World hospitals and health services : the official journal of the International Hospital Federation
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This paper provides an international overview of trends and elements of quality services provision in hospitals. The factors reviewed are hospital accreditation, government quality intervention, resource review, clinical procedure standardisation, patient education, high technology, financial mechanisms, risk management and evidence based medicine as relates to quality.
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World Hosp Health Serv · Jan 1997
The role of Northern NGOs (Non-Governmental Organisations) in rehabilitating the health sector in post-conflict settings: a need for a critical analysis.
The paper addresses issues of the health sector rehabilitation in post-conflict situation, and in particular the role of Northern Non-Governmental Organisations (NNGOs) in this process. While armed conflicts are regarded as public health issues for their negative implications on health and health systems, post-conflict situation is considered, despite its complexity, as having both risks and opportunities for making the health system more equitable and sustainable. In this respect, NNGOs are believed to be able to play an efficient and effective role in rehabilitating the health system. ⋯ These include their political neutrality, technical accountability to policy, planning and quality development. These problems may have their roots at conceptual, operational and political levels. To avoid generalisations and unproved assumptions, research is therefore needed to distinguish NNGOs' characteristics, roles and motivations and to assess the extent to which NNGOs' interventions are effective in rehabilitating the health system in post-conflict settings as well as in strengthening local institutions.
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Effective and efficient management of health services is becoming more and more important in all countries and in all organizations whether profit or non-profit. Management practices and attitudes which may have been accepted in previous years are no longer appropriate. ⋯ Eight key areas of concern were identified: participative vs. non-participative style, communication, motivation, delegation, human relations skills, style of supervision, goal-oriented behavior, and use of supervisory power. In each of these management-related skill areas, examples of best and worst practices are provided in order to aid the manager/leader in self-assessing his/her abilities as a first step toward improving management.
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World Hosp Health Serv · Jan 1996
An era of change and reform in health and social security in Mexico.
As with many countries who try to provide their population with public health, social security programs and benefits, Mexico, for the past decade, has been striving in trying to allocate the proper means and solutions to the nation's medical and economic problems, with great difficulty. Being regarded as a developing country, many are the constraints affecting our financial and administrative attempted solutions (big internal and external debt, high inflation, unemployment, excess bureaucracy, constant mismanagement, overlapping health systems and in some spheres, even corruptions). In response to the above and in trying to maintain at least the current sustained level of care and attention built in the past through great effort and sacrifice by many, our country has taken the decision to search for new ways and solutions to promote change and public benefits. In a broad sense, this article then explains the transformation our health system is experiencing.
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World Hosp Health Serv · Jan 1996
Professional satisfaction of doctors working in a super-speciality hospital in Bangalore.
The doctors' assessment of their jobs provides an insight into those facets of the profession which need attention. This study assessed the professional satisfaction of 80 doctors who responded to the 80 item multifaceted questionnaire. ⋯ The most satisfied group of doctors were the consultants with a performance based pay scale. Housekeeping, interpersonal relationship among doctors, nursing care and the pay scale of junior doctors are areas to which the administration should pay special attention if the professional satisfaction of doctors is to be improved.