The Security of the Health Organization Management - The Role of Doctors, Patients and Relations Between Them

Open access


The management of contemporary health systems is a problem of many countries, which consists not only of issues related to the establishment of the roles of institutions involved in their functioning, the allocation of funds, asymmetry of information, or access to health services. Problems of the all system often result from faulty management of particular health institutions, and more specifically from the lack of agreement between the management staff, medical staff and patients.

The proposed study is an attempt to systematize the roles assigned recently to physicians and patients on the one hand, on the other – a presentation of non-standard solutions in this area, which are the existing cooperatives in health care in the world. The issue of jointly implemented by both groups of objectives and adaptation of the idea of cooperatives to the management process was justified by the theory of common pool resources and the game theory.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • Agrawal A. Ostrom E. 2001. Collective Action Property Rights and Decentralization in Resource Use in India and Nepal. Politics&Society 29(4) December 485–514.

  • Ahn T.K. Ostrom E. Schmidt D. Shupp R. Walker J. 2001. Cooperation in PD games: Fear greed and history of play. Public Choice 106 137–155.

  • Bielecki A. Nieszporska S. 2017. The proposal of philosophical basis of the health care system. Medicine Health Care and Philosophy 20(1) 23–35.

  • Declaration of Alma-Ata International Conference on Primary Health Care 1978. Alma-Ata USSR 6-12 September.

  • Degeling P. Maxwell S. Kennedy J. Coyle B. 2003. Medicine management and modernisation: a “danse macabre”? British Medical Journal Mar 22 326(7390) 649–652.

  • Edwards N. Marshall M. McLellan A. Abbasi K. 2003. Doctors and managers: a problem withoutt a solution? British Medical Journal Mar 22 326(7390) 609–610.

  • Hinchcliff R. Greenfield D. Braithwaite J. 2014. Is it worth engaging in multi-stakeholder health services research collaborations? Reflections on key benefits challenges and enabling mechanisms. International Journal for Quality in Health Care Apr; 26 2 124-8.

  • Kuhlmann E. Burau V. Correia T. Lewandowski R. Lionis C. Noordegraaf M. Repullo J. 2013. A manager in the minds of doctors: a comparison of new modes of control in European hospitals. BMC Health Services Research 13:246.

  • Lund M. 2011. Multi-stakeholder Home Care Cooperatives: Reflections from the Experience of Québec. Final Report to the Cooperative Development Foundation December 29 Principal Co-opera Company Minneapolis.

  • MacKay L. 2007. Health cooperatives in BC: The unmet potential. British Columbia Medical Journal 49(3) April 139-142.

  • Malawski M. Wieczorek A. Sosnowska H. 2004. Konkurencja i kooperacja. Teoria gier w ekonomii i naukach społecznych. Wydawnictwo Naukowe PWN Warszawa.

  • Mintzberg H. 2013. Zarządzanie. Oficyna a Walters Kluwer business Warszawa.

  • Multi-Stakeholder Cooperatives Manual. Solidarity as a Business Model. A program of the Ohio Employee Ownership Center Published by cooperative Development Center

  • Nieszporska S. 2016. Rola miernika sprawności systemów zdrowotnych w kreowaniu celów zarządzania sektorem. Zeszyty Naukowe Politechniki Śląskiej Seria: Organizacja i zarządzanie 96 373–383.

  • Ostrom E. 2009. A General Framework for Analyzing Sustainability of Social-Ecological Systems. Science 325 419–421.

  • Ostrom E. Gardner R. 1993. Coping with Asymmetries in the Commons: Self-Governing Irrigation Systems Can Work. Journal of Economic Perspectives 7(4) 93–112.

  • Schmidt D. Shupp R. Walker J. Ostrom E. 2003. Playing safe in coordination games: the role of risk dominance payoff dominance and history of play. Games and Economic Behavior 42 281–299.

  • (17 February 2017).

  • (22 March 2017).

  • (19 March 2017).

Journal information
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 106 106 11
PDF Downloads 74 74 8