Secondary and Tertiary Health Care System and Hospital Administration
Contents: Preface. 1. Challenge of health and hospital administration in new millennium. 2. Administration of hospital services: a typical secondary and tertiary hospital. 3. Organisation and working of AIIMS: a regional tertiary health care hospital. 4. Organisation and working of Rajendra Hospital, Patiala: a state level tertiary hospital. 5. Secondary health care administration: a case study of Jalandhar district in Punjab. 6. Secondary health care administration: a case study of Ropar (Rupnagar) district in Punjab. 7. Secondary health care administration: a case study of Kharar civil hospital. 8. Secondary health care administration in Thailand. 9. Functions and role of chief executive in secondary and tertiary hospitals. 10. Functions and role of health professionals in secondary and tertiary hospitals. 11. Doctor-patient relationship. 12. Referral system. 13. Nursing services and administration in secondary and tertiary hospitals. 14. Quality control in health care in a hospital. 15. Medical education. 16. Management by objectives in hospitals (MBO). Bibliography. Index.
"Hospitals provide a wide variety of services, from basic care to highly specialized diagnosis and treatment, depending on the technological capacity of a specific hospital. There is considerable duplication of services provided at different levels. Tertiary hospitals though equipped with highly sophisticated equipment with advanced technical capacity has to divert considerable 3 Ms to deliver basic secondary and even primary health care.
In secondary health care more complex problems are dealt with. This care comprises essentially curative services and is provided by the district hospitals, sub-divisional hospitals, area hospitals, rural hospitals, and community health centres. This level of services are the first referral level in the health system as the patients are referred to such medical institutes from the periphery health places.
Tertiary health care offers super-specialty care. This care is provided by the regional/central hospitals, teaching hospitals and super-specialty hospitals. These institutions provide not only highly specialized care, but also planning and managerial skills and teaching for specialized staff/general staff.
Eleventh Five Year Plan, 2007-2012, Vol. II observes that: Administration of the secondary and tertiary care hospitals will be professionalized and trained professionals posted as medical superintendents. Hospitals will be allowed to recruit various staff including junior doctors on ad hoc and contract basis. Drugs purchase should be made through centralized rate contract and decentralized distribution with zero stock at headquarter level. Emergency and disaster stock should be located at each hospital. Drugs at all levels with minimum of one year shelf life should be supplied." (jacket)
