Organ transplantation--the other view.
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Biomedical subjects
Publications and source records attributed to J Kane-Berman.
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In a complex environment, such as a large teaching hospital, managers must ensure that decision-making is optimized to promote efficiency and effectiveness. Information systems must be developed which enhance management functions based on an "action-led" rather than a "data-led" approach. In developing countries where, despite information system inadequacies, data volumes may be overwhelming, mechanisms must be devised for selective information reporting. At Groote Schuur Hospital in South Africa the outcome of a strategic planning exercise provided an opportunity to link strategic goals and objectives to a limited set of performance indicators. Management skills are being developed in the use of these indicators to improve decision making and to guide action. Planned developments of this process include the incorporation of additional indicators, particularly those which will reflect quality of healthcare delivery and the extension of the system to similar institutions for purposes of comparison.
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Despite their numerical superiority women do not occupy positions of power and authority in the health services generally. This is perceived as being due to a variety of factors which prevent women from realising their full potential as managers. In other parts of the world, as well as in South Africa, middle class white males have dominated health services, since medicine became a formal science, usurping the traditional role of women healers. Some research indicates that women are inclined to practice "feminine" management styles. It is suggested that the feminine/masculine dichotomy is artificial and that qualities which ensure effective management should not be regarded as gender-linked. Leaders in the health services should strive for interdisciplinary, mixed-gender education and training at all levels. Identification and development of management potential in women health-care professionals, role-modelling and sponsor-mentor relationships should be encouraged to allow women to acquire the full range of management skills and to achieve positions of power and authority in the health services.
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Information is an increasingly important resource in an academic hospital. Effective planning and control of this resource are essential in order to maximize its usefulness. The Hospital Information Planning Study (HIPS) undertaken at Groote Schuur Hospital, and based on the Business Systems Planning (BSP) methodology, is outlined, as are the results of the study. The recommendations arising from the study, which are of considerable significance to the hospital, are mentioned briefly.