ISSN:0749-6753    

DOI:10.1002/hpm.4740080102

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractHealth service executives are striving to implement the best managerial practices amid the major turbulence and restructuring which is prevalent in many health care systems today. All too often, guidance about what the best practices are needs to be sought from studies contained within the general management literature. It is problematical whether this literature is applicable to health service organizations. This article reports the results of a study which examined the views of 93 executives in 14 hospitals in Britain. Canada and the United States about what constitutes managerial excellence. The hospitals were selected on the basis of their reputed success in health service management. Using grounded theory methodology, eight factors of excellence were derived from the interview data which were supplemented by data made available from hospital documentation supplied by participants. The results of this study are compared with those of Peters and Waterman (1982). This is the most frequently cited study of managerial excellence in the general management literature. The main conclusions drawn are that a current definition of health service management excellence has been identified; there was a high degree of unanimity among participant executives about the constituents of success and excellence in health service management; and, that there are some marked differences between this definition of excellence and that propounded by Peters and Waterman (1982). The implications of this definition of excellence for health service executives are discussed.

ISSN:0749-6753    

DOI:10.1002/hpm.4740080103

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractA method of analysing the factors which contribute to the length of stay in England as an acute medical in‐patient has been developed, and applied in both real‐time and cross‐sectional studies. The major factors delaying discharge were found to be the time taken to respond to treatment and the actions of agencies other than the acute medical unit of the hospital. Areas where improvement could be made have been identified and some changes implemented. The system can be applied to monitor the effect of such ch

ISSN:0749-6753    

DOI:10.1002/hpm.4740080104

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractThis article presents the results of an assessment of prescribing practice, undertaken in the Morogoro region of Tanzania. As part of a wider evaluation of performance in primary level health units, retrospective data from patient registers and prospective data from observations of consultation practice were assessed using indicators proposed by the International Network of Rational Use of Drugs. Tanzanian prescribing practices compared favourably with other countries where studies using the same indicators have been undertaken. However, relatively high proportions of incorrect prescriptions were identified, with particular problems of under‐prescribing. Church units were also found to perform less well than government units against the indicators used; differences between the dispensary and health centre level were few. Actions to address the problems highlighted by this study include more careful monitoring and regulation of non‐government health care and identification of the root causes of under‐prescribing in government units. Review of prescribing practice using appropriate indicators is important in both cases, although also requiring wider regulatory action, health provider and patient education, and action to tackle the low morale of health wo

ISSN:0749-6753    

DOI:10.1002/hpm.4740080105

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractMicrocomputers have great potential to improve health service management in developing countries. In addition to their commonly recognized abilities to process numerical information, they can also provide assistance in interpreting it. They can highlight problems that require attention, suggest possible reasons why problems occur and suggest appropriate managerial responses. Computer programs which perform these more advanced functions are often known as knowledge‐based systems (KBSs) since they incorporate the knowledge of experts in the area addressed by the system. Such systems are increasingly being used to support decision making in commerce and public administration and offer great potential to the health sector. This article presents preliminary results of work to develop a KBS to help mid‐level managers monitor and evaluate health service provision in Papua New Guinea. It considers issues in the design and development of KBSs and discusses their future potent

ISSN:0749-6753    

DOI:10.1002/hpm.4740080106

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740080107

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740080108

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740080109

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740080110

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740080111

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY