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Support papers for a University Hospital cost containment committee submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree of Master of Health Services Administration /Eisenman, Dana. January 1971 (has links)
Thesis (M.H.S.A.)--University of Michigan, 1971.
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Support papers for a University Hospital cost containment committee submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree of Master of Health Services Administration /Eisenman, Dana. January 1971 (has links)
Thesis (M.H.S.A.)--University of Michigan, 1971.
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ANALYSIS OF ANTIBIOTIC THERAPY IN SELECTED DIAGNOSIS RELATED GROUPS (CLINICAL PHARMACY, PATIENT CARE, LENGTH OF STAY, TREATMENT, CHARGES)Raisch, Dennis William, 1952- January 1986 (has links)
No description available.
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An analysis of stakeholder perceptions of health care reform for strategic planning at an Indiana hospitalMorrow, Karen January 1993 (has links)
This thesis applied the decision support mechanism, Q-Methodology, to an integrated model of issues management and strategic planning. This approach was applied at Riverview Hospital in Noblesville, Indiana in order to respond to the health care reform issue.The research approach involved the three primary stakeholder groups of the hospital: Board of Directors, physicians and managers. The three groups, representing 56 people, attended a planning retreat and identified Riverview's planning options in the form of 77 statements representing future program or service options. These 77 statements were then ranked using Q-methodology.The findings of the study included a QMETHOD computer and researcher analysis of the statements from the perspective of the total group and also the three factors.The final result was a list of statements that comprised Riverview's response to the reform issue in the form of corporate goals and objectives. The conclusions of the study show that:--The integrated approach did provide focus to the strategic planning process. The final list of objectives were all related to the health reform proposal.--Q-Methodology was an appropriate decision support mechanism. It not only provided the final list of corporate objectives but clearly identified potential support and resistance.--A viable set of corporate objectives was developed to respond to the health reform proposal.--All of the stakeholder groups unanimously approved the final list of statements (objectives) in a formal voting process. / Department of Journalism
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Sistema de remuneração dos hospitais privados no Brasil: problemas e propostas de soluçõesManso Júnior, Glauco Monteiro Cavalcanti 27 September 2017 (has links)
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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
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Nurse managers attitudes and perceptions regarding cost containment in public hospitals in the Port Elizabeth metropoleNtlabezo, Eugenia Tandiwe 31 March 2003 (has links)
This study investigated the attitudes and perceptions of nurse managers regarding cost containment issues in selected public hospitals in the Port Elizabeth metropole of the Eastern Cape. Four hospitals participated in the study, and 211 nurse managers completed questionnaires. The results obtained from the participants’ responses indicated that:
✦ Nurse managers are ill-prepared for many responsibilities regarding cost containment, and need appropriate orientation and preparation both during their initial formal, and during their nurse management and in service training in order to fulfil their “financial” or cost containment role more effectively.
✦ Nurse managers perceived the relationship between the productivity of staff and cost containment positively, but were reportedly unable to
• prevent nurses from leaving their points of duty
• curb the rate of absenteeism among nurses
• reduce the number of resignations
✦ Nurse managers suggested that more effective hospital cost containment efforts should ensure that
• effective security checks are performed to curb losses of stock and equipment
• more public telephones are installed in hospitals
• stricter controls regarding wheelchairs are implemented
The rationalisation of staff and services, as well as specialised equipment among the four public hospitals could enhance these hospitals’ cost containment results. However, this would necessitate reorganising these hospitals’ services at provincial level.
The nurse managers required more knowledge about hospitals’ financial management and cost containment issues. Guidelines for such a course were developed addressing: analysis of monthly variance reports; budgeting for manpower; balance statement; calculations for the supplies and expenses budget; income statements; the hospital’s budgetary cycle; break-even analysis; analysis of cost-effectiveness and cost-benefit analysis. / ADVANCED NURSING SCIENCES / D.Litt. et Phil.
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Nurse managers attitudes and perceptions regarding cost containment in public hospitals in the Port Elizabeth metropoleNtlabezo, Eugenia Tandiwe 31 March 2003 (has links)
This study investigated the attitudes and perceptions of nurse managers regarding cost containment issues in selected public hospitals in the Port Elizabeth metropole of the Eastern Cape. Four hospitals participated in the study, and 211 nurse managers completed questionnaires. The results obtained from the participants’ responses indicated that:
✦ Nurse managers are ill-prepared for many responsibilities regarding cost containment, and need appropriate orientation and preparation both during their initial formal, and during their nurse management and in service training in order to fulfil their “financial” or cost containment role more effectively.
✦ Nurse managers perceived the relationship between the productivity of staff and cost containment positively, but were reportedly unable to
• prevent nurses from leaving their points of duty
• curb the rate of absenteeism among nurses
• reduce the number of resignations
✦ Nurse managers suggested that more effective hospital cost containment efforts should ensure that
• effective security checks are performed to curb losses of stock and equipment
• more public telephones are installed in hospitals
• stricter controls regarding wheelchairs are implemented
The rationalisation of staff and services, as well as specialised equipment among the four public hospitals could enhance these hospitals’ cost containment results. However, this would necessitate reorganising these hospitals’ services at provincial level.
The nurse managers required more knowledge about hospitals’ financial management and cost containment issues. Guidelines for such a course were developed addressing: analysis of monthly variance reports; budgeting for manpower; balance statement; calculations for the supplies and expenses budget; income statements; the hospital’s budgetary cycle; break-even analysis; analysis of cost-effectiveness and cost-benefit analysis. / ADVANCED NURSING SCIENCES / D.Litt. et Phil.
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