HOSPITAL

SERVICE
MANAGEMENT
 Hospital and Hospital
management
 “Hospital is an establishment of temporary space to
be occupied by the sick and injured , where they
undergo appropriate treatment .”
 “Hospital management is a collaborative process
that assesses, plans, implements, coordinates,
monitors and evaluates the options and services
required to meet an individual’s health needs, using
communication and available resources to promote
quality, cost-effective outcomes in the hospital
environment.”
Evolution of hospitals
in India
 Hospitals have known to exist from the time
of Buddha(6th century).
 The most magnificent of them were at the
time of king Ashoka having labor rooms and
children wards as first priority.
 Later in 16th century allopathic medicines
were introduced .
 The first scientifically developed hospital was
built by the British at Madras , 1664.
 Contd…
 19th century , the 1st medical school was
started in Calcutta.
 20th century saw the development of

training institutes and also development

of various new technologies , facilities ,
medicines and treatments.
 Classification of
hospitals
 Hospitals can be classified based on the
following criteria.
 1. Length of stay of the patient.
 2. Clinical basis.
 3. Ownership basis.
 4. Objectives.
 5.Size
 6.Management.
 7. System of medicine.
Commonly used classifications
are:
 1. Ownership basis.  2. Management basis.
 A. Public hospitals.  A.Union governments.
 B.state governments.
 B. Voluntary
 C. Local bodies.
hospitals.
 D. Autonomous bodies.
 C. Private homes.  E. Voluntary agencies
 D. Corporate
hospitals.
Example for an Public hospital:
AIIMS
Example for Private hospital: Apollo,
Calcutta.
Example for voluntary hospitals :
Satya sai hospital.
Example for government hospital:J. J
hospital, Bombay
Example for autonomous :
NIMHANS
 Functions of the
hospital
 Patient care.
 Diagnosis and treatment.

 Out –patient services.

 Medical education, training and

research.
 Prevention of diseases .

 Promotion of health.
 Facilities provided by the
hospitals
 It could be mainly divided into, in patient and
out patient services which includes,
 Emergency services.
 Medical, surgical, paeditrics.
 Maternity unit.
 Orthopaedic unit.
 Dental , ENT and ophatmology units
 neurology
 Contd….

 Neurology and neurosurgery.

 Cardiology unit.

 Psychiatry unit.

 Radiology, X-ray , CT scan and MRI

 Pathology, microbiology and labs.

 Pharmacy and dietary.

 Nursing.
 Problems involved in
hospital management.
 Lack of administrative knowledge.
 Poor communication skills.

 Absence of adequate planning.

 Lack of scientific planning.

 Improper usage of funds.

 Unskilled and inefficient staff.

 Poor quality of patient care.

 Inadequate facilities( bed strength) to

meet the demand.
 Thank you…