Costs, Organization and Management of Hospitals

Jan Stępniewski, Marek Bugdol

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ISBN/ISSN:

978-83-233-3008-0

DOI:

Wydawnictwo:

Wydawnictwo Uniwersytetu Jagiellońskiego

Rok wydania:

2010

Liczba stron:

240

XML:ISBN/ISSN:

ONIX MARC21

Bibliografia:

. Costs, Organization and Management of Hospitals. Red. Stępniewski, Jan; Bugdol, Marek . Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego, 2010, 240 s. ISBN 978-83-233-3008-0

Bibliografia refWorks:

RT Book, Whole

SR Electronic(1)

A2 Stępniewski, J.

A2 Bugdol, M.

T1 Costs, Organization and Management of Hospitals

PB Wydawnictwo Uniwersytetu Jagiellońskiego

PP Kraków

YR 2010

SN 978-83-233-3008-0

Bibliografia BibTex:

@Book{ 39243, author = "", editor = "Stępniewski, Jan and Bugdol, Marek", title = "Costs, Organization and Management of Hospitals", publisher = "Wydawnictwo Uniwersytetu Jagiellońskiego", year = "2010", address = "Kraków", isbn = "978-83-233-3008-0" }

Bibliografia endNote:

TY - BOOK

AU -

ED - Stępniewski, Jan

ED - Bugdol, Marek

TI - Costs, Organization and Management of Hospitals

PB - Wydawnictwo Uniwersytetu Jagiellońskiego

CY - Kraków

PY - 2010

SN - 978-83-233-3008-0

ER -

Netografia (standard APA):

. Red. Stępniewski, Jan; Bugdol, Marek. Costs, Organization and Management of Hospitals [baza danych online] Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego, 2010 [dostęp: 04 07 2024]. Dostęp w Ibuk Libra: https://libra.ibuk.pl/reader/costs-organization-and-management-of-hospitals-jan-stepniewski-marek-bugdol-39243.

health care, hospitals, management of hospitals, finances in hospitals

A successful health care unit means meeting patients’ expectations, taking advantage of the latest organizational and technological solutions and, at the same time, providing financial balance. To achieve such a success the units have to put...

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ISBN/ISSN:

978-83-233-3008-0

DOI:

Wydawnictwo:

Wydawnictwo Uniwersytetu Jagiellońskiego

Rok wydania:

2010

Liczba stron:

240

XML:ISBN/ISSN:

ONIX MARC21

PREFACE12
INTRODUCTION14
PART I. Costs and fi nances in hospital16
1.1. New changes in public hospital funding: The French DRGs (GHS) and their consequences on Low-income patients and social disabilitie18
1.2. Cost accounting and its role in the management of a hospital33
1.3. The aspect of resources in activity based costing for hospital management purpose41
1.4. The use of cost accounting systems in health care units in the Lublin area48
1.5. The role of internal audit in hospital53
1.6. Construction of the soft budget restrictions and health unit debt61
Bibliography68
PART II. Innovation, organization and management of hospital74
2.1. Organizational innovations of hospital76
2.1.1. Innovations in hospital76
2.1.2. Innovation and organisation in the hospital: a French perspective85
2.1.3. Organizational innovations in production of hospital service96
2.1.4. Organisational standards of the endoscopic surgery ward106
2.1.5. Organisation of one day surgery clinic111
2.1.6. Information systems and risk management in health institutions. A practice-based approach115
2.2.1. The application of the process-oriented management concept in improving the productivity of hospital operation127
2. 2. Management of hospital127
2.2.2. Functioning of hospitals after commercialization134
Bibliography142
PART III. Human resource, patients’ rights and quality service of hospital150
3.1. Human resource of hospital152
3.1.1. Perspective of personnel function development in Polish hospital152
3.1.2. Interpersonal and intergroup communication process in the hospital160
3.1.3. Ethical aspects of competitions on managing position of hospital170
3.2. Patients’ rights while quality of medical service180
3.2.1. Quality of medical services from a point of view of patients’right180
3.2.2. Patients’ satisfaction in the medical services quality management – research problem189
3.2.3. Perspective of patient in managing quality of medical service196
3.2.4. Quality improvement in hospital using the QFD method205
3.2.5. Ethical programme of hospital219
Bibliography231
CONCLUSIONS238
SUMMARY240

Costs,organizationandmanagementofhospitals

publichospitals.Asinallcountrieshavingaprospectivepaymentsystem,case-mix

putstogetherpatientswithcomparablelevelsofresourceuse.Patientsareallocated

toagroupbasedondiagnosis,procedures,ageandgenderwithnoconsiderationof

theirsocialand/orphysicaldisabilities.3

InEngland,theprospectivepaymentsystemhasbeenrolledouttocoverallhos-

pitalandcommunityservicesfromApril2008.4Theobjectiveofthisprogramisto

improvefundingtransparencyandhospitalefﬁciency.

ComparedtotheUnitedStates,itisanewchallenge.Sincetheintroductionof

theDRGsystemforUSAMedicarepatientsin1983,casepaymentmechanismshave

graduallybecometheprincipalmeansofreimbursinghospitalsinmostdeveloped

countries,especiallyinEurope.Theuseofcasepaymentsneverthelessposessevere

technicalandpolicychallenges.Manyunsolvedissuesremainintheirimplementa-

tion.5ThesocialdimensionassociatedwithfundingDRGisfarfrombeingconsid-

eredinthosecountries.Forexample,inEngland,Carpenteretal.,6haveshownthat

inarestrictiveﬁeldlikephysicaldisability,65%ofthepatientshadagrowinglevel

ofphysicaldisability.Thatresultsinafour-daylongerhospitalstaythanpredicted

bythehealthcareresourcegroup(HRG:UK-DRG).Thisextracostisnotprovided

forintheHRGtariffs.Inthemeantime,socioeconomicdeprivationisagrowing

phenomenon.7,8,9Suchdeprivationisoneelementofamultidimensionalsocialdis-

ability,linkedtosevensupposedlydistinctbutinterrelatedareas:health,resources,

culturalintegration,workingconditions,relationswithothers,housing,assets.These

areasconstituteaworkingdeﬁnitionofsocialdisability,ofwhichsocioeconomic

deprivationresultingfromlowincomeistheultimatestage.10,11A1998studyinthe

Frenchcontextshowedthat"lowincome”patientsspentonaverage2.52moredays

inhospitalthanthepopulationasawhole.Theirstayscost33%morethanfor"non-

disadvantaged”patients.12

3Ibidem.

4I.Carpenter,J.Bobby,E.Kulinskaya,G.Seymour(2007),Peopleadmittedtohospitalwith

physicaldisabilityhaveincreasedlengthofstay:implicationsfordiagnosisrelatedgroupre-im-

bursementinEngland,Age.Ageing.36,p.73–78.

5R.Busse,J.Schreyogg,P.C.Smith(2006),HospitalcasepaymentsystemsinEurope,Health

CareManag.Sci.9,p.211–213.

6I.Carpenter,J.Bobby,E.Kulinskaya,G.Seymour(2007),Peopleadmittedtohospitalwith

physicaldisabilityhaveincreasedlengthofstay:implicationsfordiagnosisrelatedgroupre-im-

bursementinEngland,Age.Ageing.36,p.73–78.

7R.Carr-Hill,P.Chalmers-Dixon(2005),Thepublichealthobservatoryhandbookofhealth

inequalitiesmeasurement,SouthEastEnglandPublicHealthObservatory(SEPHO),Oxford.

8J.P.Mackenbach(2006),HealthInequalities:EuropeinProﬁle,Anindependent,expertreport

commissionedbytheUK.PresidencyoftheEU.

9J.P.Ruger(2006),Ethicsandgovernanceofglobalhealthinequalities,J.Epidemiol.Com-

munityHealth60,p.998–1002.

10J.L.Borkowski,L.Kasparian(1991),Construiredesindicateursd’inégalités–Enquête

«Étudedesconditionsdevie»1986–1987,DocumentdetravailF9106.INSEE,Paris.

11A.Villeneuve(1991),Lamesuredesinégalitéssoussonaspectmultidimensionnel–Enquête

«Étudedesconditionsdevie»1986–1987,DocumentdetravailF9105.INSEE,Paris.

12C.Mathy,M.Bensadon(2002),Lesurcoûtdel’hospitalisationdespatientsprécaires,JEM.

20,p.263–278.

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