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Application of Modern Management Techniques in Healthcare

机译:现代管理技术在医疗保健中的应用

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Health is the right of every individual and its awareness is a must to all citizens of the country. In an era of cost-intensive medical care, every equipment being installed in health care institutions need to be fully and properly utilized. Administrators of a hospital must select the method that can be used to greatest advantage, bearing in mind the original expenses and the cost of maintenance. Use of liquid medical oxygen (LOX) at hospitals has become increasingly common in the present day situation chiefly due to economic considerations as also promising intangible benefits. Use of modern management techniques in the medical field is relatively a recent development and can aid in future cost containment. Cost benefit analysis is formal analytical method to provide a rational, objective means of comparing total costs with total benefits. The Aim of the study: To study the cost benefit analysis (CBA) in using liquid medical oxygen (LOX) as against oxygen concentrators and oxygen manifold system at a large tertiary care hospital. The Objectives included, (1).To study the cost incurred in maintaining the oxygen concentrators and the manifold system as against LOX. (2). Assess the tangible & intangible benefits in use of liquid medical oxygen. Methodology: The methodology adopted was a retrospective study for a period of six months compared against a prospective six month study in the same time of the year. Use of liquid medical oxygen ensures quality in delivery of patient care. Results: The study revealed that with the use of liquid oxygen there is 26.6% reduction in volume of medical oxygen consumption along with a 38% saving in overall costs, realized due to its usage. It can also be inferred that an increase in the utilization of liquid medical oxygen can lead to increase percentage of savings on costs. Limitations: In arriving at the expenditure incurred in the usage of oxygen concentrators and manifold, it was unable to arrive at the exact number of electrical units consumed by the same due to absence of an electrical meter; however the units are calculated based on the motor power. Introduction Hospitals of the present era no more provide just curative services. With increasing health awareness there is increase in the number of hospitals as also patient visits and admissions. Rising healthcare costs have posed a challenge to administrators to run the system more efficiently. Better control techniques and innovative ideas have to be adopted in ‘cost centers’ of the hospital to prove efficiency. Maintaining an oxygen-bank is a cost centre and round the clock availability of medical oxygen is vital for the hospital functioning. Supplemental or “extra” oxygen is one of the most widely used therapies for people admitted to the hospital. It is also frequently used for patients with chronic lung disease who live at home. The importance of oxygen therapy for many patients with heart and lung diseases is universally recognized.1 With the increase in understanding of the benefits of oxygen and other forms of therapy through inhalation, inhalation therapy became progressively more important, in the care of patients in hospitals.2 Within a few years, hyperbaric oxygen proved effective against anaerobic infections, most notably gas gangrene.3 The methods of administering oxygen must be accurate, efficient and economical. The administrator of a hospital must select the method that can be used to greatest advantage, bearing in mind the original expenses and the cost of maintenance. To provide a replacement piece of equipment, which will meet the medical needs of the hospital at a reduced cost, is a goal that is infrequently obtained4.In an era of cost-intensive medical care, every equipment being installed in health care institutions need to be fully and properly utilized. An optimum utilization of equipment will result in: 5 Minimum possible costs. Quality patient care and satisfaction Liquid oxygen is a bluish transparent, magneti
机译:健康是每个人的权利,健康意识是该国所有公民的必须。在成本密集型医疗时代,医疗机构中安装的每台设备都必须得到充分和适当的利用。医院的管理者必须在考虑原始费用和维护成本的情况下,选择可以发挥最大优势的方法。当前,在医院中使用液态医用氧气(LOX)的情况越来越普遍,这主要是出于经济方面的考虑,同时也带来了无形的好处。在医学领域中使用现代管理技术是相对较新的发展,可以帮助控制未来的成本。成本收益分析是一种形式化的分析方法,旨在提供一种合理,客观的方法来比较总成本与总收益。研究的目的:研究大型三级保健医院使用液态医用氧气(LOX)对抗氧气浓缩器和氧气歧管系统的成本效益分析(CBA)。目标包括:(1)研究维护氧气浓缩器和歧管系统相对于LOX所产生的成本。 (2)。评估使用液态医用氧气的有形和无形收益。方法学:采用的方法学是一项为期六个月的回顾性研究,而一年中同期的前瞻性研究为六个月。使用液态医用氧气可确保提供高质量的患者护理。结果:该研究表明,使用液态氧可以减少26.6%的医用氧气消耗量,并节省38%的总体成本。还可以推断出,液态医用氧气利用率的提高可以导致节省成本的百分比增加。局限性:在计算使用氧气浓缩器和歧管所产生的支出时,由于没有电表,因此无法计算出该设备所消耗的电气单元的确切数量;但是,单位是根据电动机功率计算的。简介当前时代的医院不再仅提供治疗服务。随着健康意识的增强,医院的数量以及患者的就诊和入院人数也在增加。不断上升的医疗保健成本给管理员带来了更高效率地运行系统的挑战。为了证明效率,必须在医院的“成本中心”采用更好的控制技术和创新思想。维持氧气储备是一个成本中心,并且全天候提供医用氧气对于医院的运转至关重要。补充氧气或“额外”氧气是住院患者使用最广泛的疗法之一。它还经常用于在家中患有慢性肺病的患者。氧疗法对许多心脏和肺部疾病患者的重要性已得到普遍认可。1随着人们对氧气和其他形式的吸入疗法对吸入的益处的认识日益加深,在医院患者的护理中,吸入疗法变得越来越重要.2在几年内,高压氧被证明对厌氧感染有效,最主要的是对气体坏疽的影响。3氧气的施用方法必须准确,有效且经济。医院的管理者必须在考虑原始费用和维护成本的情况下选择可以最大程度利用的方法。很少能获得目标,以较低的成本提供满足医院医疗需求的替换设备4。在医疗费用密集的时代,医疗机构中安装的每台设备都需要得到充分和适当的利用。设备的最佳利用将导致:5最小的可能成本。优质的患者护理和满意度液态氧是一种蓝色透明的磁性物质

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