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醫務管理學Healthcare Services

Management 94學年度下學期課程

(Feb 23, 2006 ~ June 22, 2006)

04/19/23

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Chapter 1 – –Management and

Managers

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HealthNot the absence of infection or the shrinking of a tumor; not the absence of disease.

WHO, a state or condition of complete physical, mental, and social well-being, not merely the absence of disease. 1958年 : 生理、心理和社會的安康狀態，而不只是沒有疾病而已 The maximization of the biological and clinical indicators of organ function and the maximization of physical, mental, and role functioning in everyday life.

Key Definitions

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Health Care and Health ServicesHealth services are specific activities undertaken to maintain or improve health or to prevent decrements of health.

Services can be preventive, acute, chronic, restorative, or palliative in nature.

Services can be divided into two basic types. Public health services are activities that are conducted on a communitywide or populationwide basis. Personal health services are activities directed at individuals.

Key Definitions

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Health Services OrganizationsHealth services are provided through a variety of organization arrangements.

HSOs are entities that provide the organizational structure within which the delivery of health services is made directly to consumers, whether the purpose of the services is preventive, acute, chronic, restorative, or palliative.

Services : from neonatal intensive care units(NICUs) and PICUs to CCUs , MICUs, SICUs.

Key Definitions

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Health SystemsHSOs have significantly changed how they relate to one another.

Mergers, consolidations, acquisitions, and affiliations between and among previously independent HSOs are pervasive.

At the extreme end of the activity is vertical integration, in which HSOs join into unified organizational arrangements or systems of organizations.

Key Definitions

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Changing structure of HSOs

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ManagersHSO/HS managers are people formally appointed to positions of authority in organizations or systems who enable others to do their direct or support work effectively, who have responsibility for resource utilization, and who are accountable for work results.

Senior managers, presidents, or chief executive officers(CEOs) and vice presidents in HSOs have authority over and are responsible for entire organization.

Key Definitions

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Management and Organizational Culture,

Philosophy, and Performance

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Management Functions, Skills, Roles, and Competencies

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Managing in a Dynamic Environment

Health Insurance PlanRestrictive reimbursement environmentDemographic shiftsCritical shortages and shifts of manpowerIT and high-tech costDevelopment of Integrated networks of careImportance of market niche strategiesIncreasing number of physician executives in leadership Reduce the costs of administration of health care

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Management Competencies

Work of managers: the functions that they perform, the skills that they use in doing management work, and the roles that they play as managers.

A person’s capacity to work well depends on possession of the relevant competencies.

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Management Competencies

Conceptual Competence

Technical Managerial / Clinical Competence

Interpersonal / Collaborative Competence

Political Competence

Commercial Competence

Governance Competence

高階主管尤應具備何種能力 ? Governance 之 5 種對應之責任 ?

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Considering Management Work

Functions Skills Roles CompetenciesPlanning Technical Interpersonal ConceptualOrganizing Human/

Interpersonal

Informational Technical managerial/clinical

Staffing Conceptual Decisional Interpersonal/collaborative

Directing (motivating, leading, and communicating

(Designer)Political(Commercial)

Controlling Strategist Governance

Decision making

Leader

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A Management Model for HSOs / HSs

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Important relationships

A HSO/HS is a formal setting where outputs are produced (objectives accomplished) through use (conversion) of inputs (resources).

Managers and the management work that they perform are the catalyst that converts inputs to outputs

A HSO/HS (and its managers) interact with the HSO’s/HS’s external environment; this makes HSOs/HSs open systems because inputs are obtained from the external environment and outputs go into it.