...The doctor patient relationship is being challenged by the hospitals. Hospitals need to balance their budgets and still maintain the quality of care for their patients. This is presenting a serious problem for the doctors, who while treating their patients must keep in mind the hospitals focus on efficiency and their “bottom line”. In the past few years the public, media and political leaders have become aware of the deficiencies in the health care system. There is a sense of urgency among all involved to right the wrongs of the system before it affects the quality of care to the patients. Hospitals are a business and as with any business they have to watch their “bottom line”. In doing so they have to develop up to date medical facilities, while keeping cost down and balance the quality of care given to the patients. Abbo (2008). Hospitals focus on the efficiency of their facility and in doing so end up sheparding patients through their stay. Leaving the patients to feel as though they did not receive the care they feel they deserve. Part of the issue facing the management of the hospital is the restrictions being placed on them from insurance companies and the limited space available in their facility. Due to the rising cost of expanding, limited space is something that they must plan and anticipate on a daily basis. With nursing also, being a major part of their budget it is not feasible to hire nurses to maintain empty beds. In turn this makes for a shortage of hospital...
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...encouraging, enabling, or sometimes, forcing employees to act in the organization’s best interest. Such a MCS will influence the behaviour of organizational resources to implement organizational strategies. The present MCS is applied to a private hospital, which employs 40 staff and 20 medical doctors, offering medical services and special personal care to all patients. Such hospital accepts all the patients, no matter who has Medicare care insurance or not. When designing and applying this system to a private hospital, which we should figure out both key action and key results, starting from people control, combing with other types of control with varies degree of tightness, according different issues to address three common control problems to implement the whole system. 1.1 Objectives and strategies The hospital aims to provide special personal care to large extent and promote and protect the interest of our hospital. Base on setting objectives, a series of strategies are formulated to achieve management control. Those strategies include promoting and recognizing the highest professional, ethical standard and healthy service delivery; stimulating greater awareness of private hospital excellence through improved communication between doctors and other staffs. 1.2 Key actions Maintaining low operating costs Reducing direct cost and avoiding indirect cost as possible as it can. In order to reduce the cost which is not necessary, it requires applying appropriate tightness of control...
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...Medical College, Beijing 100730, China. Email: 4407237@qq.com. Submitted Oct 15, 2013. Accepted for publication Jan 20, 2014. doi: 10.3978/j.issn.2305-5839.2014.04.04 View this article at: http://www.atmjournal.org/article/view/3720/4635 Having been working for more than ten years in the Department of Obstetrics and Gynecology in Peking Union Medical College Hospital (PUMCH), I have gotten accustomed to the busy clinical work, been used to the crowded clinic: isn’t this medical work? In 2012, I visited the Cleveland Clinic in the United States. I was astonished to see that the Cleveland Clinic was like a hotel! The health care gap between China and the US is the most treasure thing I’ve learnt during the year I stayed in the US besides medical professionals: there are still too much to learn from American medical service. It’s truly enjoyable for American patients visit clinic. They may fully communicate with the friendly and skilled experts. The root of the gap Does it have anything to do with the population? Not exactly. Data from the World Bank in 2010 showed that there were 1.5 practicing doctors among every 1,000 Chinese, and this number was 2.4 among 1,000 Americans. The difference between both countries is not big, which is of course small as well in the gynecologists and obstetricians. There are 1.3 billion people in China. Statistics from Chinese Medical Association of Obstetrics and Gynecology in 2008 showed that there were 190,000 gynecologists ...
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...Sexual Harassment in the Workplace EXPERIENCES OF WOMEN IN THE HEALTH SECTOR Paramita Chaudhuri Health and Population Innovation Fellowship Programme Working Paper, No. 1 This report is the result of a project entitled “Understanding Sexual Harassment in the Health Sector,” undertaken as part of the Health and Population Innovation Fellowship (HPIF) awarded to the author in 2004. The HPIF programme is administered by the Population Council, New Delhi and is a continuation of the MacArthur Foundation’s Fund for Leadership Development (FLD) fellowship programme that continued over the period 1995 to 2004. The Council is grateful to the MacArthur Foundation for its support to this programme. The HPIF programme aims to support mid-career individuals who have innovative ideas, leadership potential, and the capacity to help shape policy and public debate in the field of population, reproductive health and rights in general, with a focus on two priority themes – maternal mortality and morbidity, and the sexual and reproductive health and rights of young people. Since the transfer of the programme to the Population Council through 2006, a total of 17 individuals have been supported under the HPIF programme. For additional copies of this report, please contact: Paramita Chaudhuri Senior Programme Officer Sanhita 89B Raja Basanto Roy Road Kolkata 700 029 Email: sanhita@cal.vsnl.net.in Phone: 033-24227965 Population Council Zone 5A, Ground Floor India Habitat Centre, Lodi Road...
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...and Work Satisfaction at Apex Hospital, Jaipur (Raj.) | Submitted by - Puneet K Jain III Sem MBA-HHC SIHS, Pune puneetkjain@ymail.com | A Case Study On NABH standard Awareness and Work Satisfaction at Apex Hospital, Jaipur Purpose - Accreditation has become major tool for any hospital to create its brand image in today’s competitive market. Main objectives of getting NABH are providing patients’ safety and quality of medical care to its end users i.e. patients. Purpose of this study is to measure awareness standards of NABH and accreditation to its staff so gap can be bridge, if any, with additional inputs and it becomes easy to include get accreditation(s). Field of research – Apex Hospital is a multi-specialty, 152 bed, state-of-art medical center, boasting of a clean and patient friendly environment, internationally trained clinical & managerial team driven with skilled expertise, high morale, and patient focused care. Established in year 1994, Apex became one of the first institutes in India to attain ISO 9001 under the leadership of the Managing Director, Dr S.B. Jhawar. From 1994, Over the next few years, the hospital gained momentum by leaps and bounds as an impressive team of well-known doctors joined in. | | Hospital is growing with CAGR of 10 %. Different services...
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...Hong Kong between public and private hospital care. In this essay, "patient experiences" is defined as the range of interactions that patient have with the professionals or specialists in hospital,also the several aspects of health care the patient received. Thus, provision of care by hospital staff, provision of different components of patient care and treatment and provision of information on leaving hospital will be compare in the essay. Firstly, comparing the experiences during the admission to hospital. The main component...
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...Need and Purpose of the study This present study aims at exploring the relation between emotional intelligence and stress coping style among doctors of private hospital in and around Chandigarh. Emotional intelligence is an important trait for handling stress at work place. It is hypothesized that there will be significant influence of emotional intelligence on stress level among doctors in private hospitals. Emotional intelligence is assuming unprecedented importance due to growing concern of people management in the hospitals. Scope of the Study The study is limited to the doctors of private hospitals in and around Chandigarh. 120 doctors from two private hospitals-Fortis Healthcare Ltd and Mukat Hospital and Health Institute were randomly...
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...referred me to her. I came to enjoy sitting in her home studio on Saturday mornings, chatting and picking out materials from which she would create the most striking pieces of jewelry. In 2007 a black lump appeared on Anne Casey’s neck; she had the fair Irish skin that is prone to cancers. She could not afford health insurance, so she paid cash for a dermatologist to biopsy the lesion. The doctor was notably concerned after seeing malignant cancer cells under the microscope and told her that she needed surgery right away, though he could not do it, since he was not a surgeon. Anne had a malignant melanoma, a potentially fatal skin cancer that is normally removed as rapidly as possible to prevent its spread throughout the body. The down payment alone for a hospital admission would have been $10,000—money Anne did not have. Fearing for her life, Anne began the process of obtaining a “gold card” that would permit her to use the public hospital system in Houston. After four weeks of bureaucratic processing she received her card and, after four weeks more, a clinic appointment. The doctors...
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...Hospital Management UML Class Diagram Example This is an example of a hospital domain model diagram. The domain model for the Hospital Management System is represented by several class diagrams. The purpose of the diagram is to show and explain hospital structure, staff, relationships with patients, and patient treatment terminology. On the diagram below a Person could be associated with different Hospitals, and a Hospital could employ or serve multiple Persons. Person class has derived attributes name and homeAddress. Name represents full name and could be combined from title, given (or first) name, middle name, and family (or last) name.Patient class has derived attribute age which could be calculated based on her or his birth date and current date or hospital admission date. The Patient class inherits attributes from the Person class. Several inherited attributes name, gender, and birthDate are shown with prepended caret '^' symbol (new notation introduced in UML 2.5). Hospital organization domain model - Patient, Hospital, Staff - Operations, Administrative, Technical. Ward is a division of a hospital or a suite of rooms shared by patients who need a similar kind of care. In a hospital, there are a number of wards, each of which may be empty or have on it one or more patients. Each ward has a unique name. Diagram below shows it using {id} modifier for ward's name. Wards are differentiated by gender of its patients, i.e. male wards and female wards. A ward can only...
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...GENERAL HOSPITAL Alayna Hall Charles Wittenburg Leadership and Organizational Behavior 2/24/11 Discuss the conflict that is occurring at General Hospital. The conflict that is occurring at General Hospital is an intergroup conflict. The conflict is between the doctors using EKGs and upper hospital management. An intergroup conflict refers to opposition, disagreements, and disputes between groups or teams. The COO, Harding, decided to modernize the EKG system to computer read results. Once this decision was made, as a cost cutting measure, she sent a letter to the attending physician whose main responsibility was interpreting the EKG results manually. This decision was done without discussions with the medical staff. One source of this intergroup conflict is goal incompatibility. The main goal for Harding was to cut costs. The first thing she saw to cut was the doctor spending. While the main goal for the doctors are complete, correct healthcare. They relied heavily on the accurate EKG readings supplied by Dr. Boyer. Once the electronic readings were issued, there were many issues with incorrect diagnosis and faulty results. The hospital didn’t have any problems with this before with Dr. Boyer. Without testing the system first, these mistakes may cost the hospital more in the end if it results in patients filing lawsuits. Another source of the conflict is task interdependency. The doctors are there to provide accurate healthcare and to generate revenue for the hospital by...
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...A Hospital information system is a comprehensive, integrated information system designed to manage all the aspects of a hospital operation, such as medical, administrative, financial, legal and the corresponding service processing. Traditional approaches encompass paper-based information processing as well as resident work position and mobile data acquisition and presentation. One of the most important issues is health services. Hospitals provide a medical assistance to people. The best introduction for hospital information systems has been made in 2011 International Conference on Social Science and Humanity Hospital Information Systems can be defined as massive, integrated systems that support the comprehensive information requirements of hospitals, including patient, clinical, ancillary and financial management. Hospitals are extremely complex institutions with large departments and units coordinate care for patients. Hospitals are becoming more reliant on the ability of hospital information system (HIS) to assist in the diagnosis, management and education for better and improved services and practices Hospitals are convenient settings for deployment of ubiquitous computing technology. Not only are they technology-rich environments, but their workers experience a high level of mobility resulting in information infrastructures with artifacts distributed throughout the premises. Hospital information systems (HISs) that provide access to electronic patient records are a step...
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...Table of Content 1. Table of Content----------------------------------------------------------------------p1. 2. Introduction and describe the selected organization-----------------------------p2. ------------Introduction, Hong Kong Hospital Authority background and mission 3. External factors force the changes in the selected organization---------------p3-4. -----------The side of Hong Kong Public Doctors’ Association -----------The side of industry and market -----------The side of Hong Kong popularity -----------The side of newspaper -----------Introduce changes 4. Theoretical framework of change management---------------------------------p5-6. -----------Stage 1: Define the Change -----------Stage 2: Manage Barriers to Effective Change -----------Stage 3: Plan for the Change -----------Stage 4: Implement the Change -----------Stage 5: Review the Change Implementation 5. Changes planned and implemented-----------------------------------------------p7-8. -----------Re-engineering to streamline processes and reduce the workload work ----------Improvement of the wages about staffs ----------Enhance their professional skills and training and efficient management and leadership -----------Prospects for improved working -----------Implementation of a systematic manpower planning and development -----------Survival and future success 6. Resistance encountered by the organization-------------------------------------p9. ...
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...Seizer “If people understood that doctors weren't divine, perhaps the odor of malpractice might diminish.” For a patient, the doctor is like God. And, the almighty can never commit any mistake but that is what the patient thinks or believes. In reality, doctors are human beings. And, to err is human. Doctors may commit a mistake, but committing a mistake due to one’s own carelessness is defined as negligence. The Black law dictionary definition of negligence “conduct, whether of action or omission, which may be declared and treated as negligence without any argument or proof as to the particular surrounding circumstances, either because it is in violation of statue or valid municipal ordinance or because it is so palpably opposed to the dictates of common prudence that it can be said without hesitation or doubt that no careful person would have been guilty of it. As a general rule, the violation of a public duty, enjoined by law for the protection of person or property, so constitutes”. Mistakes or Negligence in medical profession may lead to minor injuries or some serious kinds of...
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... 25 July 2013 Research Essay/Historical Evaluation The First Heart Operation. 1. What doctors, in 1800’s were able to perform and achieve in the operating rooms? 2. How was the first heart operation performed in 1893? 3. How did Dr. Daniel Hale Williams career change after his first heart operation? July of 1893: As a new century loomed, was this certainly particular year of great progress into new medical innovations. In that year, the first heart operation was performed and another man’s life was saved. This big achievement helped set the new stage for modern surgery. Medical professionals at that time said that: “operating on human heart was too dangerous, and there were no procedure for opening the chest.” (The first heart operation-chicagotribune.com) In 1800’s, being a doctor wasn’t easy as we may think. How was the first heart operation performed at that time and very important aspect of that, how did Dr. Williams career and life changed after his first heart operation? ...
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...organizations will be the “Hospital Anti-Trust Law”. (content.healthaffairs.org/content/22/6/88.ful,Peter J.Hammer and William M. Sage) When it comes to a hospital, doctors, and hospital payers, this seems to be a “common” thing and a critical one. This is an issue with the relationships between the hospitals and the doctors. There are too many questions as to how “government regulation and public purchasing” is making a difference when it comes to the different companies that are competing for the services of the different hospitals and how they will create a “social benefits”. (content.healthaffairs.org/content/22/6/88.ful,Peter J.Hammer and William M. Sage) Because so many things that have happened in hospitals and with doctors that have made patients and their families file law suits against so many doctors and hospitals that this law was put in affect and how it has helped when it comes to the different “medical markets” and because so many people and businesses have lost faith and trust because of critical issues and mistakes upon the part of doctors and hospitals. (content.healthaffairs.org/content/22/6/88.ful,Peter J.Hammer and William M. Sage) As in any business who provides a service or a product, hospitals and doctors are suppose to provide medical care for patients and to provide a medical diagnosis that patients are supposed to trust is true. It is understandable that doctors and hospital staff are human and can make mistakes, but as a doctor, they are supposed...
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