501. Developments in Health Service Administration and Financial Control
- Author
-
Martin Feldstein
- Subjects
Nursing care ,Political science ,Value (economics) ,Control (management) ,Public Health, Environmental and Occupational Health ,Normative ,Public administration ,Administration (government) ,Health policy ,Health administration ,Administrative division - Abstract
s of Efficiency Studies in the Hospital Servicett help to bring the results of these studies to hospital administrators. The development of management studies in the hospital service can be extremely valuable. Creative operational research can help doctors and health-care officials to choose among different methods of treatment, between in-patient and out-patient care for particular conditions, and to solve other problems of choice in the planning and operation of the Health Service. Analytic and normative studies can both be useful. But there is a danger that much operational research currently being undertaken will be of limited value because the wrong questions are being asked. Instead of merely producing quantitative descriptions of Health Service activities, the analytical research should be finding the underlying relationships that characterise Health Service operations. Instead of searching for elusive 'necessary' or ' adequate ' standards of care, normative studies should be seeking the optimal allocation of resources among competing claims.? Only by providing such information and advice can operational research be useful as a basis for administrative decisions. Unification and Co-ordination The administrative division of the NHS into three functional branches-hospital, local authority, and executive council (general practitioner) services-has * Occasional papers of this type include the Hospital Building Bulletins Hospital Building Notes, Hospital Equipment Notes and Hospital Technical Memoranda all published by HMSO. ** Oxford Regional Hospital Board, Nursing Care in a Modern Hospital, 1962; Oxford Regional Hospital Board, Hospital Out-Patient Services, 1962; Nuffield Provincial Hospitals Trust, Towards a Clearer View: The Organisation of Diagnostic X-Ray Departments, 1962; Gordon Forsyth and Robert Logan, The Demand for Medical Care: A study of the case-load in the Barrow and Furness Group of Hospitals, I960; A. D. Airth and D. J. Newell, The Demand for Hospital Beds: Results of an Inquiry on Tees-side, 1962. For a general survey of recent health services operational research see: J. O. F. Davies, et al., Towards a Measure of Medical Care: Operational Research in the Health Services-A symposiumn, 1962. t Recent reports have included The Filing of Management Papers, I961 and Organisation and Management of Domestic Work in Hospitals, 1960. ft The abstracts are published as a periodical by HMSO. ? For a discussion of this point see: M. S. Feldstein, ' Operational Research and Efficiency in the Health Service', The Lancet, 1963, and 'Economic Analysis, Operational Research, and the National Health Service ', Oxford Economic Papers, I963.
- Published
- 1963
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