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Open Access
Article
Publication date: 16 November 2015

Fauziah Rabbani, Farah Naz Hashmani, Aftab A Ali Mukhi, Xaher Gul, Nousheen Pradhan, Peter Hatcher, Mounir Farag and Farhat Abbas

The WHO Eastern Mediterranean Regional Office has emphasized health system strengthening among the top five strategic priorities. One of the integral elements of health systems…

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Abstract

Purpose

The WHO Eastern Mediterranean Regional Office has emphasized health system strengthening among the top five strategic priorities. One of the integral elements of health systems are the hospitals. The purpose of this paper is to review the need for formalized training in hospital management to improve the quality of care.

Design/methodology/approach

Literature review and hands on experience of conducting a regional training in hospital management for Eastern Mediterranean Region (EMR) countries.

Findings

Majority of patients in EMR bypass Primary Health Care facilities due to inadequate quality of services and prefer seeking specialized care at a tertiary level. There is mounting evidence of mediocre to poor patient satisfaction due to inefficient health care practices in hospitals of EMR. Strengthening the management capacity of the hospitals through a formal training programme is therefore necessary for improving the performance of health care delivery and the overall health system. Hospital management encompasses hospital planning and operational activities including development and implementation of organizational strategies to ensure adequate numbers and quality of trained human resources and effective financial management, disaster management, health management information system utilization, support services, biomedical engineering, transport and waste management. Such training will prepare health care professionals with leadership skills to deliver quality hospital services.

Originality/value

This is one of the first papers emphasizing the need for a formal structured regional training in hospital management for the countries of EMR. A modular incremental training approach developing an EMR Credit Transfer and Accumulation system is proposed.

Details

Journal of Health Organization and Management, vol. 29 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 2 May 2008

Rubin Pillay

The purpose of this paper is to address the problem of providing managers in both the public and private sectors with the requisite competencies to help address efficiency…

2640

Abstract

Purpose

The purpose of this paper is to address the problem of providing managers in both the public and private sectors with the requisite competencies to help address efficiency, effectiveness and responsiveness in the delivery of health services.

Design/methodology/approach

A cross sectional survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate the level of importance that each proposed competency had in their job and to indicate their perceptions about the adequacy of health management training programs in South Africa.

Findings

Hospital managers in both sectors feel that people management and self management skills are the most valuable for the efficient and effective management of hospitals, followed by “hard management skills” and skills related to the ability to think strategically. Specific skills or knowledge related to health care delivery were perceived to be least important. Public sector managers were also more likely to seek future training, and were also more adamant about the need for future management development programs.

Originality/value

This research provides the evidence that there is a great need, as well as a significant demand, for a degree program in health management at South African institutions. The findings will be useful in the conceptualization, design and delivery of health management programs aimed at enhancing current and future management and leadership capacity in the health sector.

Details

Leadership in Health Services, vol. 21 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 April 1998

Syed Amin Tabish

Hospitals consume the largest share of government health resources, yet, until recently, they have not been a focus of health policy and research in developing countries, where…

1293

Abstract

Hospitals consume the largest share of government health resources, yet, until recently, they have not been a focus of health policy and research in developing countries, where the resources are in negative proportion to the demands placed on services of health care institutions, and where the possibility of resources being increased in the short run is very remote, the only hope for the increase in the effectiveness of the health care system being the effective management of hospitals. A professional administrator with multidisciplinary training would ensure the optimal use of resources. We live in the age of perfection at all levels. Hence, professional training is the basic requirement for the personnel to function effectively in a hospital. Professional training is required to be imparted by the institutions specialised in professional training. Professional management has an immense scope and a bright future market on account of the increasing demand for specialised and quality health care. Better management or lack of it will determine the future of health service. This paper focuses on development of management and the requirement for professional administrators in India.

Details

Journal of Management in Medicine, vol. 12 no. 2
Type: Research Article
ISSN: 0268-9235

Keywords

Article
Publication date: 23 May 2008

Sadhvi Dar

The aim of the paper is to connect the field of health management to other related academic discourses (critical management studies and critical development studies) that can…

1652

Abstract

Purpose

The aim of the paper is to connect the field of health management to other related academic discourses (critical management studies and critical development studies) that can contribute to a more interdisciplinary approach to understanding health organizations and management.

Design/methodology/approach

The paper's design is theoretical critique that blends post‐structural, critical management and critical development approaches into a focused discussion of modernity and its relevance to contemporary health management issues.

Findings

Modernity proliferates through a variety of rhetorical tropes that go unnoticed or remain invisible. Through a brief analysis of historical definitions of management and development, the findings suggest that health management could also be critiqued as a cultural and social construction, enriching anthropological studies as well as informing practical critiques of health projects in the development sector.

Research limitations/implications

The conceptualisation of healthmanagement as a cultural construct of modernity opens up the prospect for some rich empirical studies into what management practices support the scientific‐rational claims on which it rests.

Practical implications

The critique informs a re‐appraisal of health management practices that are often taken for granted and ritualistic parts of organizational life. Such a re‐evaluation could lead to the implementation of more nuanced and appropriate health practices.

Originality/value

Connecting management and development discourses in this way has not been done before and its relevance to health management remains under‐researched. This paper highlights the way these discourses can enrich the study of health organizations and create a truly interdisciplinary understanding of health.

Details

Journal of Health Organization and Management, vol. 22 no. 2
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 March 1994

Eric Sandelands

This special “Anbar Abstracts” issue of the Journal of Management in Medicine is split into six sections covering abstracts under the following headings: General Management;…

Abstract

This special “Anbar Abstracts” issue of the Journal of Management in Medicine is split into six sections covering abstracts under the following headings: General Management; Personnel and Training; Quality in Health Care; Health Care Marketing; Financial Management; Information Technology.

Details

Journal of Management in Medicine, vol. 8 no. 3
Type: Research Article
ISSN: 0268-9235

Article
Publication date: 17 December 2018

Timothy Kurannen Baaki, Mohamad Rizal Baharum and Azlan Shah Ali

This paper aims to explore current sustainable facilities management knowledge and practice, focussing specifically on sustainable waste management implementation in health-care…

Abstract

Purpose

This paper aims to explore current sustainable facilities management knowledge and practice, focussing specifically on sustainable waste management implementation in health-care facilities with an aim to conceptualize a framework for assessing performance and impact of successful implementation of safe and sustainable health-care waste management on health-care provision.

Design/methodology/approach

This paper used a review of existing literature in relation to health-care waste management in the context of sustainable facilities management and facilities management performance and forms a basis for further research.

Findings

The growing significance of the strategic role of facilities management is established. Building on this recognition, a conceptual framework for assessing both implementation of sustainable facilities management practice in the context of waste management in health-care facilities and its impact on health-care provision is proposed.

Originality/value

This paper conceptualizes a framework for optimizing safe and sustainable waste management implementation in health-care facilities and assessing its impact on the bottom-line of health-care provision.

Details

Journal of Facilities Management, vol. 17 no. 1
Type: Research Article
ISSN: 1472-5967

Keywords

Open Access
Article
Publication date: 10 May 2022

Simone Fanelli, Lorenzo Pratici, Fiorella Pia Salvatore, Chiara Carolina Donelli and Antonello Zangrandi

This study aims to provide a picture of the current state of art in the use of big data for decision-making processes for the management of health-care organizations.

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Abstract

Purpose

This study aims to provide a picture of the current state of art in the use of big data for decision-making processes for the management of health-care organizations.

Design/methodology/approach

A systematic literature review was carried out. The research uses two analyses: descriptive analysis, describing the evolution of citations; keywords; and the ten most influential papers, and bibliometric analysis, for content evaluation, for which a cluster analysis was performed.

Findings

A total of 48 articles were selected for bibliographic coupling out of an initial sample of more than 5,000 papers. Of the 48 articles, 29 are linked on the basis of their bibliography. Clustering the 29 articles on the basis of actual content, four research areas emerged: quality of care, quality of service, crisis management and data management.

Originality/value

Health-care organizations believe strongly that big data can become the most effective tool for correctly influencing the decision-making processes. Thus, more and more organizations continue to invest in big data analytics, and the literature on this topic has expanded rapidly. This study seeks to provide a comprehensive picture of the different streams of literature existing, together with gaps in research and future perspectives. The literature is mature enough for an analysis to be made and provide managers with useful insights on opportunities, criticisms and perspectives on the use of big data for health-care organizations. However, to date, there is no comprehensive literature review on the big data analysis in health care. Furthermore, as big data is a “sexy catchphrase,” more clarity on its usage may be needed. It represents an important tool to be investigated and its great potential is often yet to be discovered. This study thus sheds light on emerging issues and suggests further research that may be needed.

Article
Publication date: 11 October 2021

Nuzaihan Aras Agus Salim, Naziah Muhamad Salleh, Mastura Jaafar, Mohd Zailan Sulieman, Norhidayah Md Ulang and Andrew Ebekozien

Frequent fire incidences in various hospitals across the globe with devastating effects on humans and other resources have multiplied. Stakeholders in the health-care sector are…

1037

Abstract

Purpose

Frequent fire incidences in various hospitals across the globe with devastating effects on humans and other resources have multiplied. Stakeholders in the health-care sector are worried because of the yearly fire outbreak increase. However, fire safety management has been proved as a successful platform to mitigate fire in health-care facilities. How far regarding public health-care facilities is yet to receive in-depth studies in Malaysia. This paper aims to investigate the issues associated with fire safety management and proffers possible solutions to improve safety in public health-care facilities from the operators’ perception.

Design/methodology/approach

The objectives were achieved through a combination of case studies of five selected Malaysia’s public hospitals and a qualitative approach. Thematic analysis with the assistance of MAXQDA (software program designed for computer-assisted qualitative and mixed methods data) 2018, a type of qualitative data analysis software was used to analyse the collated data which emerged from the knowledgeable participants.

Findings

Lax implementation of safety policy, inadequate water pressure, poor maintenance, inadequate communication system, amongst others, emerged as the issues. Findings proffer five main measures to possibly improve fire safety management in public health-care buildings. This includes a feasible institutional framework, improve the emergency response team, improve the occupational health and safety system and others.

Research limitations/implications

This paper is limited to exploring the issues associated with fire safety management and proffer possible solutions to improve safety in public health-care facilities from the operators’ perception. Future research is needed to engage useful information in advancing fire safety management in public hospital buildings and possibly developing a qualitative model using a generic fire response model. Also, to investigate the level of compliance with the requirements of a fire safety management plan and possibly develop a well-detailed fire safety plan in Malaysia’s public health-care buildings.

Practical implications

As part of the paper implications, the paper concludes that improved fire protection systems via modern technologies and training of key staff members in accident response and recovery during fire emergencies should be encouraged. This can be achieved through the enforcement and implementation of a fire safety management plan. Thus, this study is encouraging the implementation and sustainability of a fire safety management plan for health-care buildings across Malaysia.

Originality/value

To the best of this paper’s knowledge, this is possibly the first comprehensive paper on fire safety management in public health-care facilities that engaged operators in Malaysia. Moreover, this paper proffers feasible policy solutions to improve the fire safety management plan in public health-care buildings.

Details

Journal of Facilities Management , vol. 21 no. 1
Type: Research Article
ISSN: 1472-5967

Keywords

Article
Publication date: 24 August 2021

Rona Bahreini, Masoumeh Gholizadeh, Fethiye Gulin Gedik, Mahmoud Yousefi and Ali Janati

The purpose of this study is to identify components of contributing conditions to strengthen leadership and management capacity in the health system.

Abstract

Purpose

The purpose of this study is to identify components of contributing conditions to strengthen leadership and management capacity in the health system.

Design/methodology/approach

A systematic search was undertaken in databases including PubMed, Scopus, Web of Science and local resources of Scientific Information Database and Magiran in January 2020. Two independent researchers checked the research process, screening of articles and quality assessment. The quality of the studies was assessed by JBI critical appraisal tools for qualitative studies. The components of the dimensions of health system management and leadership capacity were categorized according to the WHO conceptual framework using a content analysis approach.

Findings

A total of 17 articles were included in this study. In total, 16 categories of components include human resource information system (n = 5); criteria, plans and procedures for selection and appointment (n = 5); development of education system (n = 11); skills (n = 39); knowledge (n = 8); attitudes (n = 6); behaviors (n = 10); resource and critical management system (n = 7); performance and processes management (n = 3); operational planning for critical systems (n = 4); establish control systems (n = 2); inputs and outputs of organizations (n = 2); accountability and responsibility to customers and stakeholders (n = 4); legal authority and requirements to play the role of managers (n = 9); external and internal environment management (n = 7); establish a system of appreciation and encouragement (n = 6). Each of these categories also contains subcategories.

Originality/value

Identifying prerequisite conditions are necessary for building leadership and management capacity in health systems. Therefore, extracted components provide a simple but coherent framework that can be adapted or modified for use in local situations. The components have a variety of uses, including mapping current activities, needs assessment, planning leadership and management development strategies and monitoring and evaluation.

Details

Leadership in Health Services, vol. 34 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Abstract

Details

Advances in Health Care Management
Type: Book
ISBN: 978-0-76230-684-8

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