Este estudo teve por objetivo comparar o Grupo Apollo de Hospitais, considerado referência mundial em turismo de saúde, com os empreendimentos Sul brasileiros: Hotel e Spa Recanto das Águas e Itá Thermas Resort e Spa, por possuírem um departamento específico destinado à qualidade de vida e bem-estar. A pesquisa foi comparativa, de caráter exploratório-descritivo, de corte qualitativo. Para tanto, elegeu-se unidades de significado para a definição de categorias de análise que permitiram determinar quanto essas variáveis se afastam ou se aproximam do modelo indiano, considerado ideal, levando em consideração o fato de Índia e Brasil estarem em esferas político, social, econômica e cultural diferentes. São elas: a) excelência da área médica; c) hotelaria hospitalar; e c) entorno. No estudo, empregou-se a pesquisa bibliográfica e documental, entrevistas e observações in loco. Os documentos analisados foram materiais bibliográficos pertinentes, documentos e matérias publicadas em sites oficiais do governo indiano e documentos acerca da realidade do Apollo Hospitals em seu site na internet, bem como arquivos solicitados para apreciação. As entrevistas foram realizadas com os gestores dos empreendimentos brasileiros, objetos deste estudo. As observações in loco se deram no Hotel e Spa Recanto das Águas e no Itá Thermas Resort e Spa. Os resultados evidenciaram que o Brasil já possui recursos físicos e humanos suficientes para que seja implantado o turismo de saúde, de acordo com os moldes indianos, desde que, se respeite as especificidades sociais, culturais, políticas e econômicas desse país. / Universidade de Caxias do Sul, UCS. / The objective of this study was to compare the Apollo Group of Hospitals, which is considered a worldwide reference for medical tourism, to the Brazilian south's enterprises Hotel and Spa Recanto das Águas and Itá Thermas Resort and Spa, for they have an especific department dedicated to life quality and well being. The research was comparative, of exploratory and descriptive nature, with a qualitative edge. Therefore units of meaning for definition of categories of analisys were elected, which allowed it to determine how much these variables grow farther or closer from the Indian model, considered ideal, taking under consideration the fact that India and Brazil are in different cultural, economic, social and politic levels. They are: a) excellency in the medical areas, b) hospitalar hotels, c) surroundings. In this study the bibliographic and documental researches were engaged, and intervews and observations made in person. The analyzed documents were bibliographic and relevant, contents published in oficial governamental Indian sites and themes around the reality of the Apollo Hospitals on its own site on the net, as well as archives required for appreciation. The interviews were made with the managers of Brazilian enterprises, objects of this study. The observations in person happened in the Hotel and Spa Recanto das Águas and in the Itá Thermas Resort and Spa. The results prove that Brazil already has enough built range, geographic and human resourses for the medical tourism to be enrooted according to the Indian models, as long as the social, cultural, political and economic factors of this country are respected.

The research objectives which underpin this study were threefold. Firstly was to analyze the Port Elizabeth Hospital Complex (PEHC) restructuring process from a planned changed management perspective in particular the three stage model of Lewin (1951) which include unfreezing the current equilibrium, moving to a new position and refreezing in the new position. Secondly was to analyze how unforeseen circumstances were dealt with. Thirdly was to analyse the setting of objectives and measurements of targets to monitor progress. The study is based on the restructuring that took place in the PEHC which was called “Rationalization”. The research indicates that the development and implementation of the rationalization cannot be understood from the perspective of the three stage model of Lewin (1951). The conclusion was based on the manager’s perceptions of their analysis of the restructuring in the light of the theory of the three stage model of Lewin (1951). The study has shown that: · Rationalisation began by gathering information on the shortcomings of the structure of the three hospitals, but did not understand the degree of readiness to change. · The timescales for achieving rationalization were not clearly defined. · It was driven from the top with clear objectives and no timescales. · There was no structure that prepared the employees to go through the process of rationalisation. · There was lack of capacity of middle managers to respond to the workers in an encouraging way. · Rationalisation sub-committees had limited time to meet with employees at the sectional level. · External stakeholder involvement was not mobilized to its full potential. · Rationalisation was not an open process that involved both formal and informal employees. · Budget constraints and staff shortages were not informed by the restructuring needs. · Workers did not feel secure about the current and future work practises. · There was no feeling that the change will be beneficial to their wellbeing and to the organisation’s goals and mission · There was no monitoring and evaluation put in place to track progress. · There was centralisation of even the most basic administrative functions. The study seems to imply that the restructuring in the PEHC bears no resemblance to the Lewin (1951) planned change model and therefore cannot be understood from the perspective of this model. Given the initiative to rationalize, the PEHC management can learn from the model of Lewin (1951) planned change.

M.A. (Social Work) / Etzioni (1964) states that our society is an organisational society. We are born in an organisation, educated by organisations and most of us spend much of our lives working for organisations. Work (including the work environment) and the family are critical factors in the life of an individual. These factors provide a sense of identity to the individual and also provide the values and.position of the individual in the community. Interdependence exists between the individual, his work and his family. Demands can be placed on the individual in the workplace or by his family that might have a negative influence on his productivity in the work environment. A primary research study was done to determine the nature of social work in a government institution, JG Strijdom hospital. This hospital functions as a bureaucratic institution. The sample of the study included all the departments in the hospital. The research sample was drawn from the variety of professional- to nonprofessional groups that are found in the hospital, these groups were subjected to a questionnaire containing the different factors pertaining to what might have a negative influence on the employee in the work place. The analyses of the results were done by grouping the primary and the secondary functions of the hospital. The primary function of the hospital can be described as patient care and the secondary function is the administration of the organization. The objectives of these two roles can clash in a certainarea where the human skills that are needed for the two different functions differ. These differences had an influence on the research results and subsequent requirements of a social workerin the workplace. The primary difference that was determined in this study was that the primary function was staffed by personnel that required assistance in self development. On the other hand the personnel of the secondary (administrative) function required assistance with their personal problems. The severity of the differences can be attributed to the present state of flux in the hospital. The hospital is in a state of merging with the Coronation hospital and a pending threat of affirmative action is hanging over the hospital.

Recent legislation by Medicare restricts its reimbursement per patient according to the patient's particular type of disease. The reimbursement is based on a set of Diagnosis Related Groups (DRG's), which categorizes patients into disease classifications. As a result, hospitals must make efficiency gains and managers must look for new ways to provide quality care while containing costs. A simulation technique was developed by which the financial results of particular administrative policies can be predicted. Patient billing data were collected over a three-month period and analyzed for the purpose of simulating length of stay and resource consumption per cost center. Regression analysis were used to approximate departmental costs as a function of length of stay and to estimate total cost as a function of certain departmental costs. Distribution-fitting techniques were used to determine the method of random generation for independent variables. The simulation model was run with two embellishments to illustrate how policies are interjected and results are interpreted.

Thesis (MA)--Stellenbosch University, 2000.

Submitted by Elba Lopes (elba.lopes@fecap.br) on 2016-03-23T20:42:40Z No. of bitstreams: 2 Daniel Os??rio Macedo.pdf: 4914193 bytes, checksum: cc7c61f4cf34f0bbbf94edb19841d239 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-03-23T20:42:40Z (GMT). No. of bitstreams: 2 Daniel Os??rio Macedo.pdf: 4914193 bytes, checksum: cc7c61f4cf34f0bbbf94edb19841d239 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-12-04 / The objective of this research was to study the effects of using controllership in a hospital. It was describes this deployment within a charity organization, object of this study, at S??o Paulo. The information, obtained through the description of this deployment, was analyzed as an exploratory case study. Semi-structured interviews with the top management of the institution were conducted. The results demonstrated that the institution values the work of the controller due to the implemented changes and developed processes. The study describes the reports of senior management and brings the theoretical knowledge as a reference of this research. / O objetivo desta pesquisa foi estudar os efeitos da utiliza????o da Controladoria em uma institui????o hospitalar. Buscou-se descrever essa implanta????o dentro de uma institui????o filantr??pica, localizada na cidade de S??o Paulo, objeto do presente estudo. Trata-se de um estudo de caso em que as informa????es foram abordadas de forma explorat??ria e atrav??s da descri????o dessa implanta????o. Realizaram-se entrevistas semiestruturadas com a Alta Dire????o da institui????o. Os resultados encontrados demonstraram que a institui????o valoriza o trabalho desenvolvido pela Controladoria, em raz??o das modifica????es implantadas e dos processos desenvolvidos. O estudo descreve os relatos da Alta Dire????o e traz o conhecimento te??rico como referencial desta pesquisa.

The purpose of the study was to identify and describe the approach and strategies used to downsize a mental health organization. This ethnographic study was conducted at a psychiatric hospital that is beginning the 4th year of a 10 year downsizing plan. Data were gathered through interviews, informal observations, and field documents. This research design facilitated an understanding of the phenomenon in the context of the practices and beliefs of the executive management team. Semistructured interviews were conducted with six executive and four middle managers who were involved in the downsizing decision making process. Freeman and Cameron's (1993) definition of downsizing was broadened to encompass not-for-profit reasons for downsizing. Cameron's (1994) downsizing model was supported and an additional best practice called alignment of purpose was proposed in which the leadership of an organization attempts to align the stakeholders with similar goals and objectives for downsizing. The emotional process of downsizing emerged as a key area to address concurrently with job security and other more pragmatic consequences of downsizing. Empathy was suggested as one method of dealing with the emotional process of downsizing.

The purpose of the study was to identify and describe the approach and strategies used to downsize a mental health organization. This ethnographic study was conducted at a psychiatric hospital that is beginning the 4th year of a 10 year downsizing plan. Data were gathered through interviews, informal observations, and field documents. This research design facilitated an understanding of the phenomenon in the context of the practices and beliefs of the executive management team. Semistructured interviews were conducted with six executive and four middle managers who were involved in the downsizing decision making process. Freeman and Cameron's (1993) definition of downsizing was broadened to encompass not-for-profit reasons for downsizing. Cameron's (1994) downsizing model was supported and an additional best practice called alignment of purpose was proposed in which the leadership of an organization attempts to align the stakeholders with similar goals and objectives for downsizing. The emotional process of downsizing emerged as a key area to address concurrently with job security and other more pragmatic consequences of downsizing. Empathy was suggested as one method of dealing with the emotional process of downsizing. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

No description available.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-10-18T12:04:30Z No. of bitstreams: 1 Glauco Monteiro Cavalcanti Manso Júnior.pdf: 638894 bytes, checksum: f83980e293c5675a74d643b8589bf2a6 (MD5) / Made available in DSpace on 2017-10-18T12:04:30Z (GMT). No. of bitstreams: 1 Glauco Monteiro Cavalcanti Manso Júnior.pdf: 638894 bytes, checksum: f83980e293c5675a74d643b8589bf2a6 (MD5) Previous issue date: 2017-09-27 / The thesis deals with the remuneration system of private hospitals in Brazil, a sector that represents a considerable part of the offer of health services in Brazil, materializing the citizen's access to his right to health. The sector has suffered financial losses and has been accumulating losses due to the remuneration policies of both the SUS managers and the operators, threatening the viability of the enterprise and, consequently, the citizen service. The research aimed to identify measures to solve the problems caused by the hospital remuneration system (risks of destruction of hospitals, especially minors, increase of tension between operators and service providers) that indirectly harm the citizen. The methodology consisted of documentary analysis and research on foreign experiences in the constitution and management of hospital compensation systems. The first part of the paper deals with the health system and the hospital organization framework in the respective system. The second one approaches the hospital remuneration system, comparing the practices and systems adopted in France, Japan, Spain, United Kingdom, United States, Australia and Canada. The third analyzes the remuneration of the private hospital sector in Brazil, whose constitution includes the relationship with the SUS, the operators and the National Supplementary Health Agency (ANS). The fourth part presents the sector's remuneration prospects and presents the author's proposal. As a result, the research showed that the actions required to solve the problem are related to the federal government (revision of the price list paid to providers, simplification of the legal and regulatory apparatus and greater control over ANS decisions) and hospital organizations regarding the adoption of Strategies and practices aimed at the effectiveness and transparency of management / A tese trata do sistema de remuneração dos hospitais privados no Brasil, setor que representa parcela considerável da oferta dos serviços de saúde no Brasil, materializando o acesso do cidadão ao seu direito à saúde. O setor tem sofrido perdas financeiras e vem acumulando prejuízos em razão das políticas remuneratórias tanto dos gestores do SUS, como das operadoras, ameaçando a viabilidade do empreendimento e consequentemente, o atendimento ao cidadão. A pesquisa objetivou apontar medidas para a solução dos problemas causados pelo sistema de remuneração hospitalar (riscos de destruição de parte dos hospitais, em particular, dos menores, aumento da tensão entre operadoras e prestadores de serviços) que indiretamente prejudicam o cidadão. A metodologia consistiu na análise documental e pesquisa sobre experiências estrangeiras na constituição e gestão dos sistemas de remuneração dos hospitais. A primeira parte do trabalho trata do sistema de saúde e o enquadramento da organização hospitalar no respectivo sistema. A segunda aborda o sistema de remuneração hospitalar, comparando as práticas e sistemas adotados na França, Japão, Espanha, Reino Unido, Estados Unidos, Austrália e Canadá. A terceira analisa a remuneração do setor hospitalar privado no Brasil, cuja constituição compreende a relação com o SUS, as operadoras e a Agência Nacional de Saúde Suplementar - ANS. A quarta parte apresenta as perspectivas remuneratórias do setor e apresentando proposta do autor. Por resultado a pesquisa mostrou que as ações necessárias à solução do problema respeitam ao governo federal (revisão da tabela de preços pagos aos prestadores, simplificação do aparato legal e regulatório e maior controle sobre as decisões da ANS) e às organizações hospitalares quanto à adoção de estratégias e práticas voltadas à eficácia e transparência da gestão