Some problems of hospital management / Монголын Анагаах Ухаан

ABSTRACT

BackgroundThe Mongolian Government is regularly concerned on the hospital development and the improvementof hospital structure and function at the health sectors’ policy level. Therefore, there is a need ofevidence based survey that is determine possible ways in improving hospital management throughthe management function (organization, planning, decision making, leadership-motivation, monitoringand evaluation management) and management component (human resources, information,marketing, finance, foreign relationship and cooperation).ObjectiveTo outline possible approaches in improving clinical hospital management upon reviewing of itscurrent settingMaterials and MethodsThe study was conducted by qualitative method and data was collected through applying discussionsand participatory approaches. In total, 155 participants were enrolled in the study, from which 72were covered by the Focus Group Discussions, and the remained 83 were studied for OrganizationalDiagnostic Analysis.ResultsThe Clinical hospital management aspects are reasonably unsatisfactory (61.4%). As a result ofsurvey, clinical hospital structure, organization and coordination (76%), monitoring and evaluationmanagement (72.8%), planning (71.6%) encompass comparatively predominant advantageswhereas decision making management (67.5%), motivation (59.6%), human resources management(62.4%), information management (57.8%), financial management (52.9%), and hospital marketing(30%) enclose prevailing disadvantages. According to the hospital policy analysis, there were hospitalpriority issues such as inappropriate hospital structure, the weak hospital governance, monitoringand responsibility, financial system is separate and it could not the right financial lever, do not havehospital capacity planning and repairing system, private sector’s role is indefinite and coordinationis limited. There recommended 4 hospital policy approaches.Conclusion: Advantages and Disadvantages of the Clinical hospital management levels, althoughthey vary, management aspects are reasonably unsatisfactory. If to view in an isolation by eachkey role and direction of the management functions, organization, planning, monitoring andevaluation management encompass comparatively predominant advantages whereas humanresources, information, finance, motivation, and decision making management enclose prevailingdisadvantages. In terms of hospital marketing, it is extremely poor. Therefore, there are neededfor improving of hospital management and marketing through the hospital 4 policy approaches byphase.