There is no perfect definition of hospital as such.
In simple hospital is an institution where sick and injured
patients are treated as in patient.
A hospital is an institution which is operated for the medical
Surgical and/or obstetric care of in-patients and licensed by appropriate authority i.e..govt., local body, MCI.(Directory of hospitals in india1988)
WHO defines Hospital as “An integral part of a Social and
Medical organisation, the functions of which are to provide
the population complete health care, both curative and preventive with out patient services reaching out to the family in its own environment and also to carry out training of health workers/ functionaries and the Bio Social research”
Hospital is an organisation that mobilises the skills and efforts of widely divergent group of professionals, semi- professionals and non-professionals so as to provide highly personalised services to individual patients.
It is therefore , essential to bring to- gather the various components to a unified whole to achieve the objective through the authority of control and co-ordination .
This warrants a systemic functioning of hospital as an Institution.
A system is a hierarchical chain of units and sub units inter connected, inter dependent having clear cut objective at each level.
It obtains inputs from its internal and external environment to process it’s output.
It operates with varying processes or methods to achieve the ultimate objective of the system.
Hospital has its external environment and linkages also.
Hence called an open system in the socio-technical environment.
HOSPITAL SYSTEM MANAGER OBJECTIVE PROCESS PROCESS CONTROL OUTPUT INPUT INPUT RATE CONTROL OUTPUT RATE MONITOR PATIENT SUPPLIES MACHINES STAFF PATIENT SATISFACTION QUALITY OF CARE INFORMATION OUT PUBLIC RELATION FEED BACK DEPARTMENTAL FUNCTION DR.N.C.DAS
HOSPITAL SYSTEM The hospital system can broadly be divided in to two system Categories. HOSPITAL SYSTEM
HOSPITAL CLINICAL FUNCTION CLINICAL SERVICES OUT PATIENT SERVICES NURSING SERVICES INPATIENT SERVICES EMERGENCY SERVICES CCU/ ICU O.T SERVICES
THE ORGANIZATION FUNCTION ORGANIZATION PATIENT CARE SERVICES LEGAL & STATULORY RESPONSIBILITY PUBLIC RELATION MARKETING MANAGEMENT MANAGEMENT INFORMATION SYSTEM STAFF MANAGEMENT MAINTENANCE SERVICES LOGISTICS & SUPPLIES ETHICS & CODE OF CONDUCT HOSPITAL SAFETY QUALITY MANAGEMENT PLANNING & DECISION MAKING FINANCE & BUDGETTING
HOSPITAL SUB- SYSTEMS The hospital activities can broadly be divided in to 4 major sub-systems HOSPITAL PRIMERY ACTIVITIES UTILITY AREAS ADMINISTRATIVE ACTIVITIES SUPPORTIVE ACTIVITIES OPD SERVICES IN PATIENT EMERGENCY OPERATION ICU/CCU NURSING SERVICE
On coming to the hospital a patient is concerned with diagnosis, treatment ,investigation and admission.
While before coming to the hospital he and his relatives are concerned with the hospital rules regulations, hospital staff and quality and cost of care.
This makes the hospital a much more complicated system and survival of the hospital will much depend on the level of patient satisfaction and acceptance.
Thus patient system becomes basic to hospital system.
PATIENT CENTERED ACTIVITIES OF HOSPITAL SYSTEM PATIENT CARE PATIENT NEEDS ADMINISTRATOR OPD UTILITY OPERATION SUPPORT EMERGENCY IN PATIENT EMOTIONAL NEEDS SAFETY NEEDS PHYSICAL NEED BUSINESS NURSING EDUCATIONAL NEED PATIENT SATISFACTION STAFF ATTITUDE