HOSPITAL ADMINISTRATION IN A PERIPHERAL REMOTE LOCATION HOSPITAL: A EVIDENCE BASED STUDY

D. Pitale, S. N. Jadhav
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Abstract

Objective: The organisation of the human society has undergone a unique transition throughout the last decades. With the rise of ever growing technologization and disruptive innovations, populations also demand more social and environmental initiatives from firms and governments. In 2015, the United Nations (UN) member states agreed upon a 2030 Agenda for Sustainable Development. Developing a sustainable UHC is decisive to ensure better economic prospects and social equality across socioeconomic classes. This can be achieved by lowering the barriers to access health services to the most vulnerable groups and improve mortality and disability rates in the potential workforce. Methods: The present study was conducted in a remote location defence hospital catering to the health care needs of serving personnel of Indian armed forces and civilians residing in this peripheral area. The basic specialties including Obstetrics, paediatrics, medicine and general surgery are provided at this centre 24*7 by the dedicated medical officers of Indian Armed forces. Results: Sustainability of care continuously evolves towards becoming a major factor for public healthcare organisations, and more accountability will likely be demanded of managers to deliver on each aspect of its triple bottom line. This study shows that prevention and patient empowerment both carry great potential to attain this objective. Conclusion: It is necessary to set priorities and act according to available resources and organisational vision. The central threats to sustainability of public health care welfare systems in peripheral hospitals identified, namely the ageing population and rise in chronic diseases. UHC at a meso and micro level, could provide a much better rationale for scholars to evaluate the need for change, and contribute to draft more inclusive sustainable strategies.
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边远地区医院的医院管理:实证研究
目的:在过去的几十年里,人类社会的组织结构经历了独特的转型。随着日益增长的技术化和颠覆性创新的兴起,人们也要求企业和政府采取更多的社会和环境举措。2015 年,联合国会员国就 2030 年可持续发展议程达成一致。发展可持续的全民健康计划对于确保更好的经济前景和不同社会经济阶层的社会平等具有决定性意义。要实现这一目标,就必须降低最弱势群体获得医疗服务的障碍,提高潜在劳动力的死亡率和残疾率:本研究在一家偏远地区的国防医院进行,该医院主要满足印度武装部队现役人员和居住在周边地区的平民的医疗保健需求。该中心由印度武装部队的专职医务人员全天候提供包括产科、儿科、内科和普通外科在内的基础专科医疗服务:医疗服务的可持续性不断发展,成为公共医疗机构的一个重要因素,管理者可能需要承担更多责任,以实现三重底线的各个方面。本研究表明,预防和患者赋权都具有实现这一目标的巨大潜力:有必要根据现有资源和组织愿景确定优先事项并采取行动。确定了外围医院公共医疗福利系统可持续性面临的主要威胁,即人口老龄化和慢性病增加。中观和微观层面上的全民保健可以为学者们提供一个更好的理由来评估变革的必要性,并有助于起草更具包容性的可持续战略。
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