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PubMedDate not supplied

Nosocomial infection control: role of the hospital administrator.

The role of the hospital administrator regarding the implementation and maintenance of programs for the prevention and control of nosocomial infections in U.S. hospitals is discussed. Data obtained in the Study on the Efficacy of Nosocomial Infection Control provide the basis for describing the backgrounds, demographic characteristics, functions, and potential functions of this official as s/he interacts with members of the infection control committee and other hospital staff. The infection control program of a hospital must have the support of the hospital administrator to be effective.

Cross Infection↗
PubMedDate not supplied

Cost-efficient management in surgery. The view of the hospital administrator.

The views of hospital administrators, doctors and payers on cost-efficiency in surgery do not necessarily coincide. The difference between charges and cost and the particularities of the financing mechanisms may induce situations in which savings for the society as a whole result in financial loss for the hospital. Examples are in the use of stapling devices, in ambulatory surgery, in endoscopic surgery: they all result in better quality of care and decreasing health care cost for society; they often induce, however, a not compensated increase in hospital costs. Surgeons and administrators can find each other in a common concern for optimizing efficiency. This asks for an agreement regarding the techniques and equipment to be used, and regarding the necessary minimum case load. This paper presents the case of the endoscopic cholecystectomy as an example. The second part of the paper deals with various aspects of quality and cost of the hospital product. It warns against purely technology-inspired investments which entail a risk for overconsumption and inappropriate use. It also asks for attention for the educational cost and for the continuing running cost which may result from capital investment decisions. Finally it underscores the role that surgeons can play in reducing the running cost, by paying attention to a smoother organisation of the OR activities and to the choice of materials, consumables and pharmaceuticals.

Belgium↗
PubMedDate not supplied

The role of the hospital administrator in the control of nosocomial infections.

The hospital administrator is responsible for the allocation of resources at the disposal of the institution and therefore plays an important role in the control of nosocomial infections. The problem of determining what proportion of these resources can be allocated to the control of nosocomial infections is complicated by the fact that there remain many unanswered questions concerning this problem, such as whether is is possible to prevent many of the infections acquired in hospital, what the most efficient method of infection surveillance is, and whether the use of antibiotics should be controlled. In such a climate of uncertainty, particularly in a milieu that demands severe budgetary reductions, the hospital administrator will need the assistance of clinicians and epidemiologists to provide data on nosocomial infections so that the limited resources available may be used most effectively.

Anti-Bacterial Agents↗
PubMedDate not supplied

The effect of centralized hospital administration on financial control and hospital service delivery: the case of Hong Kong.

Administration, financial control and service delivery are three mutually influential dimensions of a hospital system. The centralized hospital system of Hong Kong is a case-in-point that illustrates such influence. By spending only a small fraction of the Gross Domestic Product each year, the government has been able to provide limited modern health care services at nominal financial cost to the public. At the same time, hospitals are subject to a strict system of administrative and financial controls. Consequently, Hong Kong hospitals must utilize their limited facilities effectively to provide modern health services to the public. However, the trade-off between low-cost health services and limited facilities is the incurrence, by the public, of non-monetary costs in obtaining hospital admission.

Financial Management↗