Number of people suffering from tuberculosis is big all over the world. Consequently, the health care cost required for treatment is also big. Some of the sick ones don’t even know about their illness that’s why the disease is diagnosed behind time and that can carry negative results. Aim of the study. To estimate the structural changes that were made in VSI Klaipeda tuberculosis hospital in the position of the working personal. Methods. In February – November 2005, questionnaire survey of the working VSI Klaipeda tuberculosis hospital personal was conducted. Statistical analysis package SPSS (9.0) was used to analyse the data. Dependence of two symptoms was researched by the use of Chi-Square test ( ). Zero hypothesis was rejected, when . Conclusions. In my research I‘ve analysed restructure singularities of medical institutions, merits and demerits of it‘s realization with reference to experience of all Lithuanian medical institutions. I‘ve made an analysis of National tuberculosis control program and estimated how does this program affect VSI Klaipeda tuberculosis hospital. I‘ve determined that one of the goals of the restructure is to guarantee the quality of the provided services of medical care, to approach a patient and to orient the providers of these services toward to the needs of the patients. I‘ve also brought up a hypothesis – all the structural changes that were made in Klaipeda tuberculosis hospital had reached their goals – that was proved only partly... [to full text]

Magistro darbe išanalizuotos organizacijų transformavimo koncepcijos, valdymo struktūrų vystymo, projektavimo procesai ir adaptuoti švietimo įstaigai. Darbe atskleisti pagrindiniai mokyklų struktūrų tobulinimo programos diegimo ypatumai išorinėje ir vidinėje Šiaulių Didždvario gimnazijos, kaip gerosios patirties pavyzdžio, aplinkoje. Tyrimo tikslui pasiekti duomenys analizuojami dviem metodais: kiekybiniu (statistinių duomenų analizė) ir kokybiniu (interviu būdu surinktų duomenų analizė). Tyrime dalyvavo 10 gimnazijos specialistų – ekspertų; programos rezultatų analizei panaudoti 2432 mokyklos dokumentai. Tyrimo ataskaitoje patvirtinama, kad mokyklos valdymo struktūros vystymas tobulina organizavimo funkcijos įgyvendinimo procesą įstaigoje. Diagnozavus pasirengimo programos įgyvendinimui eksperimentinėse mokyklose problemas, išanalizavus pagrindinius programos diegimo ypatumus išorinėje ir vidinėje švietimo organizacijos aplinkoje, remiantis mokyklų ekspertų nuomonėmis pateiktas mokyklos struktūros kaitos valdymo modelis, kuris gali būti taikomas ir kitose šalies mokyklose valymo struktūrų kaitos procesui įgyvendinti. / This Master‘s work presents analysis of organization transformation conceptions, management structure development, the process of designing. All these theoretical aspects were adaptated to educational institution. In this work the key aspects of implementation of school structure improvement program in the external and internal environment of an educational Šiauliai Didždvaris gymnasium, in case of sample of good experience, are provided. In order to achieve the aim, data has been analyzed in two methods: quantitative analysis (analysis of statistical data) and qualitative analysis (analysis of interview data). Ten experts of gymnasium participated in the research; 2432 school documents were The findings of the research confirm the need to develop the school management structure, which improve the implementation process of school organization function. Having identified the preparation problems of the program implementation in experimental schools, having analyzed the key features of the program implementation in the external and internal environment of an educational institution, referring to school experts opinions it becomes possible to design the change management model of school organizational structure. This model is suitable for applying in implementation and monitoring of the changing process in all schools throughout the country has not been realized.