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Results for “Models, Organizational”

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At least 19 recordsLinked to original sources
PubMed1992

[Surgical day hospital: technical possibilities and organizational model].

The Authors propose an organizational model for a surgical day hospital program, which is being used for a pilot day surgery unit in the I Department of Surgery of the Rome University "La Sapienza". The program requires little capital investment, as it is closely linked, geographically and administratively, to the main surgical unit, and uses the present staff, facilities and support services. The model is based on a computerized LAN (Local Area Network), providing fast recording, scheduling, management and trannsfer of medical data for each patient. The present situation is reported in detail. Data from the authors' outpatient department for 1988, have been recorded and elaborated. The results show a low use of surgical day care, limited to minor surgical procedures, and with not a single operation performed under general anesthesia. The authors hope to see a growth in the use of day surgery and a more selective use of inpatient care.

Adolescent↗
PubMedDate not supplied

Organizational models and staff preparation: a survey of staff development departments.

A national survey of staff development (SD) departments of hospitals was conducted to determine the organizational models (centralized, decentralized, or combination) used. The survey asked about departmental organization, instructor role, staff title, core responsibilities, percentage of work for various departments, SD department head and staff educational preparation, and demographic data. This article discusses the data obtained from the 48 responses (41%) that pertain to the organizational model (26 or 54% used combination model) and staff preparation (master's degree was most prevalent). The data and survey approach could be used by a SD department when choosing an organizational model.

Education Department, Hospital↗
PubMed1992

[An organizational model of nursing service].

This study approaches how important is a nursing organized service to achieve effectiveness. The author proposes a Nursing service organization model containing items such as: philosophy, goals, internal regiment and policies, divided in directive structure, budget human and material resources, teaching, research and nursing assistance.

Health Policy↗
PubMedDate not supplied

Completing the hospice organizational model.

Hospices must be thought of as still being in their formative stages. We need not be satisfied with staffing arrangements and practices that, largely for reasons of expediency and the lack of other models, were inherited from other healthcare agencies or foisted on us by federal bureaucrats and third party payers. These external demands will be countered and features unique to hospices created only to the extent that all of us are clear about what we most need and want for ourselves as staff. That is how we created the patterns used in working with clients. Now let us use the same ingenuity in fashioning ways of working among ourselves.

Health Personnel↗
PubMed1992

[Major ambulatory surgery: organizational models].

In this essay, the authors provide a definition for those medical care facilities representing a consolidated alternative to traditional hospitalization. These facilities can be basically ascribed to the following patterns: day case surgery; day-hospital activity; home-care. Day case surgery is a complex and, in most cases, interdisciplinary procedure; this type of activity necessitates a pre-hospitalization period and often also a "protected discharge" or even a home-care service. Some specific criteria regarding day surgery activity have been defined as follows: the main criteria have a clinical nature, but they interact with others belonging to a social and structural-organizational order. The Royal College of Surgeons of United Kingdom has officially recognized in 1985 this medical care typology as one of the constituents of surgical care, and has evaluated that at least 1/3 of the overall operations could be carried out as day care surgery. In the United States, besides hospital and ambulatory surgery activity, a new pattern known as "free-standing center" has been promoted; in 1993, 35% of the operations is expected to be carried out in day case surgery centers. As far as Italy is concerned, in 1988 only day-hospital practice has been adequately recognized as an alternative medical care facility to traditional hospitalization. The Emilia Romagna region, in order to increase day case surgery activity, has issued in 1991 a list of 53 DRGs, in which day bed units treatment was possible. Up to now, however, only a small part of these diseases is treated on a day case surgery basis.

Ambulatory Care Facilities↗
PubMed1991

Modeling organizational determinants of hospital mortality.

This study examines hospital characteristics that affect the differential in hospital mortality. Death rates for 1984 Medicare inpatients in acute care hospitals, released by the Health Care Financing Administration in 1986, were analyzed. A confirmatory statistical approach to organizational determinants of hospital mortality was formulated and validated through an empirical examination of 239 hospitals. The findings suggest that the effect of hospital size and specialization on mortality was a spurious one when the effects of other variables were simultaneously controlled. A positive association existed between service intensity and hospital mortality: the more hospital services consumed, the higher the mortality rate. Community attributes accounted for more variance in hospital mortality rates than did organizational attributes. The organizational and community factors studied explained 27 percent of the total variance in hospital mortality.

Catchment Area, Health↗