Search results

The paper aims to describe a research study on the impacts of different facility service procurement methods on the perceived performance of hospital engineering services (HES). The procurement methods examined include in‐house organization by hospital staff and through a service level agreement with a government agency, each with and without outsourcing from private sector services providers works for some trades of HES.

Performance of HES was measured by end‐users' perception obtained through a questionnaire survey. Statistical analysis of the perceived performance scores given in the 444 questionnaire returns was carried out to yield evidence in support of the hypotheses under test.

The main hypothesis tested was that given the unified management and monitoring system used among the hospitals and the low tolerance for inadequate HES performance in healthcare settings, there should be minimal differences in the perceived performance of the HES despite the fact that facility services for the HES were procured through different methods, which was shown to be largely valid by the survey findings. The second hypothesis tested was that good or poor performance would be dominated by the nature of different trades of HES, which was also validated by the survey findings.

Due to the small number of users involved for some trades of HES, the uncertainties in some mean performance scores are relatively large.

The findings allowed the hospital administration to focus on costs in measuring the cost effectiveness of HES provisions in its hospitals.

A situation that involves co‐existence of different procurement methods is hard to find, and thus the findings are valuable. The performance scores found in the study can be used for benchmarking performance of HES in future.

This study aims to confirm the inverse relationship between scheduled corrective maintenance (SCM) and corrective maintenance (CM) in health-care facility management. That is, the higher the SCM, the lower the demand for CM, and the lower the SCM, the higher the demand for CM. Furthermore, the study shows the importance of SCM as compared with CM in healthcare facilities.

This study investigated 28 services in facility engineering services for an exploratory study by using the open-ended approach of the grounded theory. Five years of data with a total of 20,480 SCM work orders and 84,837 CM work orders were extracted from the central management information system database. Data were analyzed using the Statistical Package for the Social Sciences program. Data were presented in the form of mathematical scores using descriptive statistics and correlation test to elaborate the variable characteristics and make conclusions.

This study provides empirical insights about the effectiveness of proactive maintenance in reducing breakdowns for systems or equipment in health-care facilities. Findings suggest that increasing SCM will reduce CM demands.

The location approach, with restrictions to the comparison between CM and SCM, still allows for exploration, especially on the factors that can reduce the demand for correction. These factors include planned preventive maintenance, work flow process, level of competency of maintenance workers and health-care maintenance strategic planning.

Proactive maintenance is important in preventing dangerous occurrences in hospitals. Reducing breakdowns increases customer satisfaction. Therefore, this study shows implications to health-care maintenance organizations in the context of business strategic development.

Data are crucial in proving a hypothesis. This study confirms the evidence of facility management demand theory and highlights the inverse relationship between SCM and CM.

The purpose of this paper is to investigate logistics activities in Singapore hospitals. It defines various types of activities handled by a logistics division. Inventory management policy and the use of information and communication technologies (ICT) for logistics purposes are also discussed. The study identifies the nature of strategic alliances in Singapore's health care industry.

This study was conducted by utilizing a framework for data collection, pre‐testing the questionnaire and conducting interviews. Various relevant literature was reviewed to design the questionnaire.

This study finds that logistics division carry out many related activities and some of them also provide engineering services. The hospitals make use of ICT. The hospitals are clustered under various groups to minimize the cost of operation, including the logistics related costs. However, hospitals do not see alliances with suppliers as a strategic option; rather they focus on outsourcing of logistics services. The findings also show that Singapore hospitals have a good stocking policy for both medical and non‐medical items so that changes in patient mix can be easily handled.

Singapore is continuously improving its health care industry and therefore, the findings will help hospitals in other regions to adopt some of the practices, like concentrating on local vendors, outsourcing, clustering, and maximum use of information technology as competitive factors that can improve the service and reduce the cost of operation. The paper suggests motivators and barriers to the use of ICT in logistics in the health care industry.

The maintenance of hospital buildings is often acknowledged as challenging tasks yet inevitable to ensure effective delivery of health-care functions. This study aims to investigate the rationale behind the execution of maintenance which provides essential input for better prioritization of maintenance tasks.

This study evaluated the determinants of building maintenance of public hospitals in Malaysia from the perspectives of key personnel appointed to monitor, supervise and inspect the activities of the privatised support services in public hospitals. A total of 66 questionnaire survey responses were analysed.

Findings revealed that the maintenance practices in public hospitals are user-centric with high emphasis on user’s expectations and complaints. Comparatively, vandalism and improper use of facilities were less of concerns.

This paper reveals the key determinants that influence decision-making in building maintenance of the Malaysian public hospitals from the perspective of maintenance personnel. It adds value to the under-researched topic of privatised hospital support services, which is currently outsourced to five concession companies nationwide.

This study aims to establish a rigorous model that can pragmatically evaluate the facilities management (FM) performance of hospitals.

Among the applicable performance indicators that were identified from extant literature, a focus group study shortlisted ten key performance indicators (KPIs) in four categories (safety, physical, financial and environmental) and verified their practicality. Using the analytic network process (ANP) method to process the focus group’s responses yielded importance weightings for the KPIs and developed the intended evaluation model. This model was then validated by a case study.

From the empirical data collected, two types of FM performance data and two scenarios of KPI scores were identified. To process these data and scores, a robust calculation method was devised and then proved useful in obtaining an overall score for holistic hospital FM performance. The case study confirmed the appropriateness and validity of the model developed.

Through illustrating how the ANP method could be applied to develop an FM performance evaluation model, the study contributes knowledge to the multi-criteria decision-making domain. Despite the geographical limitation of the model established (i.e. centered around a group of hospitals investigated in Hong Kong), the study can serve as a reference for developing performance evaluation models for other buildings or infrastructures globally.

The model constitutes a practical tool for evaluating the FM performance of hospitals. Using this model on a regular basis will enable performance benchmarking and hence, continuous improvement of FM services.

The ANP model established is the first of its kind tailored for evaluation of hospital FM performance.

Many engineering staff in the Health Service, from craftsmen to professional engineers, enter from outside the service at varying stages in their careers and from a variety of previous employments. Whilst more is now being done in the way of basic training via a substantial craft apprenticeship scheme and an honours degree studentship scheme, it is likely that substantial outside recruitment will continue for the foreseeable future. The Health Service is not primarily an engineering organisation, engineering staff total only 10 000 out of a total of 800 000 employees and the main training effort is of course in the medical, para medical, and nursing fields. Thus the engineering side of the Health Service contains numbers of staff trained in their basic trade or profession, but lacking knowledge of areas specialised to the Health Service. Because of their diversity of backgrounds and the breadth of knowledge required in the Health Service there are also gaps in more basic knowledge. Also, given the pace of change in some technologies, updating is necessary for all staff.

Introduction The design and construction of a major building project by consultants and contractors requires the input of many detailed technical skills. At the time of handover of a completed project, the client must be able to provide or procure a continuing input of all the skills needed to manage and maintain the building and its engineering and other technical facilities.

The purpose of this study is to evaluate the effectiveness of the control cubes for dust control in health-care facilities. Research shows that more than 80% of pathogenic agents in hospitals are spread into the air, where they either remain airborne or deposit on the surface. At the same time, renovation and repair activities, including regular maintenance, are a necessity in active health-care facilities and a multitude of studies have documented their impact on indoor air quality. The dust that is generated by construction activities may potentially carry pathogenic agents, varying from coarse particles (≤10 µm, PM10) to fine particles (≤2.5 µm, PM2.5), including airborne bacteria, and fungal spores linked to high patient mortality in immune-compromised patients.

This study measures the impact and effectiveness of one such preventative measure, namely, the control cube (CC), on air quality during renovation and repair. CC is a temporary structure, typically made from stainless steel, around the local repair zone to minimize the spread of dust and potential microorganisms. The current paper presents a comparative analysis to identify the effectiveness of a CC equipped with the high-efficiency particulate filtration (HEPA) filter in a hospital setting by simulating construction renovation and repair work.

A baseline was established to measure the effectiveness of CCs and the impact of negative pressure on the indoor air quality in a hospital during simulated renovation work. Results showed that CCs are very effective in minimizing the spread of dust due to construction activities in the hospital. However, it is imperative to ensure that the air inside the CC is cleaned via filtration.

CCs are very effective, and this paper investigates the best approach for facility managers to implement this strategy.

A healthcare system in any country is rarely the product of one logical policy-making experience, but rather a manifestation of many years of historical development. The purpose of this paper is to examine the characteristics, components, and variables of South Africa’s healthcare system in the context of global patterns. It leverages a dynamic period in South Africa since 1994, and applies a comparative health systems analysis to explain where the country’s healthcare system is, and where it is potentially going.

This paper reviews literature related to South Africa’s healthcare system, outlines its historical development, and discusses three fundamental challenges experienced in the country. This paper also reviews the literature on healthcare system typologies and identifies three framework models that have been used to categorise national healthcare systems since the 1970s. This paper then discusses the categorisation of South Africa’s healthcare system in these models, in comparison to Canada and the USA.

This paper finds that the framework models are useful tools for comparative analysis of healthcare systems. However, any use of such typologies should be done with the awareness that national healthcare systems are not isolated entities because they function within a larger context. They are not static, since they are constantly evolving with many nuances, even with very similar healthcare system categorisations.

This paper charts the trajectory of change in the South African healthcare system, and demonstrates that the change process must keep internal conditions in mind if the outcome is to be successful. Imitating policies of countries with well-functioning systems, without regard to local realities, may not work, as the government attempts to usher in changes within a short span of time.