PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Hospital Restructuring”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 937 records · Page 52Linked to original sources
PubMed2000

[The conflict of tomatoes and olive oil within a bureaucratic machinery].

In this short article, the author relates, by means of a case report, a type of conflict which occurs as a result of the paradoxes derived from the current managerial model practiced in the Andalucian public hospitals. The limitations and the incompetence of a bureaucracy, rigid in compliance with its functions, and which is incapable of attending to the demands that belong to the hard core of the organization, place the supposed most important and most immediate objectives of an efficient managerial system in "danger". The basic hypothesis lies in the need to bear in mind, at the time of designing a hospital's organizational system, the "structures of the invisible interests", with their corresponding paradoxes and perversions, of each of the distinct component parts of this system. And how these invisible bureaucratic interests can hinder and pervert managerial and organizational designs which appear to be ideal and optimal in their objectives and principles.

Conflict, Psychological↗
PubMed2000

Clinical service lines bring patients into focus.

In 1996, SSM St. Joseph Hospital of Kirkwood, Mo., was in crisis mode. A radical structure change from centralized nursing to clinical service lines helped to keep the organization in the black.

Disease Management↗
PubMed2000

[Many faces of deinstitutionalization--sociological interpretation].

The article summarizes in an international perspective what kind of results psychiatric deinstitutionalization has brought so far: a profound change of size and functions of the psychiatric hospital; better services for people with less severe problems; and the failing of community services to compensate for some of the functions of the former asylums, resulting in trans-institutionalization and/or neglect for many chronic patients. Three different sociological versions to explain the background and typical outcomes of psychiatric deinstitutionalization have been brought forward so far: political economy, professional dominance and post-structuralism. They are confronted with an approach using the concept of medicalisation which offers a more comprehensive understanding of the process.

Community Mental Health Services↗
PubMed1996

Social work services in Army medical treatment facilities: are they reorganizing?

The end of the Cold War and the fall of Communism in Europe resulted in profound changes in U.S. defense policy. Those changes led to dramatic reductions in personnel and programs within the Army. The Army Medical Department (AMEDD) is also being reduced in size and reorganized. At the same time, the AMEDD is facing escalating health care costs associated with demand and access to medical care. Social work services in Army medical treatment facilities are being directly affected by these system changes. Therefore, the question is raised whether changes in the organization and delivery of social work services are being initiated or anticipated. To what extent are social work chiefs of service involved in these decisions at the medical treatment facility level, and what are the positive and negative effects of reorganization on social work staff and the clients they serve?

Attitude of Health Personnel↗
PubMed2000

[Public image of psychiatry. Results of a representative poll in the new federal states of Germany].

RESEARCH PROBLEM: The readiness to use psychiatric services is, among other things, determined by the image of psychiatry held by the public. METHOD: A representative survey of the adult population in the new German Länder was carried out, part of which was the assessment of what people associated with the term "psychiatry" and of their idea of a psychiatric hospital. RESULTS: Psychiatric hospitals, in particular the large-scale mental institutions, shape the dominant image of psychiatry among the public. In this, the custodial or repressive character of psychiatry is the central constituent of the public's representation. DISCUSSION: The chances that a positive change of the public's ideas toward more informed images and attitudes might be achieved appear to be slim as long large scale institutions, though with a new appearance, continue to exist.

Adolescent↗
PubMed2000

What determines hospital sponsorship of an HMO?

Using a strategic adaptation framework, this study evaluates the underlying institutional, market, organizational, and financial factors leading to hospital sponsorship of a health maintenance organization (HMO) insurance product. Analyzing hospitals in Metropolitan Statistical Areas (MSAs) in 1995 and 1996, the study found that a hospital is more likely to sponsor an HMO in markets that see a combined interaction effect of a large number of competing HMOs and high HMO penetration. HMO sponsorship also is more likely among hospitals with relatively low market share. Only in small MSA markets do hospitals with greater liquidity sponsor an HMO. Finally, hospitals that are affiliated with a multihospital system and under public ownership are more likely to sponsor HMOs.

American Hospital Association↗