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The Role of Control in the Effective Hospital Management


The objective of the present study was to investigate the opinion of the managers working in the health system concerning their attitude towards the operations of control within the system and the impact of these operations on the activity of the health-care institutions.

Materials and Methods: From October 2016 till January 2017 using an anonymous questionnaire we studied the opinion of 407 medical doctors, medical and healthcare specialists working in various types of healthcare institutions for hospital care in Sofia and the countryside. Results: Only 1/5 of the respondents shared the opinion that the adequate control resulted in quality improvement of the provided medical caregiving, one in four (25,8%) believed that the control could raise the responsibilities of the officials with managerial titles; one in three (34,2%) shared the opinion it improved the responsibilities of the executives.

Conclusion: The new operational terms and conditions implemented in the health insurance system do not result in improving the work quality in the hospital, which allows the conclusion that by changing only the healthcare funding the desired positive changes could not be attained. The organization, management and provision of medical care should be generally revised.

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Survey of Equipment Quality Control in Radiotherapy Centres in Croatia: First Results

, Sandin C, Holmes T; Task Group 142, American Association of Physicists in Medicine. Quality assurance of medical accelerators. Med Phys 2009;36:4197-212. Nath R, Biggs PJ, Bova FJ, Ling CC, Purdy JA, van de Geijn J, Weinhous MS. AAPM code of practice for radiotherapy accelerators: of AAPM Radiation Therapy Task Group No. 45. Med Phys 1994;21:1093-121. International Atomic Energy Agency (IAEA). Comprehensive audits of radiotherapy practices: a tool for quality improvement. Vienna: IAEA; 2007

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Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy

References 1. Mock C, Lormand JD, Goosen J, Joshipura M, Peden M. Guidelines for Essential Trauma Care. Geneva: World Health Organization; 2004. 2. Sasser S, Varghese M, Kellermann A, Lormand JD. Prehospital Trauma Care Systems. Geneva: World Health Organization; 2005. 3. Mock C, Juillard C, Brundage S, Goosen J, Joshipura M. Guidelines for Trauma Quality Improvement Programmes. Geneva: World Health Organization; 2009. 4. Закон за здравствена заштита [Health Care Law, in Macedonian]. Offi

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Serum and Urine Copper – Contamination and Stability

monitoring of therapy with D-penicillamine in patients with Wilson disease.- Biochem Med, 2013, 23(1), A1-A55. 8. Lauwerys, R., Amery, A., Bernard, A. et al. Health effects of environmental exposure to cadmium: objectives, design and organization of the Cadmibel Study: a cross-sectional morbidity study carried out in Belgium from 1985 to 1989.- Environ Health Perspect, 1990, 87, 283-9. 9. Lippi, G., Banfi , G., Church, S. et al. Preanalytical quality improvement. In pursuit of harmony, on behalf of European Federation for Clinical Chemistry

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Original article. Nurse-controlled analgesia for postoperative pain in pediatric patients: effects on nurses’ attitudes and patient care

JM, Gold JI, Logsdon TR, Bird TM, Anand KJS. Assessing postoperative pain in neonates: a multicenter observational study. Pediatrics. 2006; 118: e992-e1000. 13. Price M, Fitzgerald L, Kinsman L. Quality improvement: the divergent views of managers and clinicians. J Nurs Manag. 2007; 15:43-50.

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Factors influencing decisions of Laotian patients to use health care services in Thailand

patients’, professionals’ and health care financiers’ views. Qual Saf Health Care. 2009; 18 Suppl 1:i15-21. 5. Sunol R, Garel P, Jacquerye A. Cross-border care and health care quality improvement in Europe: the MARQuIS research project. Qual Saf Health Care. 2009; 18 Suppl 1:i3-7. 6. den Exter A. Patient mobility in European Union: health spas in Ischia, Italy. Croat Med J. 2005; 46: 197-200. 7. Brand H, Hollederer A, Wolf U, Brand A. Crossborder health activities in the Euregios: good practice for better health. Health

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Brief communication (Original). Predictive factors for postoperative complications in radical nephrectomy for renal cell carcinoma

, Penson DF, Hur K, Khuri SF, Daley J, Henderson W, et al. Comparison of complications after radical and partial nephrectomy: results from the National Veterans Administration Surgical Quality Improvement Program. BJU Int. 2000; 86:782-9. 20. Dunn MD, Portis AJ, Shalhav AL, Elbahnasy AM, Heidorn C, McDougall EM, et al. Laparoscopic versus open radical nephrectomy: a 9-year experience. J Urol. 2000; 164:1153-9. 21. Silberstein JL, Adamy A, Maschino AC, Ehdaie B, Garg T, Favaretto RL, et al. Systematic classification and prediction of

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Development of practice guidelines relevant to patient characteristics and local imperatives

) combined with the ongoing use of systematic reviews. This is to ensure transparency, avoid conflicts of interest, and with due concerns for local imperatives. Guidelines also lead to systems enhancements, other quality improvement, decision support tools, and outcomes of measurement and feedback relevant to local institutions. Once updated guidelines are available, health providers should be encouraged to use them. Strategies to enhance the use of clinical guidelines by physicians are available [ 7 ]. Because of variable clinical settings in different countries, local

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Physicians’ perceptions of patient safety factors: a systematic review and narrative synthesis

:299-306. 23. Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010; 85:1425-39. 24. Riesenberg LA, Leitzsch J, Massucci JL, Jaeger J, Rosenfeld JC, Patow C, et al. Residents’ and attending physicians’ handoffs: a systematic review of the literature. Acad Med. 2009; 84:1775-87. 25. Systematic reviews: CRD’s guidance for undertaking reviews in health care. 3rd ed. York: Centre for Reviews and Dissemination; 2009. 26. Hsieh HF

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Literature Review: Transition From Paediatric to Adult Services in Haemophilia

transition from pediatric to adult care. Pediatr Diabetes 2014 Nov 11. doi: 10.1111/pedi.12229. 51. Haber MG, Karpur A, Deschenes N et al. Predicting improvement of transitioning young people in the partnerships for youth transition initia­tive: findings from a multisite demonstration. J Behav Health Serv Res 2008;35:488-513. 52. Gravelle AM, Paone M, Davidson AG et al. Evaluation of a multidimen­sional cystic fibrosis transition program: a quality improvement initiative. J Pediatr Nurs 2015;30:236-43. 53. Chaudhry SR

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