The research presents the scope and use of management information in health care institutions. The area has diverse international literature, so the article limit to logic of hospital operation, result of role conflict, economic and clinical factors in decision-making. In the research qualitative methodology was used for data collection: managerial interviews and in case of decision support, homogeneous focus group interviews. The top managers typically put emphasis on financial information, and examine mostly the historical data, with negligible future scopes. The head of department (physician) decide on the basis of professional and use non-financial indicators. The use of management information in decision-making has more diagnostic style, only a few managers apply interactive controlling systems, basically in the absence of strategic thinking. The author proposes to strengthen the use of controlling systems, which most important elements are the development of institutional internal communication and economic and managerial skills.
The aim of this review paper is to illustrate the areas of interest and the thinking of Hungarian hospital managers by providing a summary of the relevant Hungarian health care controlling literature and to give an introduction of potential research directions. The paper summarizes the “public discourse” and thinking on controlling, and simultaneously highlights the priorities of health care as well. The main range of interest are the financing problems and their solutions, as well as other kind of uncertainty arising from the continuous changes in roles and measures. In the early ninties some health care institutions started to apply controlling systems as a result of the introduction of performance-based financing and often published articles about it up to 2004. In 2015, a project created to enhance the operational efficiency of the health care system restarted controlling thinking: unified management measures required for hospitals may induce the development of the controlling data service, more accurate reporting, management attention, and experience sharing.
The Environmental Protection Agency classifies healthcare as one of the leading energy-consuming industries. Extensive energy is needed around the clock in healthcare institutions for lighting, ventilation, and operating medical equipment. However, there is a growing concern over the sustainability of energy utilization by healthcare institutions worldwide. This narrative review thus seeks to examine energy efficiency and utilization in healthcare institutions and energy management and conservation techniques and make recommendations for future optimal usage. The paper notes that healthcare institutions use different quantities of energy from diverse sources, including hydropower, biomass, solar energy, and wind power. However, energy consumption varies from one institution to another, with the number of beds and intensity of healthcare operations, with an average of 0.27 MWh m−2. Moreover, this review also identified various techniques and measures to enhance energy efficiency, such as the variant refrigerant flow technology and the combination of renewable energy sources with diesel generators to reduce the cost of electricity. Overall, healthcare institutions need energy management systems such as automated energy monitoring technologies, to check the systems' efficiency. The same techniques can also help Middle Eastern healthcare institutions with efficient energy utilization. Ultimately, the literature review aims to introduce an approach that focuses on reducing site-level consumption of energy while increasing the quality of the energy used and hence, helping reduce energy costs while conserving the environment.
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