ABSTRACT
Aiming at the management efficiency problems in the traditional medical low-value consumables management mode of the nursing unit, based on the perspective of supply chain management, this study uses lean management method to construct the lean management mode of low-value consumables with a whole cycle and whole process information monitoring, and analyzes the application effect of this mode. The results show that after the application of lean management mode, the low-value consumables of the nursing unit can achieve "consumables in use=priced consumables + un-priced consumables", the settlement cost is significantly reduced and its stability is high, and the efficiency of "supply-inventor-distribution" link is significantly enhanced. This model effectively improves the management efficiency of low-value consumables in the hospital, and also provides a reference for other hospitals to improve the management level of low-value consumables.
Subject(s)
Hospitals , CommerceABSTRACT
Resumo A administração pública tem o papel na sociedade de gerenciar o patrimônio público de modo a proporcionar melhores níveis de bem-estar social, promovendo maior desenvolvimento socioeconômico. A utilização eficiente dos recursos públicos apresenta-se como um princípio básico para que a gestão pública alcance seus objetivos. Além disso, a transparência e o controle, proporcionados pela gestão fiscal, apresentam-se como fatores capazes de otimizar os resultados no setor público, uma vez que conduzem os gestores públicos a boas práticas gerenciais. Nesse contexto, este artigo analisa os efeitos da gestão fiscal e da eficiência da gestão pública no desenvolvimento socioeconômico municipal. Utilizou-se a análise envoltória de dados (data envelopment analysis - DEA) e regressão linear para analisar os 184 municípios cearenses, no período de 2007 a 2013. Os resultados indicam que a gestão fiscal e a eficiência da gestão pública influenciam positivamente o desenvolvimento socioeconômico municipal, sinalizando que os gestores públicos devem melhorar a eficiência de sua gestão e observar as regras de controle fiscal.
Resumen La administración pública tiene la función en la sociedad de gestionar el patrimonio público para proporcionar mejores niveles de bienestar social, promoviendo un mayor desarrollo socioeconómico. La utilización eficiente de los recursos públicos se presenta como un principio básico para que la gestión pública alcance sus objetivos. Además, la transparencia y el control, proporcionados por la gestión fiscal, se presentan como factores capaces de optimizar los resultados en el sector público, ya que conducen a los gestores públicos a buenas prácticas gerenciales. En ese contexto, este trabajo analiza los efectos de la gestión fiscal y de la eficiencia de la gestión pública en el desarrollo socioeconómico de los municipios. Se utilizó el análisis envolvente de datos -DEA- y la regresión lineal para analizar los 184 municipios de Ceará, de 2007 a 2013. Los resultados indican que la gestión fiscal y la eficiencia de la gestión pública influyen positivamente en el desarrollo socioeconómico municipal, lo que señala que los gestores deben mejorar la eficiencia de su gestión y observar las reglas de control fiscal.
Abstract The role of public administration in society is to manage public assets to provide better social welfare, promoting greater socioeconomic development. The efficient use of public resources is a basic principle for public management to fulfill this role. In addition, the transparency and control offered by fiscal management are factors that optimize results in the public sector, since they lead public managers to apply best managerial practices. In this context, this work analyzes the effects of fiscal management and public management efficiency on municipal socioeconomic development. Data from the 184 municipalities in the Brazilian state of Ceará, from 2007 to 2013, are analyzed using DEA and linear regression. The results indicate that fiscal management and public management efficiency positively influence municipal socioeconomic development, which indicates that public managers should seek better management efficiency and follow rules of fiscal control.
Subject(s)
Public Administration , Cities , Efficiency , Financial ManagementABSTRACT
The paper conducts a case study of Tongji Medical College, Huazhong University of Science&Technology, introduces the application and management status of various cards, elaborates the one-card integration program for the management of staffs in the hos-pital and discusses the problems needing attention and the application effect.It is noted that the one-card solution facilitates the simpli-fication of the work process, the improvement of management efficiency and the reduction of management costs.
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The paper aims to analyze the flaws of new medical reform policies of cost accounting and bonus based on performance by introducing encouraging mechanism in bonus of the front two wheels: workload efficiency management and cost control management and the refraining mechanism by the two wheels: daily flaws management and key KPI checking.This efficiency-oriented four-wheel driven management mode reflects the reality of work-performance-based distribution, avoidsNine Forbiddingand reflect the public welfare.
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Objective:To improve the management efficiency and level, save management costs, and finally achieve management standardization of hospital devices. Methods:To get various steps needed for the informationization of purchase process through the analysis and optimization of specific purchase process of medical devices. Results:The informationization of purchase process is able to integrate the various management elements and improve the management efficiency, achieve refined management. Conclusion:Being the import means and content, the informationization of devices management is import to improve the overall management level of hospital.
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Se realizó un estudio descriptivo de pacientes ingresados para determinar la justificación de los ingresos en el servicio de medicina interna como elemento para elaborar intervenciones que eleven la calidad y eficiencia de los servicios de salud. Se aplicó a 454 pacientes el Protocolo de Evaluación de la Adecuación (AEP). Se utilizó la técnica estadística de análisis de distribución de frecuencia, comparación de medias y pruebas de independencia para demostrar diferencias entre los grupos según la adecuación del ingreso. Se halló que el 18,7 % de los ingresos fueron considerados no adecuados (INA), los que tuvieron edades (53,5 + 18,2 años) inferiores que aquellos con ingresos adecuados(62,1 + 18,9 años) y estadías ligeramente superiores (9,8 vs. 8,5 d). Los pacientes con INA utilizaron el 20 % del total de días/pacientes del período (833 días/pacientes), fueron ingresados básicamente los lunes, martes, miércoles y viernes, y provenían, en general, de áreas de salud no asignadas al hospital. Se concluyó que el frecuente ingreso de pacientes de forma inadecuada requiere de la revisión de aspectos organizativos del servicio y la institución, que conduzcan a una mejor eficiencia de la gestión hospitalaria.
A descriptive study of patients admitted was conducted to determine the justification of admissions in the Internal Medicine service as an element to make interventions that increase the quality and efficiency of the health services. The Adapting Evaluation Protocol was applied to 454 patients. The statistical technique of frequency distribution analysis, mean comparison and independence tests was used to show the differences between the groups according to the admission adapting .It was found that 18.7% of the admissions were considered inadequate (INA). The individuals that were inadequately admitted were younger (53.5 ± 18.2 years old) than those with adequate admissions (62.1 ± 18.9 years old), and their lengths of stay were slightly higher (9.8 vs 8.5 days). Patients with inadequate admissions used 20 % of the total of days/patients of the period (833 days/patients), they were admitted basically on Monday, Tuesday, Wednesday and Friday, and they generally came from health areas that were not assigned to the hospital. It was concluded that the frequent inadequate admission of patients requires a review of organizational aspects of the service and institution leading to a better efficiency of hospital management.
ABSTRACT
Objective To evaluate the efficiency of the management of medical equipment. Methods Ergonomics was applied to analyze the influence of Man-Machine-Environment System. Results Based on the actual cases, the improved procedure for equipment quality was realized and the management of purchase items were evaluated in quantification. Conclusion The efficiency of the management of medical equipment can be evaluated by using this method.