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PubMed1996

[Innovation, quality and economic efficacy of competitive health care--contribution to the "Healthy North Rhine-Westphalia" Project].

This is a report on what the Provincial Government of North Rhine Westphalia, the most densely populated area in Germany, has been doing to ensure that the various health establishments (such as, for example, hospitals, nursing homes, rehabilitation clinics, and so on) engaged in serving the public, shall act in solidarity jointly and severally in striving for maximum innovation, quality and efficiency while observing all the rules of competitive fairness. This approach was initiated by the Federal German government in 1993 by promulgating a law reforming the structural setup of all organisations engaged in health service work. From 1996 onward these institutions will be operating within the framework of rules ensuring mutual solidarity on a competitive basis. The general trend is to increase self-administration and a wider scope of activities and creative initiative based on imagination and economy, the latter becoming increasingly imperative to avoid wasteful working. In other words: By encouraging competition directed at a maximum of innovation, quality and economy, the main targets of public health policy will be finally within reach: to maintain the quality standards of public health services, to promote general access to these services, and also to provide a sound financial basis for them.

Competitive Bidding↗
PubMedDate not supplied

Transferring management technology: healthcare quality improvement education in central and eastern Europe.

The newly independent nations of the former Soviet Union continue to restructure and refine their political and economic environments. Competition for scarce of dwindling economic resources within these nations and between the nations of an expanding global community necessitates that they adopt more efficient and effective management methods to provide essential public services. As a result, organizational management concepts developed and used in the West (i.e., in the United States and the countries of the European Union) are eagerly sought for incorporation into new administrative systems. This is an opportune time for healthcare service management educators to develop and present total quality management (TQM) programs, stressing continuous quality improvement (CQI) methods specifically targeted and adapted to the organizational needs of these countries, as they restructure their societies from centrally planned to market-driven economies. In general, educators in healthcare service management, acting as information consultants, can play a pivotal role in guiding strategies for healthcare organizational change and in helping to stabilize transitional organizational processes, by providing guidelines that can improve utilization of healthcare resources and monitoring of healthcare service outcomes. Most of the observations and recommendations presented in this article are derived from the author's experiences in conducting healthcare management improvement projects in Bulgaria in 1993 and in Lithuania since 1991.

Commonwealth of Independent States↗