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Learning objective
1. Whatis Hospital?
2. How to classify hospitals?
3. What could be the organisation structure of Hospital?
4. What are the functions and services offered by
Hospital?
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Outcomes
• After goingthrough these slides, the learner would be
able to understand following points
1. Definition of Hospital
2. Classification of Hospital on various basis
3. Organisation structure of Hospital
4. Services provided by Hospital
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Hospital
Hospital:
It is ahealth care organisation that has a team
of well qualified trained staff and all technical
equipments that are required for the treatment
of specific disease in patient.
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• Hospital canbe called a“City inside a city” that has all
required facilities like building, equipments, team of
qualified personals, fooding, laundry, transportation
facility, communication facility, electric and water supply
etc. That work in collaboration for treatment of patient.
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Classification of Hospitals
Hospitalscan be classified on various basis
1. Clinical basis: on basis of therapy provided by Hospital
a. Maternity Hospitals
b. Surgical Hospitals
c. Medicinal Hospitals
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2. On basisof ownership
a. Government Hospitals
I. Public health services (AIIMS, PGI)
II. Military Hospitals
b. Non government Hospitals
III. Private Hospitals
IV. Charitable Hospitals
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3. On thebasis of system of medicine
a. Allopathic Hospitals
b. Ayurvedic Hospitals
c. Homeopathic Hospitals
d. Unani Hospitals
e. Rehabilitation centres
4. On basis of medical staff
a. Closed staff
b. Open staff
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5. On basisof number of beds
a. Small Hospitals ( beds up to 100 )
b. Medium Hospitals ( beds 101 to 499 )
c. Large Hospitals ( beds above 500 )
6. On basis of teaching activities
d. Teaching Hospitals
e. Non teaching Hospitals
7. As per WHO
f. Regional Hospitals
g. District Hospitals
h. Rural Hospitals
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8. On basisof cost
a. Elite Hospitals
b. Low budget Hospitals
9. On basis of level of Health care
c. Primary
d. Secondary
e. Tertiary
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Functions of Hospital
Functionsof hospital can be bifurcated in two manners
1. Primary function (Curative function)
2. Secondary function ( Preventive, Research, Training)
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Curative function
• Itis the basic function of the hospital and is associated
with providing care to patient.
• It depicts any type of care that is provided to the patients
by health care providers e.g. physicians, nurses,
dieticians.
• Also includes health education to patients
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Preventive function
• Itis popping up function of the hospital and concerned
with health promotion
• It is concerned with providing the preventive services
through a community health centre
• It has an active role to improve the health of the
population
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Research function
• Itis a secondary function of hospital and is concerned
with managing the health related researches that
emphasis on the betterment of the health and/or
prevention of diseases.
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Training function
• Itis a secondary function and is connected with providing
training and educational courses for the professional and
technical personnel who provides health services (e.g.
physicians, nurses, dentists, therapist)
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Importance of Organisationstructure
• Facilitates the understanding of the hospital’s
chain.
• The complexity of organizational structure
depends on size of healthcare facility.
• hospitals with big acute facilities have
complicated structures, on contrary the smaller
institutions have a basic organizational structure.
• Each hospital department performs specific
functions, departments are generally grouped
according to analogy of duties in order to promote
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Organisation categories ofHospital
Hospital
organisation
categories
Administration
Services
Information
Services
Diagnostic
Services
Therapeutic
Services
Support
Services
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Roles of HospitalAdministration
• To supervise the the operation of departments
• To control budgeting and finance
• To design hospital policies and procedures.
• To perform public relation duties
• Members of administration include: Hospital President,
Vice Presidents, Executive Assistants, Department Heads
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Roles of Informationservices
1. Admissions personnel-are usually the public’s first
contact with in the hospital,check patients into hospital
and obtain demographics of each patient
2. They assign patients their hospital room and their
hospital identification number
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2. Billing andCollection- concerned with billing patients for
services used by them
3. Health Information Management - maintains copies of all
patient records
4. Information Services-associated with computers and
hospital network
5. Health Education-responsible for staff and patient health-
related education
6. Human Resources-responsible for recruiting employees
and making policies for their benifits
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Roles of Therapeuticservices
Provides treatment to patients
Physical therapy
Occupational therapy
Speech/ language therapy
Pathology
Medical Psychology
Respiratory Therapy (RT)
Pharmacy
Dietary
Sports Medicine
Nursing
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Roles of Diagnosticservices
• To determine the cause(s) of illness or injury
• It has different departments like
a. Medical Laboratory (MT) – it is concerned with studies
related to body tissues, to determine abnormalities
b. Imaging studies- images of body parts to determine
lesions and abnormalities. Includes Diagnostic Radiology,
MRI, CT, Ultra Sound.
c. Emergency Medicine – to provide emergency diagnoses
and treatment
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Roles of Supportiveservices
Provides support to entire hospital.
1. Central Supply-has responsibility of ordering, receiving,
stocking and distributing all equipment and supplies used
by healthcare facility, sterilizes instruments and supplies,
cleans and maintains hospital linen and patient gowns.
2.Biomedical Technology-designs and build biomedical
equipment (engineers) by diagnosing and repairing
defective equipment (biomedical technicians) and also
provides preventative maintenance to all hospital
equipment.
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3. Housekeeping andMaintenance- the department is
responsible to maintain a safe clean environment by
cleaners, electricians, carpenters, and gardeners.
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References
1. Dr Rameshk Goyal et al a Text Book of
Hospital Pharmacy, B.S. Shah Prakashan.
2. Dr. Ramesh K. Goyal; Dr. R.K.Parikh, Dr. Mayur
M. Patel; Merchant & Goyal’s; A Textbook of
Hospital Pharmacy; Edition- 13th
.
3. http://www.srmuniv.ac.in/sites/default/files/
files/Hospital.pdf