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At least 721 records · Page 40Linked to original sources
PubMed1987

Marketing and strategic management: integrating skills for a better hospital.

Participants in a 1985 one-day seminar sponsored by the American Hospital Association's Society for Hospital Planning and Marketing were asked two questions: How many of the hospitals represented here have conducted marketing surveys in the recent past? How many of you were satisfied with the results of the survey or could integrate it into the strategic management of your institution? While all but two of the 125 participants answered yes to the first question, only two responded affirmatively to the second. A gap between having a survey done and implementing the results had been identified. The administrators had probably rushed into "marketing" with little forethought and even less effort to comprehend how this management skill fits into existing institutional skills, capabilities, roles, and goals. To close the gap between marketing theory and practice an institution must adopt a more far-reaching, proactive stance toward integrating marketing into the management routine at an early stage. This article presents a case study that may help health care administrators rethink the role of marketing in management and its place in the sequence of strategic decision making for their institution.

Consultants↗
PubMed2005

[Crisis management and medical disputes related to nursing practice].

The number of medical dispute cases has been increasing, due to uncertainties about medical care quality and outcomes as well as the increased influence of consumer-centered ideology. This situation has created difficulties in the relationships between patients/family members and health care providers. This paper focuses on discussing crisis management and medical disputes as related to nursing practice. Reviewed literature was organized into four parts: understanding crisis management; crises in medical institutions; nursing practice, medical disputes and crisis management; practical implications. The information included in this paper might improve nurses' and administrators' knowledge of crisis management, enhance the implementation of crisis management strategies in medical disputes, and reduce financial losses and psychological distress resulting from inappropriate crisis management.

Malpractice↗
PubMed1995

Roles of the general practitioner in different contexts.

The word ¿general practice¿ denotes different contents of work as we look at different contexts. General practitioners may provide first line care, function as secondary care providers at hospital level, take responsibility for the management of health care systems. These different roles can be seen as results from historical processes of division of work in the field of health care, which gave general practice its present shapes. During the first half of the 20th century, western general practitioners were gradually excluded from hospitals as well as from public health activities. When they started to react in order to increase their legitimacy they strived--with variable success--to gain recognition as curative first line care providers, as this had become the only place in the health care system they could claim for. They gradually defined their specificity in terms of polyvalence enabling them to deal with unselected problems, and in terms of global view allowing for adequate priority setting. In developing countries, the organisation of medical care was and remains influenced by western models. As in western countries, emphasis has been put on specialisation and hospital technology. General practice was not exported to developing countries: general practitioners appear rather as cheap substitutes for specialists. The most typical workplace for general practitioners in developing countries remains the rural hospital. But their role model refers to the hospital based specialist: they tend to focus on patient care for hospital users rather than on dynamising health care delivery to the whole community in the district. In urban areas, the recent expansion of (mostly private) first line medical care is also not specific to general practice and tends to be in favour of specialists. What is the common denominator to these different roles, if any? A possible answer lies in the primary health care approach. It allows to define the specificity of general practitioners in terms of multifactorial approach and global view on health and illness, which differentiates them from specialists. Whether they provide this care themselves or organise it at district level could be less important to their professional identity than the general attitudes and knowledge they rely on.

Attitude of Health Personnel↗
PubMed1993

Implementing a clinically focused advancement system. One institution's experience.

Clinical ladders were designed to recognize, reward, and retain professional nurses who chose to remain in direct clinical practice. One institution implemented a clinically focused advancement system that addresses many of the pitfalls that have historically caused clinical ladders to fail. The authors describe unique features of the advancement system, along with the process for advancement, budgetary considerations, and transition to the new advancement system.

Budgets↗
PubMed2005

Portrait of occupational therapy.

The profession of occupational therapy promotes individuals to achieve health and wellness through engagement in meaningful occupations of daily living. This occupation-focused profession plays a critical role in health care in a multitude of settings with a wide range of clients. The paper highlights a global overview of the philosophies of occupational therapy, the current international practices in occupational therapy, the education of therapists, and the roles of law and professional societies that govern the practice of occupational therapy.

Education, Continuing↗
PubMed1976

Comparison of a private family practice and a university teaching practice.

In March 1972 a private family practice in Hamilton, Canada, became a teaching practice of McMaster University. Subsequently a before-and-after study was conducted to compare characteristics of the patients and the impact of the change on the practice. There was a 34 percent reduction in practice size. There was a shift to younger patients and a substantial drop in mean patient income. Utilization rates of health services rose, particularly hospitalization, even though the average length of stay decreased. Profiles of complaints and diagnoses remained very similar. Quality of care scores were comparable with those of community controls before and after the change. Gross income from clinical earnings dropped, but the amounts per person per year were very similar in the two periods. It is concluded that the "transplanted private practice" which becomes part of a school of medicine is a realistic teaching resource in primary care.

Family Practice↗