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At least 91 records · Page 5Linked to original sources
PubMed1989

Regulating the construction of hospitals or vice versa: the courts and private hospital planning in Victoria.

This paper examines the legal framework for regulating the development of new private hospitals in Victoria. It first reviews the genesis of the statutory power for private hospital regulation and outlines the two court cases which clarified the interpretation of the statute. The legislation and its interpretation by the courts emphasise a particular approach to private hospital planning which does not necessarily address the problems faced by consumers of hospital services in Victoria. It is argued that the law has constructed a particular framework for private hospital regulation which does not address the critical problems facing the hospital system in the 1990s. The legal framework for regulation is based on property rights rather than the needs of hospital users, despite the language used in the legislation.

Health Planning Guidelines↗
PubMed1981

Social planning orientations: exercises in compliance or planned social change?

The author presents the idea that the established conceptual bases for the practice of social planning no longer apply to the circumstances that define the current planning environment. The idea is based on the observation that the practice of social planning in the public sector is primarily an exercise in complying with prescribed protocols and regulations in order to legitimize the expenditure of funds for social programs. The observation is derived from experience with four major social planning programs: Area Agencies on Aging; Community Action Programs; State Social Service (Title XX) Agencies; and Health Systems Agencies. Common experiences in these agencies suggest the need for an additional orientation to planning. A negotiated-operational orientation that is more closely aligned to the environmental conditions of the social planning experiences is described. The ability of the social planner to use this orientation as an additional frame of reference is seen as a key factor determining whether compliance or social change will be a dominant characteristic of social planning in the 1980s.

Health Planning↗
PubMed1984

Hospital bed planning in Canada: a survey analysis.

The need to plan health and especially hospital care delivery systems is becoming more critical in this period of severe financial constraints and even cutbacks of services. This article reports on a survey of hospital planning norms and bed requirements methodologies in Canada conducted in 1977 and 1980. The comparison and assessment of approaches to bed need determination in the Canadian provinces, together with some recommendations, are preceded by a review of basic hospital planning methods and their use in a number of selected countries. The literature review and the analysis conducted reveal that the "formula method" (beds per 1000 population) is the most common approach used to define and to allocate the "optimum" number of beds in the countries reviewed and in Canada. Despite its shortcomings, this method appears to have many advantages (e.g., simplicity, equity, flexibility). In general, provincial authorities use similar factors in the calculation of the number of beds to be provided, the most important ones being the size of the projected geographic population or population served by age groups. The acute care bed guidelines in Canada range from 3.5 per 1000 population in southern Ontario to 5.0 in Saskatchewan and Alberta. Extended care bed guidelines are much more spread between provinces. The analysis underlines the difficulties faced by the planner and the researcher in comparing bed guidelines due to significant definition and content differences between provinces. It finally leads to the observation that hospital planning remains arbitrary and appears to be more designed to ration the supply of services and to contain overall expenditures than to really try to meet the "need" of the population for hospital services.

Bed Occupancy↗
PubMed1988

Forecasting the demand on accident and emergency departments in health districts in the Trent region.

The annual new, return and total attendances at Accident and Emergency (A and E) Departments for Trent district and the whole of the Trent region are forecast for the years 1986 to 1994 by using the autoregressive integrated moving average (ARIMA) time series model applied to the SH3 A and E returns for 1974 to 1985. The 1986 forecasts of annual new, return and total attendances in Trent districts are compared with the actual attendances observed; the new attendance forecasts were found accurate, the return attendance forecasts less so. The latter may reflect inability to predict changing policies on return attendances of individual A and E departments. The 1994 ARIMA forecasts of annual A and E new attendances for Trent districts are compared with the 1984 based regional guidelines for 1994 and the projections for individual districts. Both the ARIMA models and the health districts' own projections produce a different forecast to the 1994 regional guideline which seems to overestimate. The forecasting methodology used has other applications in health care planning.

Accidents↗
PubMedDate not supplied

Conditions and problems of the labour force in agriculture.

"This paper...deals with the conditions of the agricultural labour force in the [ESCWA] region.... The study propounds several proposals which collectively could form the broad outlines of a policy aimed at finding proper solutions for the problems of the agricultural labour force in the countries of the region." The author focuses on Egypt, Iraq, Jordan, Lebanon, Syria, and Yemen.

Agriculture↗
PubMed1981

Expanding the role of social workers in coordination of health services.

The lack of connection between the two approaches to coordination--the structural approach and the case coordination approach--has hampered efforts to coordinate health care services. This article discusses the bases for integrating the two approaches and presents guidelines for expanding the role of social workers in coordination.

Health Planning Guidelines↗
PubMed1979

Utilization of computed tomography scanners and the health planning issue: a process data summary.

Studies were made of the computed tomography (CT) scanning process at three hospitals. The data collected, while of interest to hospital administrators and radiologists, are particularly significant in view of the current structure of health planning guuielines. The data show clearly that the utilization potential of a particular CT scanner is a function of patient demand, scan time, the ratio of head to body procedures, and medical practice insofar as contrast medium administration is concerned. This paper summarizes the results of the hospital studies and documents the implications of the data for health planning guidelines.

Adult↗
PubMed1979

Hospital buildings have few alternative uses.

A year ago HEW published guidelines regulating hospital beds and occupancy rates. Reluctant to close their doors, administrators have sought conversion alternatives, most of them impractical and economically impossible. A go-slow attitude is recommended, as population increases will dictate hospitals' proper response.

Bed Occupancy↗