Dissertations / Theses on the topic 'Public hospital'
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Gong, Zhiping. "Developing casemix classification for acute hospital inpatients in Chengdu, China /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050314.195349/index.html.
Full textIncludes bibliographical references (leaves 320-329). Also available via the World Wide Web.
Choi, Ka-wing Janet. "Prioritization of planned maintenance works in public hospitals in Hong Kong." Click to view the E-thesis via HKU Scholars Hub, 2006. http://lookup.lib.hku.hk/lookup/bib/B37937637.
Full textOliveira, Paula Maria de. "Hospital de São Sebastião (1889-1905): um lugar para a ciência e um lazareto contra as epidemias." reponame:Repositório Institucional da FIOCRUZ, 2005. https://www.arca.fiocruz.br/handle/icict/3988.
Full textProcura reconstituir a história do Hospital de São Sebastião, que foi fundado na cidade do Rio de Janeiro, em 1889, como um dos últimos atos do Imperador D. Pedro II. O objetivo central foi a análise da relação da criação e estruturação do Hospital de São Sebastião com o debate sobre a causalidade das doenças, em especial a febre amarela, e com o desenvolvimento da medicina pasteuriana. Desta forma reconstitui o processo de criação da instituição, suas características arquitetônicas, e seu papel no processo de estruturação dos aparelhos institucionais, no campo da saúde pública, especialmente no cenário das epidemias. Analisa a arquitetura da instituição, relacionando-a com os debates existentes na época sobre arquiteturas hospitalares e com as correntes médicas hegemônicas na época.
Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.
Full textSutton, Kathleen Rose Creagh, and res cand@acu edu au. "A Study of the Mater Children’s Hospital Tile Project." Australian Catholic University. School of Arts and Sciences, 2005. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp105.11092006.
Full textAbdullah, Zainatul Shima. "Hospital information systems implementation framework: critical success factors for Malaysian public hospitals." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/1441.
Full textTrachuk, Antonina. "Newspaper framing of a hospital the impact of hospital public relations /." online access from Digital Dissertation Consortium, 2006. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?1443582.
Full textMangano, Maria. "Frontier methods for comparing public hospital efficiency." Thesis, Curtin University, 2004. http://hdl.handle.net/20.500.11937/2109.
Full textMangano, Maria. "Frontier methods for comparing public hospital efficiency." Curtin University of Technology, School of Economics and Finance, 2004. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=17497.
Full textHongoro, Charles. "Costs and quality of services in public hospitals in Zimbabwe : implications for hospital reform." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/1649006/.
Full textFernandes, Adhemar Dizioli. "As transformações arquitetonicas e tecnico-construtivas do edificio publico de saude na cidade de São Paulo." [s.n.], 2003. http://repositorio.unicamp.br/jspui/handle/REPOSIP/257951.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Civil
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Resumo: O hospital converteu-se em instituição social através dos séculos, transformouse em um edifício complexo, abrigando especialidades e equipamentos médicos múltiplos que refletiram na sua concepção e projeto. Neste trabalho descrevem-se as transformações arquitetônicas e construtivas do edifício público de saúde na cidade de São Paulo, principalmente, a partir da segunda metade do século XIX, com o desenvolvimento da cultura cafeeira, o advento da República e a estruturação do Serviço de Saúde Pública. Especificamente, identificam-se as intervenções físicofuncionais e técnico-construtivas ocorridas no período de 1998 a 2002, em uma série de hospitais públicos, construídos a partir de uma mesma tipologia, na Região Metropolitana da Grande São Paulo. Os resultados mostram que esses hospitais, concebidos em 1986, continuam atuais diante das alterações e reestruturações implementadas no seu espaço físico, visando abrigar novas unidades funcionais e equipamentos, possibilitando a execução de novos procedimentos médico-hospitalares
Abstract: Throughout the centuries the hospital has turned into a social institution, becoming a complex building, sheltering specialties and multiple medical equipment that is reflected in its conception and design. In this paper the architectural and constructive transformations of the public health building are described in the city of São Paulo, mainly, from the second half of the XIX century, with the development of the coffee culture, the coming of the Republic and the structuring of the Public Health Service. Specifically identified are the physical-functional and technical-constructive nterventions that happened from 1998 to 2002, in a series of public hospitals all built from the same typology in the Metropolitan Area of Great São Paulo. The results show that those hospital buildings, conceived in 1986, continue to be updated due to the alterations and restructuring implemented in the spitals, seeking to shelter new functional units and equipment, making possible the execution of new medical/hospital procedures
Mestrado
Edificações
Mestre em Engenharia Civil
Greenwell, June. "NHS hospital restructuring." Thesis, University of Bristol, 2000. http://hdl.handle.net/1983/3018fcc4-1251-4a19-9c44-cac50388eb17.
Full textHoffman, Nyameka. "Promoting leadership effectiveness in the public hospitals: a case study at Uitenhage provincial hospital." Thesis, Nelson Mandela Metropolitan University, 2013.
Find full textSaifi, Khader M. M. Al. "The impact of information technology on hospital management of Gulf Corporation Council public hospitals." Thesis, University of Hull, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272025.
Full textShahabiKargar, Zahra. "Intelligent Scheduling for Hospital Operating Rooms." Thesis, Griffith University, 2016. http://hdl.handle.net/10072/367615.
Full textThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Institute for Integrated and Intelligent Systems
Science, Environment, Engineering and Technology
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Fortuna, André Pacheco. "The optimum size of the portuguese public hospital." Master's thesis, NSBE - UNL, 2009. http://hdl.handle.net/10362/9451.
Full textIn a context of intensive structural reform, this paper estimates optimum bed-sizes for the Portuguese public hospitals. Considering costs and production data for the period 2003-2006, we estimate a production-theoretic quadratic cost-function, adjusted to better describe the underlying technology. Room for short-run scale-economies exploitation is found, but long-run scale-diseconomies are unambiguous. In light of these predictions and of an optimum around 233 fully-occupied beds, there is mixed evidence of potential gains from two hospital mergers and from one of the forthcoming constructions of public hospitals. The results are expected to contribute to shape the hospital network in a cost-efficient manner.
Duwalage, Kalpani I. "Statistical modelling of public hospital emergency department presentations." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/228610/1/Kalpani%20Ishara_Duwalage_Thesis.pdf.
Full textNaidu, Priyanka. "Surgical catastrophic health expenditure at New Somerset Hospital, a South African public sector hospital." Master's thesis, University of Cape Town, 2020. http://hdl.handle.net/11427/32510.
Full textLeung, Chiu-fai Charles. "A study of the transformation of domestic services in the Hong Kong Hospital Authority." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21037048.
Full textFarias, Diego Carlos. "Análise das práticas de gestão hospitalar: um estudo das interfaces (e lacunas) funcionais no Hospital Universitário Antonio Pedro da UFF." Niterói, 2017. https://app.uff.br/riuff/handle/1/4137.
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A complexidade da gestão hospitalar, em conjunto com um cenário de escasez de recursos financeiros, compromete as atividades desempenhadas em hospitais públicos universitários. O presente estudo tem o objetivo de analisar as práticas de gestão hospitalar no Hospital Universitário Antonio Pedro (HUAP), no sentido de identificar oportunidades de aprimoramento em seus processos administrativos, bem como os fatores críticos responsáveis, refletindo sobre a maneira como tais fatores estão inter-relacionados. Sob a perspectiva metodológica, o estudo apoia-se em uma vertente teórica, baseada na coleta de dados secundários através do levantamento bibliométrico do acervo técnico-científico referente à gestão hospitalar, relevantes para subsidiar a pesquisa empírica proposta para ser realizada junto a atores-chave do HUAP. Já em termos empíricos foram realizadas entrevistas semiestruturadas com as lideranças funcionais tanto administrativas, quanto de assistência. Os resultados obtidos evidenciam lacunas nas interfaces de trabalho, sobretudo na relação entre as equipes médica e a administrativa, o que impacta sobre o faturamento da organização. Além disso, observaram-se hiatos na definição de processos, o que compromete algumas atividades, tanto na esfera assistencial quanto administrativa, gerando conflitos entre profissionais e impactando no atendimento aos pacientes. Uma vez evidenciados os fatores críticos, elaborou-se um mapa conceitual, que apresenta o processo gerencial do HUAP como um sistema composto pelos referidos fatores, bem como a forma como estão conectados, facilitando a observação das relações de causalidade entre estes.
The complexity of hospital management, together with a scenario of scarcity of financial resources, compromises the activities performed in public university hospitals. This study aims to analyze the hospital management practices at the Hospital Universitário Antonio Pedro (HUAP), to identify opportunities for improvement in their administrative processes, as well as those responsible for critical factors, reflecting on how these factors are interrelated. Under the methodological perspective, the study relies on a theoretical, based on secondary data collection through the bibliometric survey of technical and scientific evidence related to hospital management, relevant to support the empirical proposed research to be conducted with key players of HUAP. In the empirical study were carried out semi-structured interviews with the managers of the institution. The results show flaws in the work interfaces, especially in the relationship between medical staff and administrative, which has a direct impact on revenues of the organization. In addition, there were shortcomings in the definition of processes, which undertakes some activities, both in care as administrative, generating differences between professionals and impacting on patient care. Once the critical factors were evidenced, a conceptual map was elaborated, presenting the HUAP management process as a system composed of these factors, as well as the way in which they are connected, facilitating the observation of the causal relationships between them.
Thomas, Patrick. "A stakeholder analysis of the UCT hospital." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/9349.
Full textThe UCT Hospital is a private, fully independent hospital within the buildings of the Groote Schuur Hospital. It has been operational for well over two years. Planning and development began a further four years before this. During the last two years the hospital has changed its name, shareholders and management structures. Since the start of the planning the various stakeholders will too have changed their respective structure and business foci. These changes have added to poor knowledge of all the stakeholders' aims and desires for the hospital. The aims and objectives of this study are to establish what the various stakeholders wish to gain from their relationship with the UCT Hospital. Furthermore, this study investigates the degree of public-private interaction with Groote Schuur Hospital and proposes various possibilities for their future existence and co-operation. A stakeholder analysis indicated that the primary stakeholders wish to expand and grow the hospital. Opponent stakeholders are not satisfied with the structure of and their relations with the UCT Hospital. Key problems in the relationship with Groote Schuur Hospital include tense relations, poor regulation of resource-sharing, and that the two hospitals are vying for comparable markets. These problems are inhibiting growth for both institutions. Communication, improved regulations and specialised market sectors are key needs to help resolve the problems between the two institutions. Various possibilities for future co-existence revolve around the degree of public- private interaction between the two institutions. The most viable option seems to be for the two hospitals to work closely together to form a public-private partnership, where the Groote Schuur Hospital Private Ward is outsourced to the UCT Hospital. This will involve UCT Hospital relinquishing some autonomy and freedom, but result in them having less competition and a greater market base. GSH will have to abandon their own private ward, but can increase risk-sharing, gain in efficiency and effectiveness in the private ward, and get involved in a co-management structure.
Fan, Gainson. "Association Between Hand Hygiene and Hospital Acquired Infections (HAI)| A Phenomenological Study at a Southeastern State Hospital." Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10680587.
Full textGreater awareness regarding healthcare-associated infections (HAIs) has drawn in a great deal of attention from the government at the local, state, and federal level as well as from the general public and medical insurance companies such as Medicaid and Medicare. This level of attention is the product of heightened interest in the quality of healthcare and the realization that most HAIs can be averted. Healthcare organizations and medical providers worldwide continue to observe exceptional developments in the comprehension of the physiology of uncommon or disease-causing agents and increased transmission of multidrug-resistant organisms in healthcare facilities both nationally and internationally. Such circumstances have prompted the re-examination of fundamental infection prevention processes in healthcare facilities. Evidence-based research has linked hand hygiene compliance to decreased nosocomial infections. With the World Health Organization (WHO) leadership and guidelines on hand hygiene in healthcare and patient safety initiatives, healthcare facilities must focus on compliance in hand hygiene practices. It is inexpensive, simple and it can save many lives.
Oliveira, André Luis. "Management of public hospital clinic: organization lead for a good attendance." Universidade de Taubaté, 2004. http://www.bdtd.unitau.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=58.
Full textA administração do serviço público de saúde, historicamente organizada pelo Estado, passa por transformações que buscam a melhoria do serviço oferecido ao seu público alvo, o cidadão usuário. O estado de São Paulo implementou a partir de 1998 um sistema de gestão que utiliza entidades reconhecidas socialmente (OSS Organização Social de Saúde) para executar as ações de saúde planejadas e controladas pelo governo. Em concordância à essa tendência de abertura e remodelamento das políticas públicas, o Governo Federal busca melhorar a qualidade de relacionamento em seus setores de atendimento. A pesquisa avaliou questões organizacionais de um ambulatório de especialidades da cidade de São Paulo que funciona operacionalizado por uma OSS. Usando a perspectiva do usuário, buscou verificar quais são os quesitos administrativos que são percebidos e valorizados pelo cidadão. Os resultados evidenciaram a baixa capacidade de percepção e avaliação dos usuários do ambulatório. A análise percebida nos dados da pesquisa, com características superficiais, emotivas e sem critérios técnicos, pode estar relacionada com o baixo nível educacional das camadas mais pobres da população brasileira que são os principais usuários do sistema público de saúde (SUS Sistema Único de Saúde). A pesquisa provou o desenvolvimento do gerenciamento público na área de saúde, assim como a viabilidade de aplicação de pesquisas correlacionadas ao modelo aplicado.
Salge, Torsten Oliver. "Essays on innovation : the case of public hospital services." Thesis, University of Cambridge, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.611708.
Full textCairns, John Douglas. "Some characteristics influencing utilisation of public hospital outpatients services." Thesis, Queensland University of Technology, 1990. https://eprints.qut.edu.au/36386/1/36386_Cairns_1990.pdf.
Full textBarbosa, Rafael Ribeiro. "Primary public health care and socioeconomic asymmetries in Portugal." Master's thesis, NSBE - UNL, 2012. http://hdl.handle.net/10362/9566.
Full textLockhart, Judith. "Women, health and hospitals in Birmingham : the Birmingham and Midland Hospital for Women, 1871-1948." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/3647/.
Full textSofohlo, Patrick Mbeko. "Critical assessment of the management practices of Dr. Yusuf Dadoo Hospital." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4222.
Full textENGLISH ABSTRACT: The objective of the study was to critically assess the management practices of Dr Yusuf Dadoo Public Hospital in terms of the five public management functions, namely: policy-making, planning, organising, leading and controlling. From the study it is evident that managers of the public hospitals work in a complex and dynamic environment. This is as a result of the pressure felt due to expectations of the public on the quality of service rendered in the hospitals. The primary function of public managers is to ensure that efficient and effective services are rendered to the public. Therefore, all public managers are subject to compliance to the unique guidelines of the relevant legislative framework. In the study, the five public management functions were explained in terms of the broad theoretical framework on management practices on the part of the public sector. The research approach was qualitative and the diagnostic evaluation design was used. The target population for the study included all 48 managers of Dr Yusuf Dadoo Public Hospital who occupy supervisory and higher positions. From the results in the analysis of the questionnaire it is evident that the five public management functions, namely, policy-making, planning, organising, leading and controlling were satisfactory - except the leadership function that needed attention. Public managers of hospitals are an important link between the legislature and the community who are the recipients of policy and are involved at the ground level in the execution of policy. These managers are at an advantage to identify the shortcomings in the existing policy and bring them to the attention of policy-makers. Policies and procedures at Dr Yusuf Dadoo Public Hospital were developed, interpreted and implemented. When discipline on employees was taken, relevant policies as stipulated in the Labour Relations Act, no 66 of 1995, were followed. Policies that support personal development through training and development were not implemented satisfactorily. The existing updated policy manuals were not adequately available to all the employees of Dr Yusuf Dadoo Public Hospital. The function of planning at the hospital referred to the planning processes and mechanisms that were designed to facilitate the planning work. The purpose of planning as a management function was to give guidelines to the managers of Dr Yusuf Dadoo Public Hospital on what they would do in the future. Management of Dr Yusuf Dadoo Public Hospital ensured that employees understood the vision and mission of the hospital. These employees were involved in developing the operational plan of the hospital. Management of Dr Yusuf Dadoo Public Hospital also ensured that operational plans of the employees supported the overall goals of the hospital. Recruitments, selections and appointments were done by human resource department, as was the orientation of new employees to the job. The organisational structure gave employees a clear idea of their responsibilities, the authority they had, and the person to whom they had to report. The functional structure of Dr Yusuf Dadoo Public Hospital grouped together similar or related occupational classes. Expectations were clearly explained by supervisors to subordinates when assigning tasks. Activities and functions were organised and managers allocated responsibility commensurate to authority when delegating tasks to subordinates. Personnel expenditure at Dr Yusuf Dadoo Public Hospital did not impede service delivery. The hospital needed strong leadership to survive and overcome challenges that managers faced. The leadership function at Dr Yusuf Dadoo Public Hospital related to the way management defined what the future of the hospital would look like, to align people with the vision and inspire them to make things happen. Not enough was done by the management of the hospital in this area. The management of Dr Yusuf Dadoo Public Hospital should do everything it could to train and develop managers and those employees who show potential in this area. The five public management functions, namely, policy-making, planning, organising, leading and controlling are executed in a complex and dynamic environment. It is necessary to assess, regularly, the management practices of public hospitals, focusing on the five public management functions. It is also necessary for public managers of Dr Yusuf Dadoo Public Hospital to ensure that the public management functions are carried out, to realise the set goals of the hospital.
AFRIKAANSE OPSOMMING: Die doel van die studie was om die bestuurspraktyke van Dr. Yusuf Dadoo Openbare Hospitaal krities te assesseer in terme van die vyf openbare bestuursfunksies, naamlik beleidmaking, beplanning, organisering, leiding en beheer. Uit die studie is dit duidelik dat bestuurders van openbare hospitale in ’n komplekse en dinamiese omgewing werk. Dit is die gevolg van die druk wat ervaar word vanweë verwagtinge van die publiek ten opsigte van die gehalte van dienslewering in die hospitale. Die primêre funksie van openbare bestuurders is om te verseker dat doeltreffende en effektiewe dienste aan die publiek gelewer word. Derhalwe is alle openbare bestuurders onderworpe aan voldoening aan die unieke riglyne van die betrokke wetgewende raamwerk. In die studie is die vyf openbare bestuursfunksies verduidelik in terme van die breë teoretiese raamwerk vir bestuurspraktyke aan die kant van die openbare sektor. Die navorsingsbenadering was kwalitatief en die diagnostiese evalueringsontwerp is gebruik. Die teikenpopulasie vir die studie het al 48 bestuurders van Dr. Yusuf Dadoo Openbare Hospitaal wat toesighoudende en hoër posisies beklee, ingesluit. Uit die resultate van die ontleding van die vraelys het dit geblyk dat die vyf openbare bestuursfunksies, naamlik beleidmaking, beplanning, organisering, leiding en beheer, bevredigend is – behalwe die leierskapsfunksie wat aandag moet geniet. Openbare bestuurders van hospitale is ’n belangrike skakel tussen die wetgewer en die gemeenskap wat die ontvangers van beleid is en op grondvlak betrokke is by die uitvoering van beleid. Hierdie bestuurders het die voordeel dat hulle die tekortkominge in die bestaande beleid kan identifiseer en onder die aandag van beleidmakers kan bring. Beleide en prosedures by Dr. Yusuf Dadoo Openbare Hospitaal is ontwikkel, vertolk en geïmplementeer. Wanneer dissiplinêre stappe teen werknemers gedoen is, is toepaslike beleide gevolg soos voorgeskryf in die Wet op Arbeidsverhoudinge, no. 66 van 1995. Beleide wat persoonlike ontwikkeling deur opleiding en ontwikkeling ondersteun, is nie bevredigend geïmplementeer nie. Die bestaande bygewerkte beleidshandleidings is nie toereikend vir al die werknemers van Dr. Yusuf Dadoo Openbare Hospitaal beskikbaar nie. Die funksie van beplanning by die hospitaal verwys na die beplanningsprosesse en meganismes wat ontwerp is om die beplanningswerk te vergemaklik. Die doel van beplanning as bestuursfunksie is om riglyne aan die bestuurders van Dr. Yusuf Dadoo Openbare Hospitaal te verskaf oor wat hulle in die toekoms sal doen. Die bestuur van Dr. Yusuf Dadoo Openbare Hospitaal het seker gemaak dat werknemers die visie en missie van die hospitaal verstaan. Hierdie werknemers was betrokke by die ontwikkeling van die bedryfsplan van die hospitaal. Die bestuur van Dr. Yusuf Dadoo Openbare Hospitaal het ook seker gemaak dat bedryfsplanne van die werknemers die oorkoepelende doelwitte van die hospitaal ondersteun. Werwing, keuring en aanstelling word deur die menslikehulpbron-departement gedoen, asook die oriëntering van nuwe werknemers. Die organisasiestruktuur gee aan werknemers ’n duidelike idee van hul verantwoordelikhede, hul gesag en die persoon aan wie hulle moet rapporteer. Die funksionele struktuur van Dr. Yusuf Dadoo Openbare Hospitaal groepeer soortgelyke of verwante beroepsklasse saam. Verwagtinge word duidelik deur toesighouers aan ondergeskiktes verduidelik wanneer take toegewys word. Aktiwiteite en funksies is georganiseerd en bestuurders wys verantwoordelikheid in ooreenstemming met gesag toe wanneer take aan ondergeskiktes gedelegeer word. Personeeluitgawes by Dr. Yusuf Dadoo Openbare Hospitaal belemmer nie dienslewering nie. Die hospitaal het sterk leierskap nodig om uitdagings waarmee bestuurders te doen het, te oorleef en te oorkom. Die leierskapsfunksie by Dr. Yusuf Dadoo Openbare Hospitaal hou verband met die manier waarop die bestuur die toekoms van die hospitaal gedefinieer het, die belyning van mense met die visie en die inspirasie van mense om dinge te laat gebeur. Nie genoeg is deur die bestuur van die hospitaal op hierdie gebied gedoen nie. Die bestuur van Dr. Yusuf Dadoo Openbare Hospitaal moet alles moontlik doen om bestuurders en daardie werknemers wat potensiaal op hierdie gebied toon, op te lei en te ontwikkel. Die vyf openbare bestuursfunksies, naamlik beleidmaking, beplanning, organisering, leiding en beheer, word uitgevoer in ’n komplekse en dinamiese omgewing. Dit is noodsaaklik om die bestuurspraktyke van openbare hospitale gereeld te assesseer deur op die vyf openbare bestuursfunksies te fokus. Dit is ook noodsaaklik dat openbare bestuurders van Dr. Yusuf Dadoo Openbare Hospitaal verseker dat die openbare bestuursfunksies uitgevoer word om die gestelde doelwitte van die hospitaal te verwesenlik.
Tordoff, June Margaret, and n/a. "Evaluating the impact of a national hospital pharmaceutical strategy in New Zealand." University of Otago. School of Pharmacy, 2007. http://adt.otago.ac.nz./public/adt-NZDU20070712.151527.
Full textSilva, Nilce Mara da. "Aspectos facilitadores e dificultadores do trabalho do enfermeiro em cargos gerenciais em hospital." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-07032016-210705/.
Full textThe new configuration of the role of hospitals, with a view to building health care networks, has implications for the work of nurses in management positions in relation to their administrative, helth care and teaching actions/decisions. This study aimed to identify the facilitating and hindering aspects of the work of nurses in management positions in a public emergency hospital in the interior of the state of São Paulo. A descriptive study with quantitative approach of the qualitative data was performed, using the Critical Incident Technique, to survey the perceptions and attitudes in relation to the researched object. The study was developed in a public tertiary-level teaching hospital, located in the northeast region of São Paulo state, Brazil. In total, 15 nurses in management positions, who worked in the function for at least one year, participated, excluding those who were absent from the workplace at the time of data collection as a result of legal absences or because it was not possible to conduct the interview after five appointments canceled. Data collection was performed through individual semi-structured interview. Critical incidents consisting of 42 cases were reported, of which 33.3% were positive and 66.7% negative, culminating in 57 behaviors, of which 84.2% positive and 15.8% negative, and 74 consequences, 41.9% positive and 58.1% negative. Content analysis data were grouped by similarity of content. Situation, behavior and consequence with predominantly positive references were considered as facilitating aspects, with the following categories: interaction- team, patient, family; to manage the work unit; to question the implementation of the Management Group and to communicate. On the other hand, situation, behavior and consequence with predominantly negative references were considered hindering aspects, with the following categories: organizational structure; infrastructure management and personnel management. It is highligted that these results may support the work of nurses in management positions as well as hospital managers, once the hindering aspects of the work of nurses in management positions are related mostly to issues of poor governance to this professional. Thus, the study evidences the need for closer alignment of managers and nurses with management position, in order to commonly solve issues that favor the care process and work coordination. It is undeniable the clarity that participants have about their professional liability, since although the incidents have had predominantly negative references, behaviors presented had mainly positive references, showing the efforts that these professionals expend to overcome the difficulties experienced and the importance considered in sharing decisions and actions to be taken
Salameh, Joseph. "Le statut des médecins libéraux dans les hôpitaux publics." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM1045/document.
Full textThe public hospital has long been willing to operate an independent public service with its own means and own staff.However, it was forced to open its doors to some private operators (the intervention of private doctors illustrates it) to satisfy its needs for operating and organization, the path of which has been opened by the last Hopsital Act. Thus, the HPST Law has created some contractual arrangements mainly with the “private practice contract”and the contract of “hospital clinical practitioner” in order that the public hospital offers more attractive statutory conditions to these new operators.This new major need, not being really desired, requires legal solutions which are too diverse.Consecuently, a coexistence and a lot of statuses have emerged within the public hospital. This situation causes a real contradiction of the statutory rules, a real hackneyed nonsense which undermines its consistency.An harmonization of the hospital and private practitioners statuses seems to be inevitable in order to clarify and make the public hospital more transparent with the sole concern to improve the quality of the health care provided to the public service users
Kalibatas, Vytenis. "Evaluating Hospital Costs in Kaunas Medical University Hospital." Thesis, Nordic School of Public Health NHV, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3289.
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Pécoul, Annabelle. "Le service public hospitalier." Thesis, Paris Est, 2016. http://www.theses.fr/2016PESC0109.
Full textThe public hospital utility has been established by the law of December, 31st, 1970, which gives a functional definition. Although the legislator promotes a hospital-centered model, it doesn’t exclude the private establishments associated to the public hospital utility by means of methods of participation which penalize it. Weakened by successive hospital reforms, the public hospital utility will atrophy until the reform of July, 21st, 2009 which deletes the notion and substitutes it by the concept of public service missions. This functional conception is in accordance with the service public theory and compatible with the definition of general interest service defended by the European Union law, but isn’t in keeping with facts. The theoretical functional definition supported by the lawmaker is replaced, in practice, by an organic conception resulting from details of implementation of public hospital utility decidedly favorable to sector public. Indeed, public health establishments benefit from a singular status characterizing its predominance. The law of January, 26, 2016 confirms the resonance of the organic conception by rehabilitating the notion of public hospital utility, and by maintaining public sector institutions in its role of natural actors of this public utility. Questions remain, nonetheless, concerning the durability of the health system. It must step back for a public health service, integrating the public hospital utility, able to head the action of all health protagonists and to guarantee the progress of an accessible, egalitarian and qualitative fitness trail
Street, Andrew. "Issues in evaluating the efficiency of the public hospital sector." Thesis, University of York, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273908.
Full textOwen, Karen, and n/a. "Managing interorganisational relationships an in-depth study in a hospital context." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20061206.115448.
Full textOwen, Karen. "Managing interorganisational relationships an in-depth study in a hospital context /." Australasian Digital Thesis Program, 2005. http://adt.lib.swin.edu.au/public/adt-VSWT20061206.115448.
Full textDissertation submitted to [the] Australian Graduate School of Entrepreneurship, Swinburne University of Technology in partial fulfilment of the requirements for the Doctor of Business Administration, 2005. Typescript. Includes bibliographical references (p. 268-300).
Polanecká, Šárka. "Public Relations a komunikace ve zdravotnictví." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-18298.
Full textBanks, Janet. "Carrying the load : nursing care experiences in a public hospital system /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.
Full textAllan, Cameron, and n/a. "Labour Utilisation in Queensland Hospitals." Griffith University. Griffith Business School, 1996. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20050906.171638.
Full textGong, Zhiping, and gongzhiping@gmail com. "Developing Casemix classification for acute hospital inpatients in Chengdu, China." La Trobe University. School of Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20050314.195349.
Full textPolimeni, Anne-Maree, and Anne-Maree Polimeni@dhs vic gov au. "Narrative of women's hospital experiences the impact of powerlessness on personal identity." Swinburne University of Technology, 2004. http://adt.lib.swin.edu.au./public/adt-VSWT20050309.143640.
Full textWendall, Pamela S. "Clients' spiritual perspective of care." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1191724.
Full textSchool of Nursing
Roberts, Angela K. "Factors involved in management decision-making : a study of Indiana hospital public relations directors' perceptions." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941717.
Full textDepartment of Journalism
Voake, Cheryl. "Modelling trauma hip fracture hospital activities." Thesis, Cardiff University, 2012. http://orca.cf.ac.uk/42402/.
Full textLourens, Guinevere Margaretha Attilla Couldridge. "Implementation framework of the hospital revitalisation programme in a regional secondary level public hospital in Paarl, South Africa." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/1690.
Full textThe National Department of Health of South Africa implemented a Hospital Revitalisation Grant to modernize and transform the infrastructure and health technology of hospitals and improve the quality of care and access to health care. Paarl Hospital, a secondary level semi-rural public regional hospital, was entered as a project into the Hospital Revitalisation Programme (HRP) in January 2006 and reached practical completion on 23 March 2012. This study critically evaluated the HRP implementation at Paarl Hospital and developed a framework for implementation which addresses the needs of the clients and staff, and assures technical quality of care. Building healthcare facilities is complex and the incorrect planning and implementation thereof can give rise to expensive mistakes. Research on quality of care in health fulfils a social and practical mandate to create information for use by public managers to improve services or by decision makers to inform policy. A descriptive case study design, with qualitative research methodology was utilized for this study. The case study involved an intensive exploration of the circumstances, dynamics and complexities of this public hospital project. A multi-method approach to data collection was taken which included focus group discussions; individual and pair interviews; as well as photographic and document review. Action research methodology, which is concerned with collaborative knowledge enquiry and sharing, was applied by means of an intervention. The findings which arose during the study were simultaneously used and actions were taken to improve HRP implementation in the Psychiatry planning and decanting stage. The study’s findings indicate that hospital revitalisation holds huge benefits for the community the relevant hospital serves, but that client, staff and technical quality are at risk during implementation. The proposed implementation framework serves to inform of the risk management strategies that can be taken for the infrastructure, health technology, organisational development and quality assurance deliverables of the HRP. Future hospital revitalisation projects stand to benefit from the framework to enhance quality of care during implementation, in the interest of economically effective and efficient allocation of public resources and quality health for all.
Banedj-Schafii, Mandana. "System transferability of public hospital facility management between Germany and Iran." Karlsruhe KIT Scientific Publ, 2009. http://d-nb.info/100219606X/04.
Full textKamau, George Michungu. "Factors affecting supply chain integration in public hospital pharmacies in Kenya." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/7915.
Full textChang, Chun Pin, and 張鈞萍. "Public Hospital Privatization." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/50240511520599218664.
Full textCooper, Dhanmathie. "Supply chain management in a public hospital in Gauteng." Thesis, 2016. http://hdl.handle.net/10539/21767.
Full textThe purpose of the study was to analyse the Supply Chain Management (SCM) approaches used in the Public Hospital Outpatients Pharmacy and compare the findings with successful supply chain practices from other industry sectors. The study of academic literature locates the unavailability of drugs in the public hospital pharmacies to the domino effect of the lack of governance and accountability in the public hospital. The data for the study was gathered from public and private hospitals in Gauteng, and large FMCG manufacturers and retailers. The study finds that the public sector adoption of SCM in the absence of a coherent technology and human resource support environment results in a lack of accountability and coherence across systems. The research study corroborated the view of academics and the interviewees that the unavailability of drugs in the public hospital is a multidimensional problem that has its roots in the lack of governance throughout the drug supply chain. It is a complex manifestation of policy, processes, practices, structure, people, communication and donor funding that contribute to the problem. Resolving the drug availability issues will require the ‘whole supply chain re-engineering’ with the added focus on developing the operational capability and capacity of the actors within the supply chain continuum.
MT2017
Williams, Robert Melvin. "The costs of emergency department services dissertation submitted in partial fulfillment ... for the degree of Doctor of Public Health (Health Policy) ... /." 1994. http://books.google.com/books?id=JsdBAAAAMAAJ.
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