RESUMO
The author explores and explains the role of the director of Maribor General Hospital in the first period after Second World War. The period was problematic on account of the difficult economic situation and changes in the political system. On one hand the hospital suffered relatively large damage due to bombing attacks during the war and on the other it had to face numerous staffing problems, especially with a lack of physicians and trained nursing staff (from 1948 an executive order entered into force forbidding the nursing nuns from performing nursing care in hospitals). The change in the political system required the management of the hospital to be taken over by an individual who enjoyed the political, professional and economic trust of the then authorities. Based on his engagement during the Second World War, the director, Zmago Slokan, represented a form of guarantee for the political system of that time, which nevertheless wanted the quality-based, professional and economic progress of the hospital. Using his personal characteristics, professional medical and economic knowledge as well as political experience, he was able to manage different tendencies to continue the quality-based progress of the institution. Thus, he set a proper foundation for its development in the periods that followed, in the Socialist Federative Republic of Yugoslavia as well as in the independent Republic of Slovenia (after 1991). The author discusses the role of the director in the hospital's progress chronologically.
Assuntos
Administração Hospitalar/história , Administradores Hospitalares/história , Hospitais Gerais/organização & administração , Liderança , II Guerra Mundial , História do Século XX , IugosláviaRESUMO
El Hospital de la Tiña, fundado con fines benéfico-sanitarios en el siglo XVII, ha funcionado desde entonces hasta bien entrado el siglo XX realizando el tratamiento de las tiñas a pacientes de todas procedencias acogidos en la institución. En el presente estudio describimos la fundación del hospital, las características de los pacientes y sus cuidadores, así como lo que se consideraba tiña, sus tipos, la pauta de tratamiento y los cuidados alimenticios e higiénicos. Nos llama la atención que la presencia tan temprana de un hospital «monográfico» no se tradujo en estudios sobre la enfermedad y la aplicación de los conocimientos de la época
The Tinea hospital in Granada, Spain, was a charitable health facility founded in the 17th century and still treating patients well into the 20th century. The hospital accepted patients from anywhere, not only those residing in the surrounding area. We describe the hospital's founding and the characteristics of the patients and caregivers. We also discuss how tinea was considered at the time, including the typology and treatment protocols applied as well as diet and hygiene measures used. It is striking that a hospital so focused on treating a single disease did not produce studies on the condition or on the application of contemporary knowledge to guide treatment
Assuntos
Feminino , História do Século XVI , História do Século XVII , História do Século XVIII , História do Século XIX , Humanos , Masculino , Tinha/história , Tinha/terapia , Dermatomicoses/epidemiologia , Dermatomicoses/história , Dermatomicoses/prevenção & controle , Hospitais/história , Hospitais , Dermatologia/história , Administradores Hospitalares/história , Sistemas de Distribuição no Hospital/história , /história , /tendênciasRESUMO
Since 1974 the National Health Service (NHS) has been subject to successive reorganisations which have shaped and reshaped patterns of administration, clinical care and services. This paper uses two sources of oral evidence: a Witness Seminar with a group of administrators who attended the NHS National Administrators' Training Scheme in the late 1950s and a collection of interviews with doctors and managers who have played key roles in the health services of Manchester and Salford between 1974 and 2007. It surveys the day-to-day interactions between doctors and administrators/managers in hospital settings and analyses what these reveal about relationships within the broader context of shifting organisational structures and management styles. It suggests that the evidence challenges the historical stereotyping of the two groups and that strong working relationships have been determined as much by the values of respect and association as by changes to structures or management styles.
Assuntos
Atitude do Pessoal de Saúde , Administradores Hospitalares/história , Relações Interprofissionais , Corpo Clínico Hospitalar/história , Programas Nacionais de Saúde/história , Inglaterra , História do Século XX , História do Século XXI , Administradores Hospitalares/psicologia , Humanos , Corpo Clínico Hospitalar/psicologia , Programas Nacionais de Saúde/organização & administração , Pesquisa QualitativaRESUMO
Leadership in the hospital sector has been characterized by a state of change since the early 1960s. Heavily influenced by the emergence of the principles of the Canadian health system, leadership at the time was shaped in many ways by the post-World War II construction boom. It was significantly impacted by the developing professional unions in the clinical professions and the resultant and conflicted labour relations of the 60s and 70s. The environment of leadership was in those days predominantely a transactional style, and was frequently confrontational. But the many leaders of Canada's hospitals were also characterized by a caring cadre of often-colourful personalities who challenged, debated and strove to ensure adequate funding and a harmony among the diverse clinical, community and political interests confronting their organizations. The major restructuring of an ever-more expensive health system has set the stage for substantial innovation and reform as the leaders in the system integrate new technologies, personalized pharmaceuticals, devolving scopes of practice and entrepreneurial opportunities related to incentive funding. The development of leadership competencies such as the Leaders for Life framework across the health workforce will be essential to successfully guide our health delivery system into the future.
Assuntos
Administração Hospitalar/história , Liderança , Eficiência Organizacional , História do Século XX , Administradores Hospitalares/história , HumanosAssuntos
Administradores Hospitalares/história , Enfermagem Psiquiátrica/história , Psiquiatria/história , Educação em Enfermagem/história , França , História do Século XVII , História do Século XVIII , História do Século XIX , Hospitais Psiquiátricos/história , Humanos , Defesa do Paciente/históriaAssuntos
Hospitais para Doentes Terminais/história , Hospitais Religiosos/história , Catolicismo/história , Clero/história , França , História do Século XIX , História do Século XX , Administradores Hospitalares/história , Humanos , Corpo Clínico Hospitalar/história , Recursos Humanos de Enfermagem Hospitalar/históriaRESUMO
In 1897 Hamburg was in search of an Oberarzt for the asylum Friedrichsberg who should function as the acting head of the head Wilhelm Reye (1833-1912). This search was part of the intended reformation of the outmoded psychiatric care in Hamburg. During this application procedure the Hamburg Physikus John Wahncau examined all possible candidates and applicants. The article explores the election process by using some sociological categories developed by Pierre Bourdieu (habitus, capital, field). The author argues that not only meritocratic attributes led to the choice of one candidate, but also his functional "fitting" into the field in Hamburg.