The interdisciplinary model of hospital administration: do health professionals and managers look at it in the same way?

Abstract

Most health professionals believe that hospital administration is ineffective. The interdisciplinary model, with a manager having both health sciences and economics degrees and exercising his/her role with flexibility and taking the widest consent of health professionals may improve the very low rates of acceptance and perceived efficacy. Trainees and nurses seem to often have different views, suggesting the importance of their participation in the administrative model.

A literature review of conflict communication causes, costs, benefits and interventions in nursing

“…Conflict involving nurses emanated from the mix of administrative and financial perspectives present among the many categories of professionals working in health care. Different groups of health care professionals, including nurses and nurse trainees, had different views of what constituted effective hospital administration (Vlastarakos & Nikolopoulos 2008). Those working in the financial, clinical and other areas of the organization may find themselves in value conflicts, especially when facing budget constraints (Nowicki & Summers 2002).…”

Novos modelos de Planeamento e Controlo de Gestão nos Hospitais Públicos Portugueses

“…No contexto da medicina científica, ao longo do século XX, os médicos ganharam um poder e respeito social inigualável por qualquer outro profissional, de tal modo que a profissão médica é ainda hoje considerada o arquétipo das profissões (Freidson, 1970). Esta hegemonia da classe médica tem marcado a realidade sociológica dos hospitais até aos dias de hoje e, de algum modo, tem permitido aos médicos a prática da medicina fora do controlo da autoridade administrativa dos hospitais (Mintzberg, 1994;Vlastarakos, & Nikolopoulos, 2008). Simultaneamente, ocorreu um aumento da procura de serviços hospitalares, que culminou num crescimento exponencial da respetiva despesa.…”

La perspectiva de los profesionales de la salud acerca de la información contable en un hospital-empresa en Portugal. Estudio de caso

“…Sin embargo, la literatura evidencia la existencia de una cierta tensión en la relación entre los profesionales de la salud y los gestores profesionales en el hospital-empresa (Abernethy & Stoelwinder, 1990;Armstrong, 2002;Cohn, Gill & Schwartz, 2005;Mintzberg, 1979;Vlastarakos & Nikolopoulos, 2008). Los profesionales están entrenados y socializados de acuerdo con modelos profesionales de control y desarrollan una fuerte orientación a los valores profesionales y normas que se consideran la antí-tesis de una orientación gerencial (Comerford & Abernethy, 1999 Al intentar explorar los factores que condicionan la utilización de la información económico-financiera, se constata que solo para las variables aceptación de la publicación de los resultados de la evaluación externa y aceptación del financiamiento del hospital en función de la producción, el grupo de usuarios de la información contable presenta diferencias estadísticamente significativas frente al grupo de los no usuarios.…”