention</em></p><p><em>Abstract: </em><strong><em>The purpose of this study was to determine the effect of Electronic Word of Mouth, Destination Image, and Halal Islamic Tourism on Travel Intention through the Attitude Toward Destination. Data analysis methods used are descriptive analysis and path analysis.</em></strong><strong><em> </em></strong><strong><em>The population in this study is the decision maker to choose halal destination tourism packages. The sample of this research is the decision makers who intend to travel within the past 1 year for the Jadetabek region, as many as 103 respondents using purposive sampling method.</em></strong><strong><em> </em></strong><strong><em>The relationship between Electronic Word of Mouth, Destination Image, and Halal Islamic Tourism variables in Halal Destination that have a real relationship with the Attitude Toward Destination variable is the Destination Image variable.</em></strong><strong><em> </em></strong><strong><em>The relationship between Electronic Word of Mouth variables, Destination Image, Halal Islamic Tourism, and Attitude Toward Destination to the Travel Intention variable at Halal Destination that has a real relationship to the Travel Intentio variable is the Destination Image variable.</em></strong></p><em>Keywords: Electronic Word Of Mouth, Destination Image, Halal Islamic Tourism, Attitude Toward Destination, Travel Intention</em>


1988 ◽  
Vol 4 (4) ◽  
pp. 601-611 ◽  
Author(s):  
Jacob A. Tieffenberg ◽  
Irene Wood ◽  
Hernan Del Pino ◽  
Alberto Berbeglia ◽  
Lars A. Marké

We analyze Argentina's demographic and socioeconomic data as the context for understanding its health sector. Health expenditures and the number of physicians are high in Argentina. Health coverage is extensive, but covers only about 50% of the per capita expenditures. The high expenditures in health do not correlate with improvements of indicators such as infant and general mortality. Evaluations of the way health care is provided are insufficient. Argentina's “medical-intensive” model of health is responsible for the expansion of the “small-ticket technology”, which accounts for a significant proportion of the increase in health expenditures. With this picture, we believe that health decision-makers could benefit from cost-effectiveness analysis (CEA), because this technique stresses the relationship between expenditures and appropriately defined goals. As a demonstration project, we look at the way that technology is used in Argentina using CEA to assess anesthesia procedures. The results of our study show that increasing the use of N2O would save us $670,000 per year, and 10,300 years of life to surgical patients of all ages.


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