Artykuły w czasopismach: „Public hospital”

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James, Chris D., John Peabody, Kara Hanson i Orville Solon. "Public Hospital Care". Asia Pacific Journal of Public Health 27, nr 2 (17.02.2013): NP1026—NP1038. http://dx.doi.org/10.1177/1010539511422740.

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O'Looney, John. "Public Hospital Authorities for Public Purposes?" National Civic Review 88, nr 2 (1999): 123–32. http://dx.doi.org/10.1002/ncr.88205.

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Shriber, Sterling, i Palak Rath. "Ohio's Public Hospital System: Challenges and Opportunities". Ohio Journal of Public Health 5, nr 2 (15.02.2023): 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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Desi Hertin, Revita, i Omar Ismael Al-Sanjary. "Performance of Hospital Information System in Malaysian Public Hospital: a Review". International Journal of Engineering & Technology 7, nr 4.11 (2.10.2018): 24. http://dx.doi.org/10.14419/ijet.v7i4.11.20682.

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This paper presents an extensive literature review of Hospital Information System (HIS) in public hospital in Malaysia. This paper aims to deliver information (guideline) about the importance and benefits of HIS so that can help government to enhance the standard of healthcare quality. Accordingly, the Malaysian Government Ministry of Health (MoH) has presented three groups of HIS such as Basic Hospital Information System (BHIS), Intermediate Hospital Information System (IHIS), and Total Hospital Information System (THIS) amongst Malaysian government owned (public) hospitals. In Malaysia, there are 138 public hospitals but at this time only 21 hospitals implementing HIS. In this paper, researcher explains the three groups of HIS (THIS, BHIS, IHIS), the benefits, the challenges, the frameworks, also the current issues of HIS.

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&NA;. "Public Hospital • Williamsburg, Virginia". Southern Medical Journal 92, nr 3 (marzec 1999): 344. http://dx.doi.org/10.1097/00007611-199903000-00020.

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Bindman, Andrew B. "A Public Hospital Closes". JAMA 264, nr 22 (12.12.1990): 2899. http://dx.doi.org/10.1001/jama.1990.03450220065024.

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Ganiem, Leila Mona, i 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, nr 3 (19.06.2023): 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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Lail, Hijrah, i Aam Azatil Isma. "Hospital Management Innovation in Public Services in Regional Public Hospitals Lanto Dg. Pasewang Jeneponto District". Jurnal Ad'ministrare 8, nr 1 (4.02.2021): 43. http://dx.doi.org/10.26858/ja.v8i1.18253.

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Services in the health sector are one of the most needed forms of service by the community. This study aims to describe the process of public service innovation carried out by the Hospital Management and to identify the factors that influence public service innovation implemented by the Jeneponto District Hospital. This research is also expected to provide input (suggestions) in the process of implementing innovation in public services to create quality services and improve the performance of the Regional General Hospital Lanto Dg. Pasewang. The research method used is descriptive qualitative. Researchers will explain the research problem in detail, namely the innovation process and the factors that influence it. Data collection was obtained through direct observation of the object of research and in-depth interviews with relevant sources, namely, Hospital Management in public services at the Lanto Dg. Pasewang Regional General Hospital led by the Hospital Director, and Heads of fields and communities involved directly feel the hospital service innovation. The results of this study indicate that Hospital Management Innovations in Public Services at the Lanto Dg. Pasewang Regional General Hospital Jeneponto Regency, have made public service innovations in improving services to the patients

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Walker, Agnes E., Richard Percival, Linc Thurecht i Jim Pearse. "Public policy and private health insurance: distributional impact on public and private hospital usage". Australian Health Review 31, nr 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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Geng, Mingrui, i Joe-el S. Marcelo. "Marketing Strategies of Public Hospitals – Take A Public Hospital in Hebei as an Example". Highlights in Science, Engineering and Technology 36 (21.03.2023): 1376–79. http://dx.doi.org/10.54097/hset.v36i.6255.

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In the environment of health and medical care reform, public hospitals need to conduct more effective marketing management for their own survival and development, this can increase the influence of the hospital and at the same time increase its revenue. This paper analyzed the status of the marketing strategies of the hospital and proposed suggestions to improve its marketing strategy.

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Siahaan, Nelson M., i Audina Muhvira. "Public Hospital Type C Pekan Labuhan". International Journal of Architecture and Urbanism 1, nr 1 (15.11.2017): 66–73. http://dx.doi.org/10.32734/ijau.v1i1.263.

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The rapid economic growth in Medan Labuhandistrict has an impact on improving living standards and population growth. This is also in line with the availability of public facilities and infrastructure because the higher the level of one's life, the higher the quality of facilities. Furthermore it is needed a container to full fill the need for medical services both medical and non medical are realized through the design of "Public Hospital Type C Pekan Labuhan" with the aim as a container that provides health services and conduct activities related to health and supported by the facilities within it to achieve that goal. Public Hospital Type C Pekan Labuhan is designedbyapplying neo vernacular architectural themes so that it canalign this building in surrounding buildings and able tosupport the existence of heritage conservation areaactivities in this region. Public Hospital PekanLabuhan asone of the hospitals certified Class C Hospital is expectedto function by the Regulation of the Minister of Health of the Republic of Indonesia.

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Küçük, Aziz. "Public hospital reform in T urkey: The “public hospital union” case (2012‐2017)". International Journal of Health Planning and Management 33, nr 4 (3.08.2018): e971-e984. http://dx.doi.org/10.1002/hpm.2574.

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Singh, Gaurav, Ajay Singh i 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, nr 3 (9.08.2012): 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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Küçük, Aziz, Volkan Soner Özsoy i Dursun Balkan. "Assessment of technical efficiency of public hospitals in Turkey". European Journal of Public Health 30, nr 2 (14.08.2019): 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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Narayana, Vanamala, Sushma Rudraswamy i Nagabhushana Doggalli. "Hazards and Public Health Impacts of Hospital Waste". Indian Journal of Applied Research 4, nr 6 (1.10.2011): 384–86. http://dx.doi.org/10.15373/2249555x/june2014/120.

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Sumitro, Sylvia. "The Role Of Public Relations In Increasing Public Awareness Of Health Programs And Hospital Services". Jurnal Indonesia Sosial Teknologi 4, nr 11 (21.11.2023): 1942–49. http://dx.doi.org/10.59141/jist.v4i11.792.

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Introducing health programs and services provided by hospitals is essential in meeting the community's health needs. This study aims to analyze the role of public relations in increasing public awareness of health programs and hospital services. This research uses qualitative research methods. The data collection technique was carried out by literature study by reviewing the literature relevant to the research. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation, and conclusion drawing. The results showed that public relations is essential in increasing public awareness of health programs and hospital services. Public relations plays a role in increasing public awareness in various ways, including by delivering information and education about health, building public trust in health programs and hospital services, increasing public understanding of the benefits of health programs and hospital services, and encouraging the community to get involved in health programs and hospital services

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Lee, Francis Chun Yue, Wei Keong Wee i Azman Johan. "Public Hospital Preparations for SARS Outbreak: Experience of Alexandra Hospital". Prehospital and Disaster Medicine 20, nr 1 (luty 2005): 24–31. http://dx.doi.org/10.1017/s1049023x00002107.

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Alexandra Hospital (AH) was one of the public hospitals in Singapore that responded to the severe acute respiratory syndrome (SARS) crisis. Being the only public hospital that remained “SARS-free”, i.e., with no documented intra-institutional spread of disease, AH had to tackle a sudden, two-fold surge in hospital attendances and patient volume. Being the oldest hospital with a traditional open ward design and lack of proper isolation facilities, tough command and control policies had to be implemented to reduce the risk of a SARS outbreak. Stringent infection control measures, screening and triage, clinical procedures, and administrative policies all were important factors in helping the hospital balance the need to run routine operations while “fighting” SARS. Staff and people management also were crucial in keeping the workforce healthy and maintaining their morale and confidence during this difficult period.

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Mei, Jixia, i Ian Kirkpatrick. "Public hospital reforms in China: towards a model of new public management?" International Journal of Public Sector Management 32, nr 4 (13.05.2019): 352–66. http://dx.doi.org/10.1108/ijpsm-03-2018-0063.

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Purpose The purpose of this paper is to explore how far plans to “modernize” hospital management in China are converging toward a global model of new public management (NPM) or represent a distinctive pathway. Design/methodology/approach This paper draws on a systematic review of available secondary sources published in English and Chinese to describe both the nature and trajectory of hospital management reforms in China. Findings In China, while public hospital reforms bear many of the hallmarks of the NPM, they are distinctive in two key respects. First, the thrust of current reforms is to partially reverse, not extend, the trend toward marketization in order to strengthen the public orientation of public hospitals. Second is a marked gap between the rhetoric and reality of empowering managers and freeing them from political control. Practical implications This paper develops a framework for understanding the drivers and obstacles to hospital management reforms in China that is useful for managers, clinicians and policy makers. Originality/value In China, few authors have considered NPM reform in relation to healthcare. This paper contributes in better understanding current reforms taking place in China’s expanding healthcare sector and locates these within broader theoretical and policy debates.

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Ningsih, Sri, Fitria Andriyani i Suham Cahyono. "THE DETERMINANTS OF FINANCIAL INFORMATION TRANSPARENCY IN REGIONAL PUBLIC HOSPITAL IN INDONESIA". Jurnal Ilmiah Ekonomi Bisnis 28, nr 3 (2023): 315–33. http://dx.doi.org/10.35760/eb.2023.v28i3.7970.

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This research aims to examine the influence of hospital size, hospital type, hospital management, and Bed Occupancy Rate (BOR) on the financial transparency of Regional Public Hospitals in Indonesia. The sample size used in this study was 162 Regional Public Hospitals, selected through purposive sampling. The data collected for this research was secondary data. The study employed a quantitative approach, utilizing data analysis, descriptive statistical analysis, and logistic regression analysis as the method for hypothesis testing. The results of this research indicate that hospital size and hospital management have a positive influence on the financial transparency of Regional Public Hospitals. However, the type of hospital and Bed Occupancy Rate (BOR) do not affect the financial transparency of Regional Public Hospitals. This study offers a novelty in examining the openness of public hospital information transparency through four measurements, whereas previous studies only focused on three measurements. The contribution of this research lies in presenting an expansion of the literature on public sector accounting, particularly regarding the transparency of hospital information, using four main measurements.

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Chatham, Robert. "Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital". Journal of Law, Medicine & Ethics 27, nr 2 (czerwiec 1999): 202–3. http://dx.doi.org/10.1017/s1073110500012961.

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The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

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Ismail, Nurul Izzatty, Nor Hazana Abdullah i Alina Shamsuddin. "Adoption of Hospital Information System (HIS) in Malaysian Public Hospitals". Procedia - Social and Behavioral Sciences 172 (styczeń 2015): 336–43. http://dx.doi.org/10.1016/j.sbspro.2015.01.373.

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Boutsioli, Zoe. "Comparison of Hospital Admissions in Two Rural Greek Public Hospitals". Online Journal of Rural Nursing and Health Care 10, nr 2 (grudzień 2010): 65–74. http://dx.doi.org/10.14574/ojrnhc.v10i2.58.

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Hargraves, Jenny, Narelle Grayson i Ian Titulaer. "Trends in hospital service provision". Australian Health Review 25, nr 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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Agarwal, Renu, Roy Green, Neeru Agarwal i Krithika Randhawa. "Management practices in Australian healthcare: can NSW public hospitals do better?" Journal of Health Organization and Management 30, nr 3 (16.05.2016): 331–53. http://dx.doi.org/10.1108/jhom-01-2015-0016.

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Purpose – The purpose of this paper is to investigate the determinants of best management practices in an Australian state-run healthcare system, namely New South Wales (NSW), and studies the impact of a range of hospital factors in driving best management practices as a means of enhancing healthcare delivery. Design/methodology/approach – This study adapts a unique survey instrument globally tested to quantify the multi-dimensional nature of hospital management practices in 42 acute care public hospitals of NSW. The authors then analysed the role of hospital-specific characteristics in driving best management practices, namely hospital size (measured by the number of hospital beds, employees and doctors), level of skill and education, degree of hospital manager autonomy and organisational hierarchy. Findings – The findings of this study show the areas of strength and potential areas of improvement in NSW hospitals. The authors find a positive association between the adoption of better management practices and hospital size (measured by the number of hospital beds and employees), level of skills and education, degree of hospital manager autonomy and organisational hierarchy. However, hospital size as measured by the number of doctors did not have a statistically significant relationship. Practical implications – This paper is of interest to both hospital administrators, clinical doctors and healthcare policy-makers who want to improve and develop strategies for better management in the healthcare sector. Originality/value – This study provides an internationally comparable robust measure of management capability in public hospitals, and contributes to the evidence-base of management practices and performance in hospitals.

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WIELICKA-GAŃCZARCZYK, Karolina. "Public hospital restructuring – case study". Scientific Papers of Silesian University of Technology. Organization and Management Series 2018, nr 121 (2018): 557–69. http://dx.doi.org/10.29119/1641-3466.2018.121.40.

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Schiff, Robert L., David A. Ansell, James E. Schlosser, Ahamed H. Idris, Ann Morrison i Steven Whitman. "Transfers to a Public Hospital". New England Journal of Medicine 314, nr 9 (27.02.1986): 552–57. http://dx.doi.org/10.1056/nejm198602273140905.

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Browning, Don S. "Hospital Chaplaincy as Public Ministry". Journal of Health Care Chaplaincy 2, nr 1 (3.01.1989): 3–16. http://dx.doi.org/10.1300/j080v02n01_02.

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Metsch, Jonathan M., Donald R. Haley i Donald Malafronte. "Privatization of a Public Hospital". Quality Management in Health Care 5, nr 2 (1997): 19–26. http://dx.doi.org/10.1097/00019514-199705020-00002.

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Metsch, Jonathan M., Donald R. Haley i Donald Malafronte. "Privatization of a Public Hospital". Quality Management in Health Care 6, nr 2 (1997): 19–26. http://dx.doi.org/10.1097/00019514-199721000-00002.

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Moore, Paul A. "Implications for Public Hospital Providers". AIDS Patient Care 5, nr 3 (czerwiec 1991): 133–39. http://dx.doi.org/10.1089/apc.1991.5.133.

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Scutchfield, F. Douglas, Connie J. Evashwick i Angela L. Carman. "Public Health and Hospital Collaboration". Journal of Public Health Management and Practice 17, nr 6 (2011): 522–23. http://dx.doi.org/10.1097/phh.0b013e318211b2aa.

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Gabow, Patricia A. "Making A Public Hospital Work". Health Affairs 20, nr 4 (lipiec 2001): 182–87. http://dx.doi.org/10.1377/hlthaff.20.4.182.

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Ketelhöhn, Niels, i Rodrigo Arévalo. "The Guatemalan public hospital system". Journal of Business Research 69, nr 9 (wrzesień 2016): 3900–3904. http://dx.doi.org/10.1016/j.jbusres.2015.11.022.

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Asandului, Laura, Raluca-Elena Caunic i Paul Coţofrei. "Assessment of the Efficiency of Public Hospitals in Romania". Scientific Annals of Economics and Business 70, nr 4 (14.09.2023): 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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Basri, Ahmad Qadri, i Ruhaizin Sulaiman. "Ergonomics Study of Public Hospital Signage". Advanced Engineering Forum 10 (grudzień 2013): 263–71. http://dx.doi.org/10.4028/www.scientific.net/aef.10.263.

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Background: Signage provides information and direction. It is important as a medium to show direction in offices and public buildings. It is more crucial for emergency services, specifically hospitals. Incomplete information and confusion of signage are among common issues being raised by the public to hospital management. Objective:This study is carried out to determine user height preferencesof Hospital Kajangs signage and to proposean appropriate height forits future signage. Approach: Thirty five respondents (20male and 15 female) participated in this study. They are aged between 18 to 60 years old with the mean of age at39years old. Their stature height and eye-level height are measured using SECA Stable Stadiometer.They are asked to give a rating using 1-10 scaleon threequestions to measure their preferences towards the present signage.The studied signage is also measured using standard measuring tape. The data is analyzed using SPSS.Results:It is found that 25 respondents (71.43%) agree to say that the height of signage in Hospital Kajang is too highwhile10 of them (28.57%) disagree. The signage should be10.5 cm lower from present height in order to optimize its function for both groups. The proposed signage height should be 187.5 cmfrom the floor. Conclusion:The present signage in Hospital Kajang requires necessaryheight readjustment to satisfythe majority of its staffs and visitors. The improvement is vital to ensure the signage meet the directional purpose.

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Arso, Septo Pawelas, i Antono Suryo Putro. "The Effectiveness of Internal Audit in Regional Public Hospitals as Regional Public Service Agencies". Jurnal Manajemen Kesehatan Indonesia 10, nr 1 (28.04.2022): 65–72. http://dx.doi.org/10.14710/jmki.10.1.2022.65-72.

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Public hospitals as mandated by regulation, managed as a public service agency, which given the flexibility on financial and resources management to perform good business practices in order to improve community services. As a public enterprise, regional hospitals must conduct good corporate governance by optimizing resources and providing quality services. The internal audit function have important role in this area. The purpose of this study was to determine the effectiveness of the implementation of internal audit in regional public hospitals as public service agencies. The research method was descriptive with qualitative approach. Research data was collected by observation of documents and in-depth interviews in 2 hospital, regional public hospital in district and regional public hospital at Central Java Province. The research subjects consisted of directors, Internal Auditor Unit ( SPI), service department, , finance and general affair. Data was processed and then content analyzed. Based on the research, internal audit unit structure were just formed to fully regulations. The internal audit team were incompetent, no training, job descriptions of staff had not been detailed and auditor team was double job as additional task. Audit function was more focused on the compliance of financial aspects and accountability. The function of performance evaluation and compliance on regulations had not been carried out. The constraints are the limited number of personnel and double jobs. Hospital directors were usually immediately aware of problems that arise even without reports from the internal audit unit. Monitoring and evaluation of internal audit unit has not been carried out intensively. Internal audit function had not been effectively performed. It is need to appoint staff with appropriate competencies, the role and function of the internal audit unit have to be improved through the establishment of specific job descriptions and the granting of broader authority to audit in all units.

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Lee, David C., Silas W. Smith, Brendan G. Carr, Lewis R. Goldfrank i Daniel Polsky. "Redistribution of Emergency Department Patients After Disaster-Related Closures of a Public Versus Private Hospital in New York City". Disaster Medicine and Public Health Preparedness 9, nr 3 (17.03.2015): 256–64. http://dx.doi.org/10.1017/dmp.2015.11.

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AbstractSudden hospital closures displace patients from usual sources of care and force them to access facilities that lack their prior medical records. For patients with complex needs and for nearby hospitals already strained by high volume, disaster-related hospital closures induce a public health emergency. Our objective was to analyze responses of patients from public versus private emergency departments after closure of their usual hospital after Hurricane Sandy. Using a statewide database of emergency visits, we followed patients with an established pattern of accessing 1 of 2 hospitals that closed after Hurricane Sandy: Bellevue Hospital Center and NYU Langone Medical Center. We determined how these patients redistributed for emergency care after the storm. We found that proximity strongly predicted patient redistribution to nearby open hospitals. However, for patients from the closed public hospital, this redistribution was also influenced by hospital ownership, because patients redistributed to other public hospitals at rates higher than expected by proximity alone. This differential response to hospital closures demonstrates significant differences in how public and private patients respond to changes in health care access during disasters. Public health response must consider these differences to meet the needs of all patients affected by disasters and other public health emergencies. (Disaster Med Public Health Preparedness. 2015;9:256-264).

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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, nr 10 (30.10.2023): 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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Damodaran, Yadu K., Kannan a/I Mani, Ali Muhammad i Muhammad Saad Saleem. "Measuring Service Quality Of Public Hospitals". Journal Of Mental Health And Social Rehabilitation 1, nr 1 (16.09.2023): 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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Iftikhar, Ifra, Abbas Rashid Butt, Sobia Shehzad i Sohail Riaz. "Bureaucratic Manacles in Financial Autonomy of Public Hospitals in Pakistan". International Journal for Innovation Education and Research 8, nr 5 (1.05.2020): 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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Lombi, Fauziah Devitasari, Haliah Haliah, Nirwana Nirwana i 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, nr 02 (9.10.2022): 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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Yonara, Stevie, i Ratna Dwi Wulandari. "Penilaian Puskesmas dan Rumah Sakit Tentang Efektivitas Sistem Rujukan Maternal di Kota Surabaya". Jurnal Administrasi Kesehatan Indonesia 3, nr 2 (1.07.2015): 151. http://dx.doi.org/10.20473/jaki.v3i2.2015.151-160.

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ABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health center

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Scott, Ian A. "Public hospital bed crisis: too few or too misused?" Australian Health Review 34, nr 3 (2010): 317. http://dx.doi.org/10.1071/ah09821.

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•Increasing demand on public hospital beds has led to what many see as a hospital bed crisis requiring substantial increases in bed numbers. By 2050, if current bed use trends persist and as the numbers of frail older patients rise exponentially, a 62% increase in hospital beds will be required to meet expected demand, at a cost almost equal to the entire current Australian healthcare budget. •This article provides an overview of the effectiveness of different strategies for reducing hospital demand that may be viewed as primarily (although not exclusively) targeting the hospital sector – increasing capacity and throughput and reducing readmissions – or the non-hospital sector – facilitating early discharge or reducing presentations and admissions to hospital. Evidence of effectiveness was retrieved from a literature search of randomised trials and observational studies using broad search terms. •The principal findings were as follows: (1) within the hospital sector, throughput could be substantially improved by outsourcing public hospital clinical services to the private sector, undertaking whole-of-hospital reform of care processes and patient flow that address both access and exit block, separating acute from elective beds and services, increasing rates of day-only or short stay admissions, and curtailing ineffective or marginally effective clinical interventions; (2) in regards to the non-hospital sector, potentially the biggest gains in reducing hospital demand will come from improved access to residential care, rehabilitation services, and domiciliary support as patients awaiting such services currently account for 70% of acute hospital bed-days. More widespread use of acute care and advance care planning within residential care facilities and population-based chronic disease management programs can also assist. •This overview concludes that, in reducing hospital bed demand, clinical process redesign within hospitals and capacity enhancement of non-hospital care services and chronic disease management programs are effective strategies that should be considered before investing heavily in creating additional hospital beds devoid of any critical reappraisal of current models of care. What is known about the topic?There is a growing demand for inpatient care in Australia, with presentations to public hospital emergency departments increasing by 4.9% per year over the last 5 years and admission numbers increasing by 3.6% per year. Increasing numbers of hospital beds may give only short-term reprieve in lowering bed occupancy rates if little attention is giving to improving hospital efficiency by internal process redesign or by decreasing demand for acute hospital beds by improving capacity of the non-hospital sector to manage sub-acute illness and chronic disease. What does this paper add?This article provides a narrative meta-review of the evidence of effectiveness of various reform strategies. The key findings are that, within the hospital sector, patient throughput could be substantially improved by: outsourcing public hospital clinical services to the private sector where appropriate; implementing whole-of-hospital reforms, which that facilitate more flexible and dynamic bed management (especially where it relates to systems of care for acutely ill patients); separating acute from elective beds and services; increasing the numbers of day-only admissions; and curtailing ineffective or marginally effective clinical interventions. However, the potentially biggest gains in hospital productivity will come from improved access to residential care, rehabilitation services and domiciliary support for hospitalised patients who no longer require acute inpatient care, combined with decreased need for hospitalisation as a result of population-based chronic disease management programs led by primary care agencies, and acute care and advance care planning within residential care facilities. What are the implications for practitioners?A public debate must start now on how the healthcare system and the role within it of hospitals should be re-configured in managing future population healthcare needs in a sustainable way. In the meantime, all hospitals must consider implementing reforms with potential to improve their productivity and reduce access block for those who really need acute hospital care.

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Wübker, Ansgar, i Christiane Wuckel. "The Impact of Private for-Profit Hospital Ownership on Costs and Quality of Care – Evidence from Germany". CESifo Economic Studies 65, nr 4 (14.04.2019): 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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Begum, Farhana, i Shahinul Alam. "Consumer subsequent plan for selection of hospital in the perspective of hospital services and expenditure". South East Asia Journal of Public Health 6, nr 1 (10.12.2016): 14–19. http://dx.doi.org/10.3329/seajph.v6i1.30339.

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Further utilization of hospital facility is influenced by the provision of hospital care and cost of services. This study was conducted among patients of public and private hospitals of Dhaka city, Bangladesh to explore the relationship of further utilization of hospital care and cost of services incurred during previous visits. A total 199 patients of 2 private and 2 public hospitals were included. Of them, 100 (50.25%) were from public and 99 (49.74 %) from private hospitals. Male: female ratio of the respondents was 111:88. The level of services was scored by patients on a 1-5 Likert scale on the aspects of services of doctors, nurses, other staffs; medicine supply; cleanliness; and investigation facilities. Poor people usually sought the services from public hospitals. About three-quarter of the respondents (76.9 %) mentioned that they would avail the facility of same hospital for their further ailment. Seventeen patients (17%) who were treated in government hospitals will not further utilize the services, and this was significantly higher (p-0.02) in the case of patients from private hospitals (29.3%). Regression analysis explored that quality of services (p=-0.000) and cost of services (p=0.001) influenced the plan of future consumption of hospital facility and quality of services having stronger influences. This study concludes that further utilization of the hospital facility was strongly influenced by the quality of services and next to that is cost of services. So we recommend for best and successive utilization of hospital services to improve facilities and minimization of cost are the essential needs.South East Asia Journal of Public Health Vol.6(1) 2016: 14-19

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Balanda, Kevin P., John B. Lowe, Warren Stanton, Amaya Gillespie i Vincent Conway. "Cancer Control Activities in Australian Public Hospitals". International Quarterly of Community Health Education 15, nr 3 (październik 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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Cao Minh, Chu, Thang Vo Van, Dat Nguyen Tan i Hung Vo Thanh. "THE QUALITY OF PUBLIC HOSPITALS IN CAN THO CITY, 2016". Volume 8 Issue 6 8, nr 6 (grudzień 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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RAMAN, RAMYA, i ANANTANARAYANAN RAMAN. "Public hospitals in Madras and people associated with them". National Medical Journal of India 35 (1.11.2022): 112–17. http://dx.doi.org/10.25259/nmji_35_2_112.

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In this follow-up article, we refer to the other public hospital facilities of Madras, viz. the Lock and Naval Hospitals, the Native Infirmary, Lunatic Asylum, Eye Infirmary, Maternity Hospital (Egmore), and the Queen Victoria Hospital for Caste and Gosha Women, some of which are operational today. We also include brief notes on a few of the pioneering men and women, who contributed to the development of these facilities.

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Duran, Antonio, Tata Chanturidze, Adrian Gheorghe i Antonio Moreno. "Assessment of Public Hospital Governance in Romania: Lessons From 10 Case Studies". International Journal of Health Policy and Management 8, nr 4 (22.12.2018): 199–210. http://dx.doi.org/10.15171/ijhpm.2018.120.

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Background: The Government of Romania commissioned international technical assistance to help unpacking the causes of arrears in selected public hospitals. Emphases were placed on the governance-related determinants of the hospital performance in the context of the Romanian health system. Methods: The assessment was structured around a public hospital governance framework examining 4 dimensions: institutional arrangements, financing arrangements, accountability arrangements and correspondence between responsibility and decision-making capacity. The framework was operationalized using a 2-pronged approach: (i) a policy review of broader health system governance arrangements influencing hospital performance; and (ii) a series of 10 casestudies of public hospitals experiencing financial hardship. Data were collected during 2016-2017 through key informant interviews with central authorities and hospital management teams, exhaustive semi-structured questionnaires filled in by hospitals, as well as the review of documentary sources where feasible. Results: Overall, the governance landscape of Romanian public hospitals includes a large number of seemingly modern legislative provisions and management instruments. Over the past 30 years substantial efforts have been made to put in place standardised hospital classification, hospital governance structures, management and service purchasing contracts with key performance indicators, modern reimbursement mechanisms based on diagnosis-related groups (DRGs), and regulatory requirements for accountability, including internal and external audit. Nevertheless, their application appears to have been challenging for a range of reasons, pointing to the misalignment between the responsibility and decisionmaking capacity given to hospitals in a questionably conducive context. Incoherent policy design, outdated and often disjointed regulatory frameworks, and cumbersome administrative procedures limit managerial autonomy and obstruct efficiency gains. In a context of chronic insufficient funding, misaligned incentives, and overly rigid service procurement processes, hospitals seem to struggle to adjust service baskets to the population’s health needs or to overcoming financial hardship. External challenges, combined with the limited strategic, operational, and financial management capacity within hospitals, make it difficult to exhibit good financial and general performance. Conclusion: Existing governance arrangements for Romanian public hospitals appear conducive to poor financial performance. The suggested framework for hospital governance assessment has proved a powerful tool for identifying system and hospital-specific challenges contributing to sub-optimal hospital performance.

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Prugsiganont, Supuck, i Per Anker Jensen. "Identification of space management problems in public hospitals". Facilities 37, nr 7/8 (7.05.2019): 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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