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Article
Publication date: 16 November 2015

Hospital management training for the Eastern Mediterranean Region: time for a change?

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…

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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
DOI: https://doi.org/10.1108/JHOM-11-2014-0197
ISSN: 1477-7266

Keywords

  • Hospital managers
  • WHO
  • Hospital management
  • EMR countries
  • Health systems
  • Formalized training

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Article
Publication date: 2 May 2008

Defining competencies for hospital management: A comparative analysis of the public and private sectors

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…

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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
DOI: https://doi.org/10.1108/17511870810870547
ISSN: 1751-1879

Keywords

  • Hospitals
  • Managers
  • Competences
  • Public sector organizations
  • Private sector organizations
  • South Africa

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Article
Publication date: 1 April 1998

Towards development of professional management in Indian hospitals

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…

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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
DOI: https://doi.org/10.1108/02689239810227137
ISSN: 0268-9235

Keywords

  • Health care
  • Hospitals
  • Leadership
  • Management
  • Professionalism
  • Training needs

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Article
Publication date: 31 October 2019

Strategic alignment of project management with health, safety and environmental management

Mohammad Javad Ershadi, Reza Edrisabadi and Aghileh Shakouri

Project management generally covers many important areas such as cost, quality and time in different industrial settings, but it is deficient in relation to integration of…

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Abstract

Purpose

Project management generally covers many important areas such as cost, quality and time in different industrial settings, but it is deficient in relation to integration of health, safety and environmental risks. Poor knowledge of project managers about HSE management necessitates the studying on the mutual effects of HSE and project management. Hence, investigating the impact of project management on health monitoring programs, safety prevention monitoring, environmental monitoring plans and finally the effectiveness of professional health monitoring programs and determining their importance are main objectives of this research. The paper aims to discuss these issues.

Design/methodology/approach

A model based on structural equations was designed and developed. The constructs of this model are project management, health monitoring and safety prevention monitoring program. Based on the conceptual model, some questionnaires were prepared and distributed among the experts of strategic project management.

Findings

The results of applied structural modeling suggest that project management focuses on each aspect of HSE management, including health monitoring programs, safety prevention monitoring programs, environmental monitoring plans and effectiveness of professional health monitoring programs. HSE management can also be strengthened by empowering project management. Checking fire protection systems, using appropriate techniques to identify contamination and disposal of waste and incorporating techniques for brainstorming or other ideas creation in the group are the most important tasks in HSE-enabled project management frameworks.

Originality/value

Since there is still no strategic alignment model that includes components of project management and HSE management, a model for achieving this goal is vital. This paper elaborates this alignment based on literature and using a field study.

Details

Built Environment Project and Asset Management, vol. 10 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/BEPAM-03-2019-0023
ISSN: 2044-124X

Keywords

  • Occupational health
  • Environmental management
  • Project management
  • Structural equation modelling
  • Safety measures

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Article
Publication date: 23 May 2008

Re‐connecting histories: modernity, managerialism and development

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…

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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 health‐management 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
DOI: https://doi.org/10.1108/14777260810876286
ISSN: 1477-7266

Keywords

  • Critical management
  • Health services sector
  • Management technique
  • Cross‐functional integration

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Article
Publication date: 1 March 1994

Anbar Abstracts Issue

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…

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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
DOI: https://doi.org/10.1108/02689235199400001
ISSN: 0268-9235

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Article
Publication date: 4 February 2019

Determining a conceptual framework for safe and sustainable health-care waste management (SSHCWM) implementation in health-care facilities

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…

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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
DOI: https://doi.org/10.1108/JFM-11-2017-0059
ISSN: 1472-5967

Keywords

  • Performance assessment
  • FM performance
  • Health-care facilities
  • Sustainable FM
  • Sustainble health-care waste management
  • Value-added FM

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Book part
Publication date: 20 December 2000

Advances in health care management: The series

John D Blair, Myron D Fottler and Grant F Savage

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Abstract

Details

Advances in Health Care Management
Type: Book
DOI: https://doi.org/10.1016/S1474-8231(00)01003-X
ISBN: 978-0-76230-684-8

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Article
Publication date: 1 March 1995

Anbar Abstracts Issue

Martin Fojt

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

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Abstract

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

Details

Journal of Management in Medicine, vol. 9 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/02689235199500001
ISSN: 0268-9235

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Article
Publication date: 1 March 1993

Anbar Abstracts Issue

This special “Anbar Abstracts” issue of Journal of Management in Medicine is split into 6 sections covering abstracts under the following headings: General Management;…

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Abstract

This special “Anbar Abstracts” issue of Journal of Management in Medicine is split into 6 sections covering abstracts under the following headings: General Management; Personnel and Training; Quality in Health Care; Health Care Marketing; Financial Management; and Information Technology.

Details

Journal of Management in Medicine, vol. 7 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/eb060630
ISSN: 0268-9235

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