By George Obua | Project Leader
A reseach on risk management of health facilities
According to the persistence research being conducted by Kole Intellectual Forum, for this case, they found out that: the introduction to the establishment of Hospitals or health facilities pose many challenges to those undertaking reform of health care systems; it was noted with deep concern that, there are, quite literally, immovable structures whose design was set in concrete, leaving many years previously. Their configuration often reflects the practice of health care and the patient populations of a bygone era. Their incompatibility with present needs ranges from major design problems, such as a scarcity of operating theatres, to more minor problems, such as the lack of power sockets for the ever expanding number of electronic monitors. It is not only the physical structure that is difficult to change. Hospital functions are also resistant to change, as illustrated by the persistence of large tuberculosis sanitoria in some countries long after they were required. Hospitals are staffed by the e´lite members of the medical profession who, in many cases, can use their excellent political connections to oppose changes that threaten their interests. An environment that is technically complex, surrounded by much uncertainty, and which contains information asymmetry, only enhances the mystique of the medical professional and often leaves the outsider confused and perplexed. Given these barriers to change, it is unsurprising that hospital reform is viewed with trepidation by health policy-makers. Yet hospitals are a very important element of the health care system. Financially, they account for about 50% of overall health care expenditure. Organizationally, they dominate the rest of the health care system. Symbolically, they are viewed by the public as the main manifestation of the health care system, as shown by the enthusiasm with which politicians seek to be photographed opening new hospitals.
Kole Intellectual therefore seeks to redress this information balance by examining the place of the hospital within the health care system in all the perspectives. It will draw its conclusion from a major study being undertaken by their team on how develop the most ever modern Health Care Systems, which addresses a series of crucial but often overlooked questions. First, why were hospitals created and do these conditions still pertain?
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