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Title: Management and organisation of hospital resources
Author: Charles, H. S.
Awarding Body: University College of Swansea
Current Institution: Swansea University
Date of Award: 1987
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1. A comparative study of hospital management and organisation, in Great Britain and the U.S.A. A comparison is made of the different healthcare systems used in these two countries. A background of each is provided, with a comparison of how hospitals, in each system, manage their limited resources. Following nine months of study at Iowa State University, where I was involved in a student-based Management Engineering Department at one of the local hospitals (Mary Greeley Medical Centre) and several periods spent at two local hospitals in West Glamorgan Health Authority, in Britain - I was able to analyse the basic management and organisation structures of these hospitals, from the U.S. and Britain. By spending time in these hospitals, and by various meetings and discussions with staff me bers (including both management and medical staff) I was also able to analyse how each hospital 'manages' their scarce health resources. 2. Development of the bed and theatre requirements planning model. Following a request made by W.G.H.A., a computer simulation model has been developed to aid in the planning and management of scarce bed and theatre resources. The model analyses the bed and theatre requirements for a given set of inputs, such as given speciality theatre timetables. The model was developed to meet the requirements of the Planning Department of W.G.H.A., as well as the consultants, following a number of meetings and discussions with representatives of both groups. This section looks at the development of the model which has involved the acquiring of actual length of stay and theatre data, from relevant specialist departments in Morriston (and Singleton) hospitals; the problems encountered, and future work and applications for the model (in which both W.G.H.A. and E.G.H.A. have shown an interest). It also includes a discussion of problems of scarce resources in the N.H.S. today, and the application of Operations Research to the field of healthcare. 3. Expert systems in the field of healthcare. The provision of complete, accurate information is important to the efficient management of an organisation. Computer systems have been shown to be useful in providing such data, as well as aiding in the more medical side of the system. Expert systems - a new form of computer technology - have, in recent years, received a lot of attention for their usefulness in the medical decision-making process, helping to provide 'non-experts' with the knowledge of more specialised medical consultants, in an easy, accessible way. In so doing, these systems may be able to help in medical consultations, or in teaching the 'non-expert' more about a specialised field of medical knowledge, without having direct contact with the human 'expert'. Medical experts are in short supply and their knowledge is a valuable and scarce resource, which needs to be well managed to ensure it is utilised in the most efficient way. An investigation is, therefore, provided in this section into recent developments of medical expert systems, and possibilities for their future applications in healthcare. This includes one idea for a simple expert system, to aid in the coding of patient diseases and operations for H.A.A. statistics. A trial model was developed following consultations with one of the orthopaedic surgeons at Morriston hospital, who also provided a limited amount of data, regarding his field of medicine, to provide a basic knowledge-base for the system.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available