Journal (Academy of Hospital Administration (India))最新文献

52 Non-psychiatrist doctors were evaluated in order to know their psychiatric orientation with the help of clinical case history along with questionnaire. Only one doctor subject could give all the diagnosis correctly on the basis of clinical stories; on the other hand all the doctors gave the diagnosis of epilepsy correctly. This reflects basic lack of understanding of psychiatry resulting from poor theoretical teaching and exposure at undergraduate level. Other characteristics of the sample and finding are discussed here.

Trying to survive in the changing times of competition, productivity and quality issues, economic constraints, increasing healthcare costs and consumer satisfaction hospital administrator requires intellectual skills blended with emotional maturity. Challenge successfully dealt with is satisfying. Only when it cannot be met, when pressures become too great, does it become stressful. Coping with stress depends on holistic approach to health. Equally, Managers should ensure that their part of organisation provides an environment in which individuals can flourish to the benefit of the organisation and the individuals involved. The study explores the main causes of stress and various strategies to cope with it.

The emergency medicine department (EMD) is one of the youngest department in the Nizam's Institute of Medical Sciences (NIMS). The study was conducted for a period of six months from it's inception, since November 01st 1992. The physical facilities, staffing, policies and procedures, work load and cost analysis were studied, and conclusions and suggestions were given. Total patients attended at EMD in the six months were 6,884, out of whom 3,484 were admitted into the hospital for further treatment. Cost analysis showed a net gain of Rs. 78.80 per patient.

A study of patient satisfaction was undertaken in four major Out-patient Departments of General Medicine, Cardiology, Orthopaedics and Neurology which accounts for nearly 70-80% of the Out-patient visits. The study was conducted through distribution of structured questionnaire for a period of six months with a total sample of 300 questions. Keeping in view the working hours, registration pattern, waiting time of various services, the work load and the patient's satisfaction for various services were studied. Some bottlenecks such as lack of flow concept and lack of adequate floor space were identified. Appropriate statistical tests (Chrisquare) were applied in assessing the patient's satisfaction and appropriate recommendations were made accordingly.

The doctors' assessment of their jobs provides an insight into the facets of the Profession needing attention of the administration. This study assessed professional satisfaction of 80 doctors who responded to the 80--item multifaceted questionnaire. Although the doctors were generally satisfied with various facets of the jobs and career, variation in the level of satisfaction was noted. Personal background, revealed that 80% doctors had good academic and family background. The most satisfied group of doctors were the consultants with performance based pay scale. 30% of these consultants wanted to achieve professional excellence thus self actualizing. Overall satisfaction was moderately correlated to professional time and stress. Quality of life was moderately correlated to respect and income. Improvement of House keeping & Interpersonal relationship among doctors, nursing care and pay scale of junior doctors are areas which the administration should pay special attention to improve professional satisfaction of doctors.