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1. For a hospital to operate efficiently and effectively, the three
important influences in its governance, medical staff, board of
trustees, and administration, must work together in reasonable
harmony. What factors might contribute to tensions among these
groups?
2. As the nursing profession has expanded through advanced
degrees, specialization, and clinical practice, nurses’ salaries
and responsibilities have also increased. Now, hospitals
substitute non-nurses for nurses to perform all but the most
technical tasks. What are the implications for the nursing
profession? Have nurses lost their traditional role of hands-on
patient care and, if so, is that to their advantage or
disadvantage?
3. The traditional management style of hospitals has been
hierarchical and internally focused. What are three important
challenges that face hospitals to accommodate new payer and
consumer expectations?
4. The availability of hospital insurance removed an important
cost constraint from hospital services and charges. What were
some positive and negative consequences of that development?
5. The organization and practices of modern hospitals reflect
the promotion of specialization and sub-specialization by
academic health centers. What were the advantages and
disadvantages to patients of increasing the number of physicians
who limit their activities to narrower fields of practice?
6. With significant oversupply of hospital beds in the U.S. what
is the rationale for taxpayer support of the separate and costly
hospital system of the Department of Veterans Affairs?
1. For a hospital to operate efficiently and effectively, the thre.docx

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1. For a hospital to operate efficiently and effectively, the thre.docx

  • 1. 1. For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups? 2. As the nursing profession has expanded through advanced degrees, specialization, and clinical practice, nurses’ salaries and responsibilities have also increased. Now, hospitals substitute non-nurses for nurses to perform all but the most technical tasks. What are the implications for the nursing profession? Have nurses lost their traditional role of hands-on patient care and, if so, is that to their advantage or disadvantage? 3. The traditional management style of hospitals has been hierarchical and internally focused. What are three important challenges that face hospitals to accommodate new payer and consumer expectations? 4. The availability of hospital insurance removed an important cost constraint from hospital services and charges. What were some positive and negative consequences of that development? 5. The organization and practices of modern hospitals reflect the promotion of specialization and sub-specialization by academic health centers. What were the advantages and disadvantages to patients of increasing the number of physicians who limit their activities to narrower fields of practice? 6. With significant oversupply of hospital beds in the U.S. what is the rationale for taxpayer support of the separate and costly hospital system of the Department of Veterans Affairs?