Health management - definition, importance for the health system. Management process and the basic management cycle. Contemporary trends in health planning and management:
Definition: he widely prevalent view it that administration broadly means “getting things done” and management as “the purposeful and effective use of resources – manpower, material and finances – for fulfilling a pre-determined objective”
- Importance for health system: Management techniques are familiar in business, industry, defence and other fields. The current emphasis by WHO and many governments is on improving the efficiency of the health care delivery systems through the application of modern management methods and techniques.
- management process and cycle:
- (1)The culture, principles & values of management
- (2)The structure of management
- (3)The techniques employed by managers
- (4)The settings, or infrastructure, of management
- organisation and management:
- Authoritarian organization:
There is a ‘chain of commands’ orders are passed down from above. The manager’s job is to do orders & to compel the workers to carry out their tasks.
- Participative organization.
People accept responsibility for work to be done. They accept that their job is to carry out a part of the company’s activities. The manager’s job is to help his subordinate by removing obstacles from their path. It seems that leadership & co-operation result in economic success
management:
- New pubic management- with an emphasis on making organizations more like firms operating in markets through the introduction of competition to improve performance
- Japanese’ organization model or ‘clan’ – ‘solidarity’ model of organization – in which a sense of identity with, & pride in, the organization itself is the main source of motivation
- Professionalism – shares the ‘Japanese’ models assumption that people work better when they are trusted & their performance is not closely monitored, the sense of identity is with the profession rather than with the organization
- Contemporary trends in health planning and management:
- Health 2020 is the new European health policy framework. It aims to support action across government and society to: “significantly improve the health and well-being of populations, reduce health inequalities, strengthen public health and ensure people-centred health systems that are universal, equitable, sustainable and of high quality”.