Health Status of Public Hospital Management

• Published in: Calitatea Vol. 19; no. 164; pp. 123 - 127
• Main Authors: Verboncu, Ion, Codreanu, Cătălin
• Format: Journal Article
• Language: English
• Published: Bucharest Romanian Society for Quality Assurance 01.06.2018
• Subjects: Chronic illnesses; Complexity; Decision analysis; Diagnostic systems; GDP; Gross Domestic Product; Health services; Hospital administration; Hospitals; Investigations; Management; Managers; Medical personnel; Nurses; Physicians; Public health; Socioeconomic factors; Strategic management; Threat evaluation; Romania
• ISSN: 1582-2559

Gaining knowledge about the health status of the Romanian medical system and especially about the management of hospitals which provide medical assistance to the population requires specific instruments of investigation, analysis and interpretation, such as SWOT (Strengths, Weaknesses Opportunities, Threats) analysis and diagnostics. Since a scientific article cannot exhaustively approach this problem, we limited the analysis to 11 public hospitals coordinated by the Bucharest City Hall (BCH). In this sense, we made use of the managerial programs presented by the winners of the managerial selection contest held between November 2017 and January 2018 and published on the official website of the Bucharest Administration of Hospitals and Medical Services. The chosen managerial method is the diagnosis (or diagnostic analysis) which, compared to the SWOT analysis, is more complex and suggestive, since it is based on a cause-and-effect analysis which is decisive in pertinently "diagnosing" and "treating" the causes, not the effects ("symptoms"). The managerial plans and programs, which have provided data from the last 3 years regarding the activity and management of the investigated hospitals, are very synthetic, failing to capture the detailed complexity of the problems faced by these public institutions. In this context, the SWOT matrix finalizes the analysis and offers relevant information regarding the advantages and the constructive dysfunctions of the investigated hospital, but also regarding the opportunities and the vulnerabilities of its national and international environment. The diagnostic analysis performed on these 11 hospitals from Bucharest is based on a rigorous scientific method, which was tested on a large number of socioeconomic entities.