印度发展中的私立医院生态系统中各利益相关者所面临的主要挑战分析

Q2 Nursing Health Care Manager Pub Date : 2019-04-01 DOI:10.1097/HCM.0000000000000264
Pankaj Gupta, Madhura Naik, Manu Hc, Anurita Majumdar
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引用次数: 1

摘要

私立医院和医疗机构在弥合印度保健服务差距方面发挥着重要作用。除了开处方的医生外,在这些机构工作的护士、药剂师和医院管理人员等各种利益相关者也有助于有效地提供卫生保健服务。当前调查的目的是评估这些医院利益相关者面临的与工作相关的挑战,并衡量与行业合作的潜在机会,以提高所提供的医疗保健服务的质量。这项调查包括位于印度12个城市的60家私立医院,床位超过250张。采用了两阶段的方法,包括深入的定性讨论,然后对所有内部利益相关者进行结构化的定量访谈。该研究描述了各医院利益相关者所分析的角色以及他们所遇到的主要挑战。还记录了医院主要工作人员阶层对弥合这些需求差距的可能解决办法的反应。调查发现,医院在跨职能协作、科技知识升级、员工培训以及与内外部利益相关者的沟通和协调方面存在重大差距。以价值为基础的医院-行业伙伴关系在解决私立医院的科学和培训需求方面大有帮助。
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An Analysis of Key Challenges Encountered by Various Stakeholders in the Evolving Private Hospital Ecosystem in India.

Private hospitals and medical institutions play an important role in bridging the health care delivery gap in India. In addition to prescribing physicians, various stakeholders such as nurses, pharmacists, and hospital administrators working in these institutions contribute to the efficient delivery of health care services. The current survey was conducted with the aim of evaluating work-related challenges faced by these individual hospital stakeholders and gauging potential engagement opportunities with industry to improve the quality health care services delivered. This survey included 60 private hospitals with more than 250 beds, located in 12 Indian cities. A 2-stage approach involving in-depth qualitative discussions followed by structured quantitative interviews of all the internal stakeholders was adopted. The study delineated the roles assayed by individual hospital stakeholders as well as the major challenges encountered by them. The responses of major classes of hospital workforce on possible solutions to bridge these need gaps were also recorded. The survey identified significant gaps existing in hospitals in areas of cross-functional collaboration, scientific and technical knowledge upgrade, training of staff, and communication and coordination with internal and external stakeholders. Value-based hospital-industry partnerships can go a long way in addressing the scientific and training needs of private hospitals.

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来源期刊
Health Care Manager
Health Care Manager HEALTH POLICY & SERVICES-
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期刊介绍: The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.
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