RESUMO
The white paper looks to a wide development of the Resource Management Initiative. If the initiative is to succeed it will call for much education and staff development. Bob Dearden describes how these should be methodically developed.
Assuntos
Auditoria Médica , Administração de Recursos Humanos em Hospitais , Gestão de Recursos Humanos , Desenvolvimento de Pessoal , Medicina Estatal , Reino UnidoRESUMO
This article describes New Zealand's program for developing managers in health services, called the National Management Development Program (NMDP), run by a newly established unit of the Department of Health. This is a set of programs for training various groups of individuals in health administration: those with no experience who wish to enter the field, those in a particular area of health, and those who are already managers in the health field. The Top Management Program, designed for professionals already heading health agencies, offers continuing education as a sustained approach to improving individual management ability.
Assuntos
Administração Hospitalar/educação , Capacitação em Serviço , Administração em Saúde Pública , Desenvolvimento de Pessoal , Educação Continuada , Nova ZelândiaRESUMO
This study uses quantitative cultures and immunofluorescent demonstration of antibody-coated bacteria to differentiate colonizing from infecting bacteria in lower respiratory secretions obtained by fiberoptic bronchoscopy. The fiberoptic bronchoscope was passed transnasally without the use of a nasotracheal tube, and a single-sheath cytology brush dipped in lower respiratory secretions served as inoculum for quantitative cultures. Secretions were also collected by aspiration through the bronchoscope side channel for fluorescent examination. None of 60 control patients had greater than 4,000 colony-forming units (CFU) per brush of a single bacterium on quantitative culture. In contrast, more than 4,000 CFU per brush were isolated from 29 of 33 episodes of clinically defined lower respiratory infection (p less than 0.001). Only 1 of 60 control patients had antibody-coated bacteria in their lower respiratory secretions, but antibody coating was demonstrated in association with 24 of 33 episodes of infection (p less than 0.001).
