Journal articles on the topic 'Public hospitals'
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Ganiem, Leila Mona, and Anna Agustina. "Cyber Public Relations Strategies for Enhancing Public Engagement: A Case Study of Koja Hospital Instagram." Athena: Journal of Social, Culture and Society 1, no. 3 (June 19, 2023): 116–29. http://dx.doi.org/10.58905/athena.v1i3.104.
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The rapid development of information technology that triggers transformation in the field of public relations has driven hospitals to implement cyber public relations in their organizational communication activities. This research analyzes the management of cyber public relations in one of Jakarta's regional general hospitals or health houses, namely the Koja Hospital. This study aims to explore Koja Hospital's efforts in interacting with the public through Instagram social media. Data mining will focus on two aspects: first, what messages Koja Hospital conveys through Instagram, and second, how the public reacts to messages from Koja Hospital. The research method used is a mixed, qualitative, and quantitative method. The quantitative method is used to mine data related to the messages conveyed by Koja Hospital through Instagram, while the qualitative method is used to explore how Koja Hospital manages dialogues with the public on its Instagram account. This research is conducted by analyzing Koja Hospital's Instagram account from January-February 2023. The research findings conclude that Koja Hospital uses Instagram as a cyber public relations platform to convey messages with categories including Health Education, Service Promotion, Hospital Social Programs, Employee Activities, Events, Health Technology Innovations, and Awards and Certifications through photos and videos. However, engagement with users is still not optimized. In conclusion, cyber public relations should utilize all features provided by social media platforms, produce messages optimally, and engage with users interactively
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Velasco, Irinev Tadeu. "Brazilian public hospitals." Lancet 354, no. 9192 (November 1999): 1826. http://dx.doi.org/10.1016/s0140-6736(05)70600-0.
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Fred, Herbert L. "Public Hospitals Matter." Texas Heart Institute Journal 45, no. 2 (April 1, 2018): 60. http://dx.doi.org/10.14503/thij-18-6646.
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Prugsiganont, Supuck, and Per Anker Jensen. "Identification of space management problems in public hospitals." Facilities 37, no. 7/8 (May 7, 2019): 435–54. http://dx.doi.org/10.1108/f-01-2018-0001.
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Purpose In the past decades, public hospitals in Thailand have developed gradually and been characterized by an incremental development of hospital facilities. First, this study aims to investigate the factors that have caused the incremental development and how such development has affected the hospital’s architectural layout. Second, the paper assesses the functional quality of nonclinical areas in the Maharaj Hospital to identify space management problems. Design/methodology/approach The first part of the study is based on a literature review of the Thai health-care landscape. The second part includes the functional quality assessment of nonclinical areas, walk-through observations and documentation. Obtained data were synthesized using building quality method and measurement criteria and analytical drawing techniques for design assessment. Findings The first part identified three factors: the lack of local general practitioners, the limited number of public hospitals and the implementation of Thailand’s universal coverage scheme. These factors have resulted in a dramatically high number of patients in public hospitals. The second part identified problems regarding poor accessibility, a low level of spatial flexibility and poor spatial orientation. These problems are related to a lack of appropriate strategic space planning and lack of integration of the Thai culture into hospital design processes. Practical implications An identification of space management problems is a prerequisite to the improvement of hospital facilities. Originality/value This paper presents the first study of space management problems concerning nonclinical areas in Asian hospitals.
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Senin, Zamri, Yahya Mohamad Yatim, Siti Asmah Zolkefly, Noor Laila Mahpot, and M. Ruhaifi Md Isa @ Mansor. "HUMAN PERCEPTION TOWARDS FIRE SAFETY AWARENESS IN MALAYSIA PUBLIC HOSPITAL." Journal of Tourism, Hospitality and Environment Management 7, no. 27 (March 8, 2022): 130–56. http://dx.doi.org/10.35631/jthem.727012.
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The focus of this research is on human perception toward fire safety awareness in public hospitals. The perception was evaluated by looking at two variables, awareness, and knowledge. With the existence of knowledge and awareness, the perception of fire safety in hospitals is high. Thus, the three objectives are; i) evaluate and identify the relation of consumer perception towards the fire safety awareness in hospitals. ii) evaluate and analyse consumer perception on fire safety awareness with the effective value of designs and exit routes prepared. iii) suggest improvement measures in ensuring the hospital’s occupants able to increase the awareness and understanding values in fire safety in hospitals. This study adapted quantitative methodology by using a random survey as an instrument which involved 285 respondents representing 6 selected hospitals in Malaysia. The findings found that there was no significant between the relation of awareness and knowledge with age, education, and occupation in identifying the level of awareness and knowledge in fire safety in hospitals. Yet, there was a significant value in gender which the men have higher awareness and knowledge as compared to women who were not significant in this study. Therefore, several improvement measures need to be done by the hospital administration to add awareness value among the hospital users.
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Mwihia, Francis Kimani, James Machoki M’ Imunya, Germano Mwabu, Urbanus M. Kioko, and Benson B. A. Estambale. "Technical Efficiency in Public Hospitals in Kenya: A Two –Stage Data Envelopment Analysis." International Journal of Economics and Finance 10, no. 6 (May 9, 2018): 141. http://dx.doi.org/10.5539/ijef.v10n6p141.
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The paper uses the DEA technique to estimate efficiency scores in Kenyan public hospitals and then applies the Tobit regression to study inter-hospital variation in the scores. The DEA analysis reveals that small hospitals are more efficient than large hospitals, with efficiency levels ranging from 74-91% in small DMUs and from 57-78% in large DMUs. Tobit regression analysis shows efficiency scores are negatively correlated with the hospital’s distance from the manager’s residence and from the capital city. Internal and external supervisions are suggested as mechanisms for increasing performance of hospitals.
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Wei, Donghai, and Louis Rubino. "Public Hospitals in China." International Journal of Public and Private Healthcare Management and Economics 4, no. 1 (January 2015): 53–72. http://dx.doi.org/10.4018/ijpphme.2015010104.
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China has had some initial success in its current health care reform efforts. Five areas of reform have been targeted and include providing universal coverage, equitable access to basic health insurance, establishing an essential medicine system, and improving primary health care facilities. The last area, the reform of the public hospitals, remains the most difficult to reform. General guidelines have been established by the national government and movement is being taken to delegate authority to local units for implementation. The aim of this paper is to compare China's formal government sponsored health care reform plan for public hospitals to the acknowledgement and acceptance by a sample of health care leaders in Guangzhou. Challenges are strong and include cost accountability, doctor training, employee empowerment, improprieties, and the influence of private hospitals. Based on this qualitative research, conclusions and recommendations are made by the authors as to what is necessary to have effective pubic hospital reform in China.
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Muhammad Hasyim Ashari. "How is the Application of Green Accounting in Public Hospitals Based on the Public Hospital Classification?" International Journal of Integrative Sciences 2, no. 10 (October 30, 2023): 1571–86. http://dx.doi.org/10.55927/ijis.v2i10.6508.
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Public hospitals have four classification (types/class): A, B, C, and D. Of course, the application of green accounting in public hospitals has differences in its application depending on the type of public hospital. The purpose of this study is to determine whether there are differences in the application of green accounting in public hospitals in Malang Raya between public hospitals with type A, type B, type C or type D. This research is a survey research with a descriptive quantitative approach. The questionnaires collected were 39 research samples from 40 public hospitals spread across Malang District, Malang City and Batu City. The sample selection used a probability sample with a cluster random sampling technique. The collected data was then analyzed using the Kruskal-Wallis Test and the Turkey HSD Test. The results showed that the average value of the application of green accounting was significantly different for each type of public hospital, whether for type A, type B, type C or type D on public hospitals. The most visible difference was in the application of green accounting to public hospitals type A and public hospitals type C are completely different, while everything else is the same
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Lawson, James S. "A comparison of costs in Australian public teaching, public non-teaching and private hospitals." Australian Health Review 18, no. 4 (1995): 116. http://dx.doi.org/10.1071/ah950116.
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This paper compares costs for caring for patients according to common diagnosis groupsin Australian public teaching, public non-teaching and private hospitals. Generally,the costs for general surgical procedures are highest in public teaching hospitals, followedby public non-teaching hospitals, and are lowest in private hospitals. However, theprivate sector is more expensive than the public sector for obstetric activities. The reasonsfor the differences appear to be the much higher ?overheads? in the public sector thanin the private sector, and the longer hospital stay for obstetric patients in privatehospitals. Managers of individual hospitals should examine the data in detail todetermine if alternative approaches are appropriate.Introduction
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Küçük, Aziz, Volkan Soner Özsoy, and Dursun Balkan. "Assessment of technical efficiency of public hospitals in Turkey." European Journal of Public Health 30, no. 2 (August 14, 2019): 230–35. http://dx.doi.org/10.1093/eurpub/ckz143.
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Abstract Background Turkish public hospitals have been subjected to health care reform because of increasing cost pressure, inequities in access to health care, poor quality of care and limited patient responsiveness in the last three decades. This study investigates the impact of recent hospital reforms on the efficiency of public hospitals. Methods The study provides a comprehensive evaluation of the efficiency of Turkish hospitals by using Data Envelopment Analysis (DEA). The estimation of efficiency of 669 public hospitals of Turkey is performed by an output-oriented model of DEA under the assumption of variable return-to-scale by using data collected from the Ministry of Health (MoH) over the period 2013–17. Results The average efficiency score is equal to 0.83 for all MoH hospitals. Considering the hospital type, the efficiency scores of training and research hospitals are higher than those of the general and branch hospitals. In addition, considering the hospital size, huge-scale hospitals have the highest efficiency score in all years. Moreover, overcrowded regions such as Marmara and South-eastern Anatolia regions had higher efficiency scores than other geographical regions. Conclusions The results indicate that recent health reforms did not significantly enhance hospital efficiency. Thus, policymakers and managers should take the necessary precautions to increase hospital efficiency.
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Damodaran, Yadu K., Kannan a/I Mani, Ali Muhammad, and Muhammad Saad Saleem. "Measuring Service Quality Of Public Hospitals." Journal Of Mental Health And Social Rehabilitation 1, no. 1 (September 16, 2023): 49–60. http://dx.doi.org/10.52472/jmhsr.v1i1.200.
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In public hospitals the services quality has become an imperative in providing satisfaction because delivering services quality directly affected the patients’ perception. The public sector should ensure patients receive the best services in hospitals. Though there has been an attempt to improve the situation it seems not much has been achieved in raising the quality of service in public sector and this is compounded by limited information on the factors that ail the delivery of service quality in the public hospital. Therefore, this research was conducted to know perception of patients about the services quality of public hospital in Lahore Pakistan. The study used a descriptive survey approach in collecting data from the respondents. The number of the respondents was 100 and the respondent was patients. Through convenient sampling the data is collected. A questionnaire was used to collect the data from primary sources. Quantitative technique was used to analyzed the data. For this purpose, ‘SERVQUAL’ instrument was used to measure the service quality delivered by the hospital. Findings show that all the factors discussed in the thesis affect the patients’ perception but the result of infrastructure is the highest which means that infrastructure of the hospitals are positively associated with the perception of patients, but management of hospitals need to work on trustworthiness because of negative perception of patients
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Petrovici, Dan, Walfried Lassar, Attila Julius Hertelendy, and Madhaven Parthasarathy. "Patient perceptions of healthcare service quality in Romania: Public versus private hospitals – Implications for developed and developing healthcare systems." Journal of Hospital Administration 13, no. 1 (March 28, 2024): 16. http://dx.doi.org/10.5430/jha.v13n1p16.
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Objective: Recent increases in per capita income and longevity in Central and Eastern European counties (CEECs), alongside a slow-changing soviet-era public healthcare system, has led to the emergence of private hospitals. This paper investigates the differential patient service quality perceptions for private versus public hospitals, as well as for three types of healthcare services: primary, ambulatory, and inpatient care.Methods: Data from 1,673 patients of private and public hospitals in the capital of Romania were collected in face-to-face interviews. Analysis of covariance and partial-least-squares techniques were used to examine the relationships between perceived service quality, hospital ownership status and the type of health service patients received.Results: Over 70% of women prefer private health facilities to public hospitals (compared to less than 30% of men). While private hospitals rank higher than public hospitals on most attributes, the interaction effect of gender and hospital type reveals that assurance and empathy are the only significant attributes in driving women to private hospitals. (Physical facilities and staff appearance) as well as intangible dimensions of service quality (assurance, responsiveness, reliability, and empathy) have a positive impact on perceived overall service quality of healthcare. Improvements in perceptions of hospital’s tangibles, staff’s responsiveness and empathy have the greatest potential to enhance perceived overall service quality.Conclusions: This paper demonstrates the importance of breaking down health services into various sub-categories both in terms of perceived healthcare attributes and in terms of tangible healthcare facilities, such as public and private hospitals.
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P Baby, Febin, and Kumar Sumit. "A Study on Public Perception Towards Reproductive Care Services in Health Care Facilities in Kerala, India." International Journal of Current Research and Review 16, no. 14 (July 2024): 01–05. http://dx.doi.org/10.31782/ijcrr.2024.161401.
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Objectives: The objective of the study is to understand and explore the beneficiaries’ perceptions regarding reproductive health care services in Thrissur. Methods: A predesigned in-depth interview guide were prepared to collect the data for the qualitative cross-sectional study. Data collected in two-phase, in the first phase data collected from the 15 reproductive beneficiaries in the private hospitals and in second phase data collected from the 13 public hospital beneficiaries identified from the community level, those who recently utilized the public hospitals. Results: The significant problems by private hospital beneficiaries towards government hospitals are the lousy behavior of the medical staff and cleanliness. However, Public hospital beneficiaries are satisfied with the services and treatments provided. The primary concerns by the private hospital beneficiaries towards the public hospitals are contradicting in the present reality and major problems concerned towards public hospitals are not seen Conclusion: Both private and government hospitals in Thrissur providing excellent services in reproductive cases. Public hospitals have various limitations, such as less infrastructure, workforce, and technical availability. However, within limits, public hospitals are delivering an excellent service in recent times. Key Words: Patient satisfaction, Private hospitals, Public hospitals
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Dobrowolski, Zbysław, Waldemar Sługocki, Marian Kachniarz, and Arkadiusz Babczuk. "Soft budget constraints in Polish public healthcare entities." Public and Municipal Finance 12, no. 1 (June 22, 2023): 22–32. http://dx.doi.org/10.21511/pmf.12(1).2023.03.
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Although the theory of soft budget constraints is widely presented in the literature, little is known about the factors of soft budget constraints in public hospitals in Poland. This study is relevant because many Polish hospitals struggle with serious debt problems. The study aims to systematise the regulatory and legal provision of soft budget restrictions in the activities of healthcare institutions, particularly public hospitals in Poland, and to assess the impact of these restrictions on their further functioning. An analysis of hospitals’ regulatory and legal activities shows the implementation of various soft budget restrictions. On November 20, 2019, Poland returned to the soft budget constraints, which functioned immediately after the introduction of reforms in the late 90s of the last century. As of 2021, out-of-pocket costs for treatment have decreased to 19.56%, but costs are gradually increasing and in 2020, according to the World Bank, they amounted to 71.89%. The provision of medical services mainly by public hospitals owned by local governments and scattered healthcare debt make it difficult to liquidate an inefficient public hospital in the event of its default. The study proves that the main reason for not eliminating the soft budgetary constraints of hospitals through their commercialization was the inconsistency of the carried out reform of commercialization of hospitals with the financial condition of local authorities. AcknowledgmentThe authors thank the Institute of Economic and Financial Expertise in Łódź for financial support in publishing this paper.
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Peele, Roger. "Public vs. Private Hospitals." Psychiatric Services 37, no. 11 (November 1986): 1160—a—1161. http://dx.doi.org/10.1176/ps.37.11.1160-a.
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Lu, Huiqun, RuiLing Wang, and Zhenju Huang. "Application of Data Mining in Performance Management of Public Hospitals." Mobile Information Systems 2022 (February 9, 2022): 1–10. http://dx.doi.org/10.1155/2022/2412928.
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With the rapid development of computer technology, information technology covers all aspects of daily life, and the medical industry is also paying more attention to information construction. Conventional management methods have been unable to further improve the hospital’s management capabilities. At the same time, countries that are better in terms of hospital management practices have set a benchmark for mainland hospitals and reformed hospitals in order to stand out in the future. In addition to evaluating the economic benefits and work efficiency of doctors, hospitals must also consider that hospitals, as a special service industry, cannot be measured by economic indicators. Therefore, there is a multiparty game in the performance appraisal of hospitals, and it is necessary to consider not only economic factors but also the characteristics of public services. This article is based on the case of a large domestic tertiary hospital, combined with the hospital’s performance management reform plan, through the design idea of performance management and incentive performance pay distribution, using data mining technology as an auxiliary means. It successfully helped the hospital complete the performance and incentive performance pay aspects reform. The main research work of this paper is divided into the following three aspects. (1) Using data mining technology, according to each nursing unit’s workload, risk level, the difficulty of internship, and other objective factors in the past year for patient outpatient visits, surgery implementation, critical first aid, etc., are classified in line with the actual situation and provide a reliable basis for the reasonable and efficient allocation of hospital human resources. (2) In the performance management system, we integrate the third-party data mining tool weka to assist in the evaluation of the performance distribution plan and the calculation of the follow-up incentive performance pay. (3) We use the mathematical model of data mining to measure and evaluate the reasonableness of historical workload and performance appraisal, determine a new incentive performance pay distribution model, and use the software as a calculation tool for the internal distribution of performance wages to provide monthly incentive performance wage statistics in the future.
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Walker, Agnes E., Richard Percival, Linc Thurecht, and Jim Pearse. "Public policy and private health insurance: distributional impact on public and private hospital usage." Australian Health Review 31, no. 2 (2007): 305. http://dx.doi.org/10.1071/ah070305.
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Objective: To study the effectiveness of recent private health insurance (PHI) reforms, in particular the 30% rebate and Lifetime Health Cover, in terms of their stated aim of reducing the load on public hospitals. Methods: Combines the use of two new projection models ? ?Health Insurance? (PHI) and ?New South Wales Hospitals? that use public and private hospital inpatient data from 1996?97 to 1999?2000, and NSW population and private health insurance coverage statistics. Results: With the PHI reforms 15% fewer individuals would use public hospitals in 2010 than without these reforms (around 18% fewer among the 40% most affluent Australians and 9% among the 40% least affluent). Lower public hospital usage would mainly be due to Lifetime Health Cover. Conclusion: If the PHI reforms remain in place, in 2010 a significant proportion of hospital use would be redirected away from the public sector and towards the private sector, with the shift being greatest among better-off Australians.
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Gidwani, Risha, and Cheryl L. Damberg. "Changes in US Hospital Financial Performance During the COVID-19 Public Health Emergency." JAMA Health Forum 4, no. 7 (July 14, 2023): e231928. http://dx.doi.org/10.1001/jamahealthforum.2023.1928.
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ImportanceThe COVID-19 public health emergency (PHE) caused substantial changes in hospital operations. The net effect of these changes on hospital financial performance is unclear.ObjectiveTo evaluate changes in hospital financial performance before and during the COVID-19 PHE.Design, Setting, and ParticipantsThis longitudinal within-hospital cohort analysis from 2017 to 2021 used national RAND hospital data merged with American Community Survey data. A total of 4223 short-term acute care or critical access hospitals in the US with financial data spanning 2017 to 2021 were evaluated.ExposureFinancial performance during the first 2 years of the PHE.Main Outcomes and MeasuresThe main outcome was PHE financial distress calculated based on net operating income (operating revenue minus operating expenses). Within-hospital changes in net operating income over time were evaluated with and without COVID-19 relief funding. From henceforth, 2020/2021 means the weighted average financial performance for both calendar year 2020 and 2021. Hospitals were characterized as having new financial distress if (1) their average 2020/2021 net operating income was negative and (2) the average 2020/2021 net operating income was less than that hospital’s pre-2020 net operating income. Predictors of new financial distress were evaluated using logistic regression and predictors of COVID-19 relief using 2-part models.ResultsIn this sample of 4423 hospitals, 3529 (80.0%) received PHE funds during 2020/2021. A total of 846 (19.1%) were located in a census tract with more than 20% Hispanic residents. Of the total number of hospitals, 720 (16.3%) of hospitals had PHE financial distress, whereas 2047 (46.3%) had PHE financial distress after excluding COVID-19 relief funding from net operating income. The majority of hospitals (n = 3337; 74.8%) had a positive net operating income across 2020/2021, with 785 (17.8%) hospitals moving from a negative pre-2020 to a positive 2020/2021 net operating income. In adjusted analyses, hospitals treating a higher proportion of Hispanic populations were more likely to have PHE distress (adjusted odds ratio, 1.3; 95% CI, 1.1-1.6; P = .02). Median (IQR) operating margins from 2020/2021 were at an all-time high of 6.5% (0.2%-13.3%) compared with pre-2020 operating margins of 2.8% (−2.8% to 9.3%).Conclusions and RelevanceIn this cohort study of US hospitals, the large majority had positive financial performance during 2020/2021, partly due to COVID-19 relief funds. However, hospitals serving Hispanic populations had substantially worsened financial performance during 2020/2021, even after accounting for COVID-19 relief. That COVID-19 relief funding aided in operating margins reaching all-time highs indicates funding amounts may have been larger than was necessary for many hospitals. With COVID-19 relief funding ending yet COVID-19 related continuing to affect hospital expenses, ongoing monitoring of hospital financial performance is vital to ensure patients retain access to care.
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Zaza, Paraskevi N., and Pantelis G. Bagos. "Predicting the Annual Funding for Public Hospitals with Regression Analysis on Hospital’s Operating Costs: Evidence from the Greek Public Sector." Healthcare 10, no. 9 (August 27, 2022): 1634. http://dx.doi.org/10.3390/healthcare10091634.
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The funding of public hospitals is an issue that has been of great concern to health systems in the past decades. Public hospitals are owned and fully funded by the government, providing in most countries medical care to patients free of charge, covering expenses and wages by government reimbursement. Several studies in different countries have attempted to investigate the potential role and contribution of hospital and clinical data to their overall financial requirements. Many of them have suggested the necessity of implementing DRGs (Diagnosis Related Groups) and activity-based funding, whereas others identify flaws and difficulties with these methods. What was attempted in this study is to find an alternative way of estimating the necessary fundings for public hospitals, regardless the case mix managed by each of them, based on their characteristics (size, specialty, location, intensive care units, number of employees, etc.) and its annual output (patients, days of hospitalization, number of surgeries, laboratory tests, etc.). We used financial and operational data from 121 public hospitals in Greece for a 2-years period (2018–2019) and evaluated with regression analysis the contribution of descriptive and operational data in the total operational cost. Since we had repeated measures from the same hospitals over the years, we used methods suitable for longitudinal data analysis and developed a model for calculating annual operational costs with an R²≈0.95. The main conclusion is that the type of hospital in combination with the number of beds, the existence of an intensive care unit, the number of employees, the total number of inpatients, their days of hospitalization and the total number of laboratory tests are the key factors that determine the hospital’s operating costs. The significant implication of this model that emerged from this study is its potential to form the basis for a national system of economic evaluation of public hospitals and allocation of national resources for public health.
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Shriber, Sterling, and Palak Rath. "Ohio's Public Hospital System: Challenges and Opportunities." Ohio Journal of Public Health 5, no. 2 (February 15, 2023): 1–4. http://dx.doi.org/10.18061/ojph.v5i2.9120.
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Public hospitals have long been a cornerstone of the American health care system, providing an increased share of care to indigent and historically marginalized populations. Public hospitals have provided an increased share of their revenues as community benefit spending, often taking on added roles of community service and civic consequence. The number of public hospitals has decreased nationally over recent decades, with the forces of hospital system consolidation and increasing technological and medical complexity being contributory. As the architecture of public hospital structure governance differs by state or even municipality, public hospitals have become sensitive to political currents in their respective localities. This article serves as an analysis and commentary on the current state of the public hospital network in Ohio. While Ohio has both state-operated and city or county-operated hospital systems, special attention is given here to the latter, which have been decreasing in number at an alarming rate over recent years. Despite recent challenges, the system harbors substantial potential to both rural and urban communities alike. A call to action, inclusive of civic support and new investment, should be made to bolster Ohio’s public hospital system for the benefit of its communities.
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Agarwal, Renu, Roy Green, Neeru Agarwal, and Krithika Randhawa. "Benchmarking management practices in Australian public healthcare." Journal of Health Organization and Management 30, no. 1 (March 21, 2016): 31–56. http://dx.doi.org/10.1108/jhom-07-2013-0143.
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Purpose – The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Design/methodology/approach – In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a “double blind, double scored” methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management – operations, performance monitoring, targets and people management. Findings – The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most. Practical implications – This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services. Originality/value – This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of management practices in the Australian public healthcare systems of Queensland and NSW.
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Asandului, Laura, Raluca-Elena Caunic, and Paul Coţofrei. "Assessment of the Efficiency of Public Hospitals in Romania." Scientific Annals of Economics and Business 70, no. 4 (September 14, 2023): 567–83. http://dx.doi.org/10.47743/saeb-2023-0027.
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Considering the high pressure on the healthcare limited resources, mainly on hospitals, determined by the population ageing, and the increased incidence of chronic and infectious diseases, it is essential to both decrease expenditures and provide good quality healthcare. In this paper we focus on the efficiency of Romanian public hospitals. Our research goals are to identify and examine the inefficient public hospitals in Romania; to determine sources of inefficiency in Romanian public hospitals; to describe a potential reduction in all inputs on average to rationalize hospital resources; and recommend that hospital management be improved. We propose an approach that contains preliminary data analyses to obtain homogeneous distributions, then we use Data Envelopment Analysis to estimate the technical efficiency scores for the hospitals in the sample. The results showed that more than half of the examined small hospitals were technically inefficient and that they could have produced a larger number of discharges and consequently an increased number of inpatient days. Possible reductions in inputs were also indicated. These results suggest ways of improving hospital management and restructuring and reorganizing decisions that can be implemented in the hospital network.
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Bosco Kakooza, John, Immaculate Tusiime, Hojops Odoch, and Vincent Bagire. "Management Practices and Performance of Public hospitals in Uganda." International Journal of Management Science and Business Administration 1, no. 7 (2015): 22–29. http://dx.doi.org/10.18775/ijmsba.1849-5664-5419.2014.17.1002.
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The Daily Monitor publications ran serialized articles showing the awful state of government hospitals across the country. While the Ministry of Health insists that the problem is not as bad as it is depicted, the level of service delivery in public hospitals has come under serious public scrutiny espousing the cause for concern about policy, practice and research. There should be glaring gaps in management practices as a possible explanation. In this study, we investigated impact of management decision making, structure, processes, communication and management style on hospital performance. The study has emphasized good management as the determinant of better performance of hospitals in the Ugandan context. Findings of this study challenges policy makers to strengthen management processes in addition to mobilizing financial, human and capital resources for hospitals. The study extends the debate on application of management theory with practice in the health sector in the Ugandan context.
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Cao Minh, Chu, Thang Vo Van, Dat Nguyen Tan, and Hung Vo Thanh. "THE QUALITY OF PUBLIC HOSPITALS IN CAN THO CITY, 2016." Volume 8 Issue 6 8, no. 6 (December 2018): 76–81. http://dx.doi.org/10.34071/jmp.2018.6.10.
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Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho
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Habi, Raphael, and Emmanuel Matiku. "Institutional Framework as a Determinant of Variations in Service Quality Between Public and Private Hospitals in Tanzania." Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia 57, no. 3 (December 11, 2023): 99–122. http://dx.doi.org/10.17951/h.2023.57.3.99-122.
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Purpose of the article: This study was set to determine the influence of institutional framework on service quality in both private and public hospitals. The paper sought to establish the perception of respondents regarding the institutional factors that explain the existence of variations in service quality between public and private hospitals. The institutional framework aspects that were considered in comparing health service quality in public and private hospitals were: institutional culture, control, stability and structure. A descriptive survey design was used because the study sought to know the perception of respondents regarding the factors that influence quality of service in hospitals. Research methods: A multistage sampling method was used to select three public hospitals and three private hospitals from the health service sector. The three public hospitals were Muhimbili referral hospital in Dar es Salaam City, Dodoma regional referral hospital and Geita referral hospital in Geita municipality. Private hospitals included in the study were Bugando referral hospital in Mwanza City, St Francis referral hospital in Ifakara town in Morogoro region and Nkinga referral hospital in Tabora region. Medical doctors, nurses and patients were selected using a systematic random sampling method and patients were selected using a convenience sampling method. The total population for the study comprised 10,650 people (i.e. 2,610 doctors and nurses and 8,040 patients) and the selected sample size, which was determined using McCall’s Table was 400 people. Both primary and secondary data collection sources were used. Analysis of the quantitative data was done using the Statistical Package for Social Sciences (SPSS) and qualitative data were transcribed verbatim, coded and analysed manually. All ethical considerations were observed. Main findings: The findings revealed that private hospitals were better in cleanliness compared to public hospitals and physical arrangement was user friendly in private hospitals compared to public hospitals. There was also more control in private hospitals compared to public hospitals in management of resources and this demonstrates an application of strong institutional framework in private hospitals compared to public hospitals in terms of control, structure and culture. Likewise, there was a more friendly atmosphere in private hospitals compared to public hospitals. However, there was more stability in public hospitals compared to private hospitals in terms of financial stability, affordability of service and medical supplies. It is concluded that quality of service provided in private hospitals is higher compared to quality of service in public hospitals. The possible explanation for the causes for differences in levels of service quality could be the existence of strong institutional framework in private hospitals. It is recommended that for higher service quality, organizations should practice the institutional framework aspects in terms of culture, control, stability and structure.
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Wong, John, Cheyenne Ariana Erika Modina, Geminn Louis Apostol, and Joy Bagas. "PP63 Factors Influencing Drug Prices Among Philippine Public Hospitals." International Journal of Technology Assessment in Health Care 34, S1 (2018): 91. http://dx.doi.org/10.1017/s0266462318002222.
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Introduction:In the Philippines, medicines are procured at higher rates in government hospitals. The prices of essential medicines have high variability, and a significant portion of out-of-pocket expenditures by Filipinos is for medicines. This study's objective is to determine the factors associated with the variation in drug pricing among public hospitals.Methods:This was a mixed-methods, case-control study of 57 hospitals. Two tools were developed based on: (i) Management Sciences for Health (MSH)’s Rapid Pharmaceutical Management Assessment and (ii) World Health Organization (WHO)’s Good Pharmaceutical Practices. The dependent variable is a drug price reference ratio of a preselected drug basket. Examples of factors studied are: (i) preference for generics, (ii) procurement type, and (iii) time out of stock.Results:Hospitals with proper procurement planning and performance monitoring are expected to decrease the price ratio (R = -0.030). However, interview data showed that forecasting is still not robust enough. Past consumption (91 percent) remained the most frequently used input to procurement planning. Few hospitals took into consideration other factors such as morbidity, mortality, and patient demographics. The expertise of hospital procurement staff increases the hospital's price mark-up. Interview results suggest this is because members and hospital units do not meet eye-to-eye to ensure accountability and coordination across units in planning and implementing the procurement procedures.Conclusions:By having a forward-looking procurement plan, forecasting can be more efficient. Potential improvement lies in finding mechanisms where nearby hospitals could participate in pooled procurement. Pooled procurement could have an impact on reducing prices by capturing economies of scale, provided this is operated efficiently and transparently.
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Singh, Gaurav, Ajay Singh, and Shashi Singh. "Perception of Departmental Heads and Chief Executives towards Hospital HR Management Issues: A Comparison of Public and Private Hospitals in India." International Journal of Human Resource Studies 2, no. 3 (August 9, 2012): 46. http://dx.doi.org/10.5296/ijhrs.v2i3.2217.
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This paper analyses the perception of public and private hospital departmental heads and chief executives towards hospital management issues and compare their perceptions. A survey was conducted on private and public staff members. A total of 200 members formed the sample of which 100 belonged to public hospitals and 100 to private hospitals. The data were analysed with the help of t test analysis and the explanation of the responses of the respondents. The study reveals that there is no significant difference in the perceptions of heads towards the hospital management issues. It is also revealed that though there is no significant difference, yet private hospitals scores over public hospitals. Keywords: Public hospital, Private hospital, Departmental heads, Hospital Management
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Moss, John. "Funding of South Australian public hospitals." Australian Health Review 25, no. 1 (2002): 156. http://dx.doi.org/10.1071/ah020156.
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Since the 1994-95 financial year, inpatient episodes of care in South Australian public hospitals have been funded according to their casemix. This paper describes the current funding system, sets it in some context and examines what can be established about hospital performance.
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Longest, Beaufort B. "Management Challenges at the Intersection of Public Policy Environments and Strategic Decision Making in Public Hospitals." Journal of Health and Human Services Administration 35, no. 2 (June 2012): 207–30. http://dx.doi.org/10.1177/107937391203500203.
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Hospitals in the United States are heavily impacted by public policies that affect them. for example, Medicare and Medicaid programs account for more than half the revenue in most of the nation's almost 5,000 community hospitals, including the almost 1,100 public hospitals controlled by state and local governments (American Hospital Association, 2012). the public hospitals are especially closely aligned with and controlled by governmental entities compared with hospitals with other kinds of sponsorship. This article addresses the management challenges at the intersection of the strategic management of public hospitals and their public policy environments. Public hospitals are complicated entities designed not only to provide health services but also in many cases to play key roles in health-related research and education and to play important general economic development roles in their communities. the multi-faceted strategic decision making in these organizations is as heavily affected by their public policy environments as by their business, demographic, technological or other external environments. Effectively managing the intersection of their public policy environments and their strategic management is indeed vital for contemporary public hospitals. This article is intended to clarify certain aspects of this intersection through a description and model of the strategic activity in public hospitals and the connection between this activity and their external environments. Specific attention is focused on the concept of public policy environments and their features. Attention is also given to how managers can assess public policy environments and incorporate the results into strategic activities.
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Ahmed, Selim, Noor Hazilah Abd Manaf, and Rafikul Islam. "Measuring quality performance between public and private hospitals in Malaysia." International Journal of Quality and Service Sciences 9, no. 2 (June 19, 2017): 218–28. http://dx.doi.org/10.1108/ijqss-02-2017-0015.
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Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.
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Franco-Miguel, José Luis, and Carmen Fullana-Belda. "Influence of the management models based on public-private collaboration in the technical and research efficiency of hospitals of the public health system." Revista de Contabilidad 23, no. 1 (January 1, 2020): 50–63. http://dx.doi.org/10.6018/rcsar.389261.
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El debate sobre la sostenibilidad del sistema sanitario público ha tenido una progresiva importancia debido a la reciente crisis económica. Entre las fórmulas más utilizadas para garantizar la sostenibilidad se encuentran las estrategias basadas en la colaboración público-privada. Este trabajo analiza diversas formas de gestión de hospitales públicos en un área de gestión homogénea, representativa y de elevada complejidad, como es la gestionada por el Servicio Madrileño de Salud (SERMAS). Se pretende conocer si la gestión basada en la colaboración público-privada obtiene mejores resultados de eficiencia técnica e investigadora.Se utiliza la metodología del análisis envolvente de datos (AED) desarrollada por Charnes et al (1978) orientada a outputs. La muestra está formada por los 25 hospitales generales gestionados por el SERMAS, con información obtenida de las memorias anuales de gestión de cada uno de los hospitales y relativa a los años 2009 a 2016. Los resultados evidenciaron una mayor eficiencia técnica de las formas de gestión de hospitales públicos basadas en la colaboración público-privada respecto a la gestión pública tradicional, que sin embargo, obtuvo resultados superiores en eficiencia investigadora a los obtenidos por las formas de gestión de hospitales basadas en la colaboración público-privada. Entre las causas de esta mayor eficiencia técnica, se encuentran la mayor flexibilidad en políticas organizativas y de gasto, así como una mayor independencia de la gerencia de los hospitales de gestión mixta, frente a los de gestión tradicional. En el caso de la eficiencia investigadora, la ausencia de incentivos económicos ligados a la obtención de resultados en investigación en los contratos de concesión de hospitales podría ser una de las principales causas de la menor eficiencia de los hospitales gestionados mediante colaboración público-privada. The debate on the sustainability of the public health system has had a growing importance due to the recent economic crisis. Among the most commonly used formulas to ensure sustainability we can find strategies based on public-private collaboration.This paper analyzes different models of hospital management in an area of homogeneous, representative and of high complexity management, such as managed by the Madrid Health Service (SERMAS).It is intended to know if the management models based in public-private collaboration achieve better results of technical and research efficiency of public hospitals.For the evaluation of the efficiency it is used the methodology of the data envelopment analysis (DEA) developed by Charnes et al (1978) aimed at outputs. The sample is composed of the 25 general hospitals managed by the SERMAS with information obtained from the annual reports for the management of each of the hospitals and relative to the years 2009 to 2016.The results showed a higher level of technical efficiency of the hospitals managed through models based in public-private collaboration with respect to traditional public management, which nevertheless obtained higher results in research efficiency than the hospitals managed through public-private collaboration forms of management. Among the causes of this greater technical efficiency are the greater flexibility in organizational and spending policies as well as greater independence of the management of mixed management hospitals, compared to those of traditional management. In the case of research efficiency, the absence of economic incentives linked to obtaining research results in hospital concession contracts could be one of the main causes of the lower efficiency of hospitals managed through public-private collaboration.
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Badham, Jennifer, and Jason Brandrup. "Length of stay comparisons for private and public hospitals." Australian Health Review 23, no. 3 (2000): 162. http://dx.doi.org/10.1071/ah000162a.
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This analysis uses average length of stay as a proxy for efficiency, to compare the Australian private and public hospitalsectors. We conclude that private hospitals are more efficient than public hospitals in providing the range of care providedby private hospitals. However, public hospitals are more efficient in handling the casemix of the public hospital sector.The picture is more complicated when particular types of care (such as obstetric and psychiatric) are excluded.
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Eka Noviati, Bernadetta. "STRATEGI RUMAH SAKIT UMUM SWASTA DI PURWOKERTO DALAM MENGHADAPI AKREDITASI." MEDIA ILMU KESEHATAN 7, no. 3 (November 20, 2019): 250–58. http://dx.doi.org/10.30989/mik.v7i3.263.
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Background: Accreditation is an obligation that must be done by every hospital in Indonesia. Purwokerto is the capital of Banyumas district, Central Java, Indonesia. Health services in Purwokerto are facilitated by 10 Public Hospitals and 7 are private public hospitals. Based on the preliminary study, of the seven general hospitals, get one hospital that has been accredited. How is the strategy of public private hospitals facing accreditation, becoming an interesting topic to learn.
Objective: The purpose of this research is private hospital strategy in Purwokerto to face hospital accreditation.
Methods: The research method used is qualitative with phenomenology approach. Analysis the data research by using IPA (Interpretative Phenomenological Analysis).
Results: Based on the analysis of 5 informants, the theme of accreditation strategy for private hospitals that are human resources control, owner and management commitment, programmatic procedures, time management, process strategy, and building a comfortable working environment.
Conclutions: To be able of accreditation of public private hospitals need the ability to build human resources, and other resources both physical, facilities, environment and time management. Further research is expected to be implemented in all hospitals whether public hospitals, specialty, or clinics.
Keywords: Accreditation, hospital, strategy
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Noviati, Bernadetta Eka. "STRATEGI RUMAH SAKIT UMUM SWASTA DI PURWOKERTO DALAM MENGHADAPI AKREDITASI." Media Ilmu Kesehatan 7, no. 3 (January 31, 2019): 250–58. http://dx.doi.org/10.30989/mik.v7i3.297.
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Background: Accreditation is an obligation that must be done by every hospital in Indonesia. Purwokerto is the capital of Banyumas district, Central Java, Indonesia. Health services in Purwokerto are facilitated by 10 Public Hospitals and 7 are private public hospitals. Based on the preliminary study, of the seven general hospitals, get one hospital that has been accredited. How is the strategy of public private hospitals facing accreditation, becoming an interesting topic to learn.Objective: The purpose of this research is private hospital strategy in Purwokerto to face hospital accreditation.
Methods: The research method used is qualitative with phenomenology approach. Analysis the data research by using IPA (Interpretative Phenomenological Analysis).
Results: Based on the analysis of 5 informants, the theme of accreditation strategy for private hospitals that are human resources control, owner and management commitment, programmatic procedures, time management, process strategy, and building a comfortable working environment.
Conclutions: To be able of accreditation of public private hospitals need the ability to build human resources, and other resources both physical, facilities, environment and time management. Further research is expected to be implemented in all hospitals whether public hospitals, specialty, or clinics.
Keywords: Accreditation, hospital, strategy
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Lins, Rita de Cássia Ferreira, Maria José Das Neves Barbosa, Maria da Conceição Cavalcanti de Lira, and Luiz Miguel Picelli Sanches. "Characteristics of central venous pressure measurement in intensive care units in public hospitals." Revista de Enfermagem UFPE on line 5, no. 7 (August 20, 2011): 1768. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0507201127.
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ABSTRACTObjective: to analyze the methodology of Central Venous Pressure measurement in Intensive Care Units of public hospitals in the city of Recife-PE identifying the External Reference Point. Method: this is a study of observation with the participation of 36 health professionals from nine public hospitals. The data was collected with a device validated by experts, after approved by the Ethics and Research Committee of Agamenon Magalhães Hospital, under protocol N° 54, CAAE-1219.0.000.236-10. Results: 41% declared that they had not received training; 39% did not perform hand washing and 75% did not use a level indicator to confirm the phlebostatic axis. There was no identification for the solution in use (94%) or the equipment (67%). The prevalent External Reference Point was the External Line, but there was not a standard among these hospitals. Performing this analysis descriptively, it was noticed that the nurses had a better performance compared to the average of the nursing assistants, as well as between hospital staff that presented manual of standards and routines compared to those in institutions that had not been working with the manual. Conclusion: taking into consideration the public institutions surveyed, the measurement was not performed properly, there was not a standardization of this procedure and many professionals reported the lack of training. There was even a gap between the training and the retraining of nursing staff. Descriptors: central venous pressure, nursing, continuing education, nursing practice guideline, intensive care units.RESUMOObjetivo: analisar a metodologia da aferição da Pressão Venosa Central em Unidades de Terapia Intensiva de hospitais públicos da cidade de Recife/PE identificando o Ponto Externo de Referência. Método: trata-se de um estudo observacional no qual participaram 36 profissionais de saúde de nove hospitais públicos. Os dados foram coletados com instrumento validado por especialistas, após aprovação pelo Comitê de Ética e Pesquisa do Hospital Agamenon Magalhães, sob protocolo n.º 54, CAAE-1219.0.000.236-10. Resultados: 41% afirmaram que não tinham recebido treinamento; 39% não realizavam lavagem das mãos e 75% não utilizavam uma régua de nível para confirmar o eixo flebostático. Não existia identificação na solução utilizada (94%) e no equipo (67%). O Ponto Externo de Referência predominante era a Linha External, mas não existia uma homogeneidade entre alguns dos hospitais. Por análise descritiva, o desempenho dos enfermeiros, comparado com a média ponderada dos técnicos, foi melhor, assim como entre profissionais de hospitais que apresentaram manual de normas e rotinas, comparados aos de instituições que não tinham utilizado esse manual. Conclusão: nas instituições públicas pesquisadas a aferição não era realizada de maneira adequada, não existia uma padronização do procedimento e muitos profissionais relataram não haver treinamento. Existia ainda uma lacuna entre o treinamento e a reciclagem dos profissionais da equipe de enfermagem. Descritores: pressão venosa central, enfermagem, educação continuada, guia de prática em enfermagem, unidades de terapia intensiva.RESUMEN Objetivo: analizar la metodología de la medición de la Presión Venosa Central en Unidades de Terapia Intensiva de hospitales públicos de la ciudad de Recife – PE identificando el Punto Externo de Referencia. Método: se trata de un estudio observacional en el cual participaron 36 profesionales de la salud de nueve hospitales públicos. Los datos fueron recolectados a través de un instrumento validado por especialistas, después de ser aprobado por el Comité de Ética e Investigación del Hospital Agamenon Magalhães, con el protocolo n. 54, CAAE-1219.0.000.236-10. Resultados: el 41% afirmó no haber recibido entrenamiento; el 39% no realizaba lavajes de manos y el 75% no utilizaba una regla de nivel para confirmar el eje flebostático. No había identificación en la solución utilizada (94%) y en el equipo (67%). El Punto Externo de Referencia predominante era la Línea Esternal, pero no había una homogeneidad entre algunos de los hospitales. Por análisis descriptivo, el desempeño de los enfermeros, comparado con el promedio ponderado de los técnicos, fue mejor, así como entre profesionales de hospitales que habían presentado manual de normas y rutinas, comparados con los de instituciones que no habían usado ese manual. Conclusión: en las instituciones públicas investigadas la medición no era realizada de manera adecuada, no había una uniformidad de procedimiento y muchos profesionales relataron que no había entrenamiento. Aún así, existe una laguna entre el entrenamiento y el reciclaje de los profesionales del equipo de enfermería. Descriptores: presión venosa central, enfermería, educación permanente, guía de práctica en enfermería, unidades de terapia intensiva.
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Lombi, Fauziah Devitasari, Haliah Haliah, Nirwana Nirwana, and Muh Alief Fahdal Imran Oemar. "APPLICATION OF VALUE FOR MONEY IN ASSESSING PERFORMANCE IN PUBLIC SECTOR HOSPITALS: A SYSTEMATIC LITERATURE REVIEW." Jurnal Ekonomi Ichsan Sidenreng Rappang 1, no. 02 (October 9, 2022): 57–71. http://dx.doi.org/10.61912/jeinsa.v1i02.12.
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This study aims to critically discuss the application of value for money in assessing performance in public sector hospitals. The public sector hospital is a hospital that serves the community by using the maximum possible service, and of course, the public sector hospital does not pursue profit. Performance appraisal is carried out using a value-for-money application to assess how economical, efficient and effective the performance of the public sector hospital is. The research method used in this study is a Systematic Literature Review that examines the application of value for money in assessing the performance of public sector hospitals. The data analysis in this study collected several keywords and took ten selected journal articles from the last five years. This study implies the application of value for money in assessing the performance of public sector hospitals by measuring the economy, effectiveness, and efficiency. This study's findings can guide public sector hospitals to apply the value for money in assessing the performance of public sector organizations, including public sector hospitals.
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Kassa, Mamo, Farai Madzimbamuto, Gaone Kediegite, and Eugene Tuyishime. "Regional anaesthesia practice in public hospitals in Botswana: A cross-sectional study." PLOS ONE 18, no. 12 (December 19, 2023): e0295932. http://dx.doi.org/10.1371/journal.pone.0295932.
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Introduction Little is known about the regional anesthesia practice in low resources settings (LRS). The aim of this study was to describe the regional anesthesia capacity, characteristics of regional anesthesia practice, and challenges and solutions of practicing safe regional anesthesia in public hospitals in Botswana. Methods This was a cross-sectional survey of anesthesia providers working in public hospitals in Botswana. A purposive sampling method of public hospitals was used to achieve representation of different hospital levels across Botswana. Paper-based questionnaires were sent to anesthesia providers from selected hospitals. Descriptive statistics were used for analysis. Results Questionnaires were distributed to 47 selected anesthesia providers from selected hospitals; 38 (80.9%) were returned. Most participants were nurse anesthetists and medical officers (57.8%). All hospitals perform spinal anesthesia; however, other regional techniques were performed by a small number of participants in one referral hospital. Most hospitals had adequate regional anesthesia drugs and sedation medications, however, most hospitals (except one referral hospital) lacked ultrasound machine and the regional anesthesia kit. The common challenges reported were lack of knowledge and skills, lack of equipment and supplies, and lack of hospital engagement and support. Some solutions were proposed such as regional anesthesia training and engaging the hospital management to get resources. Conclusions The results of this study suggest that spinal anesthesia is the most common regional anesthesia technique performed by anesthesia providers working in public hospitals in Botswana followed by few upper limb blocks. However, most public hospitals lack enough training capacity, equipment, and supplies for regional anesthesia. More engagement of the hospital management, investment in regional anesthesia resources, and training are needed in order to improve the regional anesthesia capacity and provide safe surgery and anesthesia in Botswana.
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Mathobo, Nkhumeleni, Mashupye Herbert Maserumule, and Kabelo Boikhutso Moeti. "Assessing the Effectiveness of Budget Control in Public Hospitals in the Limpopo Province, South Africa." African Journal of Development Studies (formerly AFFRIKA Journal of Politics, Economics and Society) 13, no. 2 (June 1, 2023): 101–14. http://dx.doi.org/10.31920/2634-3649/2023/v13n2a5.
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Effective budget controls are crucial for the provision of affordable healthcare at public hospitals. There has been a problem of overspending or underspending budgets in public hospitals. This has negatively impacted the delivery of health services. The study aimed to improve the effectiveness of budget control in public hospitals. The objective of this study was to assess the effectiveness of budget control in public hospitals in Limpopo Province, South Africa. The study used quantitative research method. A sample size of 120 participants was drawn from a population of 240 participants. Survey questionnaire was used to collect data from participants in the public hospitals. The results of the study showed that budget control is a management challenge in public hospitals in Limpopo Province. The study recommends that all hospital executives and responsibility managers within the hospital be developed through a work-based learning programme on the effectiveness of budget control in public hospitals.
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Hargraves, Jenny, Narelle Grayson, and Ian Titulaer. "Trends in hospital service provision." Australian Health Review 25, no. 5 (2002): 2. http://dx.doi.org/10.1071/ah020002.
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In this paper,trends in hospital service provision are measured using data on the numbers and nature of hospitals,on hospital expenditure and on hospital activity over recent years.The number of public acute care hospitals was fairly stable,however,bed numbers decreased.Hospital numbers rose for private hospitals,as did numbers of beds,particularly for group for-profit private hospitals.Recurrent health expenditure on hospitals as a proportion of all recurrent health expenditure fell,although it rose for private hospitals, and real increases in expenditure occurred for both public acute and private hospitals.Population rates for separations and patient days rose for private hospitals and were stable and fell, respectively,for public acute hospitals. Average length of stay decreased for both public acute and private hospitals, with increasing numbers of separations occurring on a same day basis.Increasing proportions of procedures were undertaken during same day stays,and in private hospitals.Separation rates varied geographically, with highest rates overall,and for public hospitals and overnight separations,for patients resident in remote centres and other remote areas.Highest rates for private hospitals were for patients resident in capital cities,other metropolitan centres and large rural centres.
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Balanda, Kevin P., John B. Lowe, Warren Stanton, Amaya Gillespie, and Vincent Conway. "Cancer Control Activities in Australian Public Hospitals." International Quarterly of Community Health Education 15, no. 3 (October 1994): 229–40. http://dx.doi.org/10.2190/gxjq-gp33-pmx9-7nlh.
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Cancer is a major cause of death in Australia and there is considerable interest in the role health education in hospital settings has in reducing this burden. Based on a survey of medical superintendents and other hospital staff, this article describes the cancer control activities routinely conducted in Australian public hospitals. The survey considered cigarette smoking, alcohol, diet and nutrition, exercise, and the early detection of skin cancer, cervical cancer, and breast cancer. Overall 112 medical superintendents (93%) participated and a further 163 hospital staff members provided additional details. Not unexpectedly, the survey confirmed the very low level of activity and identified a number of specific issues that need to be addressed in order to enhance cancer control activities in public hospitals. Given the relatively higher level of activity, and the prominence of cigarette smoking and alcohol consumption as health issues, one approach might be to initially concentrate on these areas when they are related to the patient's condition.
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Harmadi, Sonny, and Irwandy Irwandy. "Technical Efficiency of Public Service Hospitals in Indonesia: A Data Envelopment Analysis (DEA)." Asian Social Science 14, no. 6 (May 28, 2018): 81. http://dx.doi.org/10.5539/ass.v14n6p81.
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In order to promote efficiency and the development of hospitals’ services, the Government of Indonesia has issued specific policy which require all of the government-owned hospitals to be managed based on the principals applied in public services agency (Badan Layanan Umum/Badan Layanan Umum Daerah (BLU/BLUD)). The policy of BLU/BLUD is to grant each hospital authorization in managing their funds and resources under the principles of public accounting. Unfortunately, not all government-owned hospitals were granted BLU/BLUD authorization, especially hospitals outside of Jakarta, because local government did not wish to lose one of their main income. The main focus of this research is to calculate the efficiency of the hospitals of which have been granted BLU/BLUD, since one of the main purposes of BLU/BLUD is to provide high quality and efficient health care to the public. The measurement of hospitals’ efficiency is not an easy thing to do, since there are so many inputs and outputs that were related to each other. Which is why, this research is measuring the efficiency level using the DEA (Data Envelopment Analysis) which is able to provide efficiency calculation with multiple inputs and outputs. With the total samples of 82 BLU/BLUD hospitals, this research concluded that the average of hospital’s efficiency score is still on the level of 78.9 % out of 100%.
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Al-Balushi, Sheikha Mohammed Ali, and M. Firdouse Rahman Khan. "FACTORS INFLUENCING THE PREFERENCE OF PRIVATE HOSPITALS TO PUBLIC HOSPITALS IN OMAN." International Journal of Management, Innovation & Entrepreneurial Research 3, no. 2 (November 2, 2017): 67–77. http://dx.doi.org/10.18510/ijmier.2017.323.
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Purpose: The objectives of the study are to analyze the factors which influence patients to go to private hospitals against public hospitals of Oman and to analyze the expectations of patients from the integrated public hospitals in Oman.Design/methodology/approach: The study was carried out with a well-defined questionnaire through which 251 survey samples were collected on a random sampling basis.Findings: The results of the study reveal that there is an association between the selection of hospital and services and the cost of the services offered in the hospital and it is found that the cost of services incurred makes an impact in the selection of hospital for medical treatment. The study also revealed that in private hospitals patients could easily approach anyone including the reception staff and all are helpful, and the private hospitals are equipped with modern equipment, and doctors treat patients in a friendly manner.Research limitations/Implications: The majority of the population taken for the study are aged above 20 years, and the samples were collected from selected regions of Oman, and wide range collection of samples from all the regions will help to improve the solution.Social implications: The study suggests that sufficient medicines should be provided in all the public health centers and periodic inspection should be conducted at regular intervals to improve the standards of the public health Centers and Government Hospitals concerning cleanliness, treatments and the front line services.Originality/Value: No study has examined the causes for the hospital selection delay in the construction projects of Oman, and it is a first-hand study of its kind and the results will be useful to the stakeholders.
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Rexana, Fritzie A., and Indra Widjaja. "FINANCIAL PERFORMANCE ANALYSIS OF PUBLIC HOSPITALS BEFORE AND DURING THE COVID-19 PANDEMIC." International Journal of Application on Economics and Business 1, no. 2 (May 20, 2023): 290–99. http://dx.doi.org/10.24912/ijaeb.v1i2.290-299.
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This study is purposed to analyze the financial performance of public hospitals companies registered at the Indonesian Stock Exchange before and during the Covid-19 Pandemic. This study shows the difference of financial performance and financial ratio's changes within hospital due to the Covid-19 condition. The method of this study is quantitative. The data used are secondary data from financial reports of hospital between the period of second quarter of 2019 until first quarter of 2021. Financial performance of hospital is measured from statistical calculation on Current Ratio, Quick Ratio, Debt-to-Equity Ratio, Debt Ratio, Total Asset Turnover, Inventory Turnover, Net Profit Margin, and Return on Equity before and during the Covid-19 Pandemic. Result of Normality Data Test by using Kolmogorov Smirnov shows that asymp sig is < 0.05, so H0 is accepted and H1 is rejected, thus not normally distributed. Continued with the Wilcoxon Test with average rank of not so much different. Also, Statistical Test shows that asymp sig for each financial ratio is > 0.05, so that the hypothesis is rejected and thus can be concluded that the financial performance of public hospitals companies registered at Indonesian Stock Exchange are not significantly different. The changes of financial ratios of public hospitals due to Covid-19 Pandemic condition are noticeable in the decreasing of profitability ratio. This shows that public hospitals are in the conditions of the Covid-19 Pandemic, although hospital capacity looks overloaded, in terms of profitability, it has decreased, this can be due to the increasing operational burden of hospitals with special policies during the pandemic. Meanwhile, in terms of other financial ratios, the condition of the Covid- 19 Pandemic did not make the hospital's financial performance better than before the Covid-19 Pandemic.
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Wübker, Ansgar, and Christiane Wuckel. "The Impact of Private for-Profit Hospital Ownership on Costs and Quality of Care – Evidence from Germany." CESifo Economic Studies 65, no. 4 (April 14, 2019): 373–401. http://dx.doi.org/10.1093/cesifo/ifz005.
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Abstract What is the impact of private for-profit (PfP) hospital ownership on costs and quality of care? In light of a substantial and increasing share of PfP hospitals in many hospital markets like the USA or Germany, this is an important question. We estimate the effect of PfP ownership on hospital 30-day- and 1-year-mortality outcomes and hospital costs by focusing on heart attacks and pneumonia, two very common conditions in healthcare markets. We use rich administrative hospital data from Germany for the years 2006–2015. Applying differential distance as instrument for hospital choice, we imitate randomization of patients into PfP hospitals. Our results suggest that PfP hospitals have no higher mortality rates for heart attack treatment than public ones. For pneumonia patients, we even find lower 30-day-mortality rates of PfP hospitals compared to public hospitals. Finally, we show that PfP hospitals have higher hospital costs than public or private not-for-profit hospitals for both conditions.
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Du, Juan, Shuhong Cui, and Hong Gao. "Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China." International Journal of Environmental Research and Public Health 17, no. 18 (September 16, 2020): 6763. http://dx.doi.org/10.3390/ijerph17186763.
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As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.
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Iftikhar, Ifra, Abbas Rashid Butt, Sobia Shehzad, and Sohail Riaz. "Bureaucratic Manacles in Financial Autonomy of Public Hospitals in Pakistan." International Journal for Innovation Education and Research 8, no. 5 (May 1, 2020): 238–58. http://dx.doi.org/10.31686/ijier.vol8.iss5.2340.
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The objectives of financial autonomy aimed to reduce government commitments in the financing of public hospitals, to increase efficiency in hospital operations, contain costs, and raise the quality of care. The present survey study of Allied Hospital Faisalabad explores that bureaucratic manacles in financial autonomy of these public hospitals end up in creating low job satisfaction levels among the employees of the hospitals. The dissatisfaction among Doctors, Nurses, Paramedical Staff, and Surgeons towards the management of the hospital was observed. , and irregular flows causes low levels of satisfaction in patients towards doctors, nurses and paramedical Staff.
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Thienthong, Kanisorn, Krish Rugchatjaroen, Somboon Sirisunhirun, Somsak Amornsiriphong, Waruesporn Natrujirote, and Chokchai Suttawet. "Developing local hospitals for public health excellence." Journal of Public Health and Development 20, no. 2 (May 1, 2022): 72–86. http://dx.doi.org/10.55131/jphd/2022/200206.
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The current study investigated the factors affecting the success of local hospital operations in promoting public health excellence in Thailand. A mixed method approach with focus groups and questionnaires was utilized. The study also depended on descriptive statistics and hierarchical regression analysis. According to the findings, public health providers agreed that the main factors leading to the success of local hospital operations were participation with people in the community, respect, and policy development. Other aspects included the use of devices, tools, medicine or medical supplies, training, and project organization. Meanwhile, the service recipients held the view that any suggestion of information, knowledge, or capability of personnel has an influence on operational guidelines. However, success at higher levels must rely on two things: 1) the location of a local hospital and 2) analysis of the guidelines for developing the services of local hospitals for promoting public health in the future. The study also relied on content analysis. According to the findings, appropriate operating guidelines for local hospitals would comprise policy development for promoting public health, participation by people in the community, and public services by the hospital, including training to increase the potential of personnel and project organization involving health promotion.
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Sullivan, Natalie, Rebecca Redpath, and Anthony O'Donnell. "Public hospitals: who's looking after you? The difficulties in encouraging patients to use their private health insurance in public hospitals." Australian Health Review 25, no. 3 (2002): 6. http://dx.doi.org/10.1071/ah020006.
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Private health insurance PHI) is an important part of the Australian health system. During the introduction of the recent PHI reforms it was argued that, without the reforms, the public hospital system would undoubtedly collapse under the increased demand for public health services. The increase in PHI coverage might also have been expected to result in an increase in the revenue earned by public hospitals as a result of treating privately insured patients. However, the decline in numbers of privately insured patients using their PHI in public hospitals has continued, with adverse impacts on public hospital budgets in some states. This article addresses the complex interactions between various policy instruments and their impact on public hospitals, and reports the results of a study conducted at the Austin & Repatriation Medical Centre (A&RMC) which examined the reasons for privately insured patients electing not to use their insurance in public hospitals, and methods by which they might be overcome.
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Lee, Jin-Woo. "Public hospitals and Private hospitals analysis of productivity differences." Journal of the Korea Academia-Industrial cooperation Society 16, no. 11 (November 30, 2015): 7885–92. http://dx.doi.org/10.5762/kais.2015.16.11.7885.
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Saltman, Richard B. "Can Public Hospitals Reinvent Themselves?" International Journal of Public and Private Healthcare Management and Economics 2, no. 1 (January 2012): 37–44. http://dx.doi.org/10.4018/ijpphme.2012010104.
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