Business Reengineering, Information Technology, and the Healthcare Connection

Shaffer, Michael D.; Shaffer, Michael J.

doi:10.1080/00185868.1996.11736051

Cited by 6 publications

(5 citation statements)

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“…Si nos remitimos a la bibliografía anglosajona sobre gestión sanitaria encontramos que la evidencia empírica en su entorno es menos escasa y que el número de artículos y la variedad de revistas especializadas en las que aparece demuestra la existencia de un considerable interés por la reingeniería, encontrándose afirmaciones como la que indica que más del 60% del total de hospitales en los Estados Unidos han estado implicados en alguna medida en la realización de iniciativas relacionadas con la reingeniería 13 . Sin embargo, otros autores justifican que un análisis detenido de las experiencias publicadas demostraría que muchas de las así denominadas prácticas de reingeniería son, en realidad, reducciones de plantillas con las que justificar menores costes en los hospitales o acciones que no tienen que ver con la esencia de esta práctica [28][29][30][31] .…”

Section: Reingeniería De Procesos En Las Organizacionesunclassified

“…Sin embargo, en este epígrafe sí se vería con buenos ojos, tanto por parte del paciente-cliente como desde la institución aseguradora, el recorte de tiempos de estancia como consecuencia de la optimización de procesos colaterales que, por su ineficiencia, obligan a permanecer hospitalizado más tiempo del necesario (ejemplo: retrasos o errores en la realización de pruebas clínicas, fallos en la programación de uso de quirófanos o de turnos del personal). Otra opción para disminuir costes, casi una constante en los informes sobre experiencias en reingeniería [28][29][30][31] , es la de obtener ahorros derivados de la reducción de plantilla, que no es viable en este caso por el tipo de contrato administrativo que liga al personal de los hospitales públicos con la Administración; de esta manera desaparece la principal arma que, erróneamente, ha tenido la práctica de la reingeniería para convencer de su utilidad práctica 28,36,37 .…”

Section: ¿Deberían Los Hospitales Públicosunclassified

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Process reengineering in public hospitals. Reinventing the wheel?

Acosta¹,

Alonso²

2001

Rev. Esp. Salud Publica

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The purpose of this paper is that of analyzing the hypothesis that, as originally stated by its creators, the reengineering methodology for the improvement of efficiency and productivity, cannot be successfully implemented in Spanish public hospitals, and in fact, the so called experiences do not keep with the basics of such an approach. The technique employed for this study consisted, on one hand, of reviewing and comparing the literature published on this subject and, on the other, on experimentation by means of a case study conducted at a public hospital for the purpose of testing out the outlined hypothesis. The review and comparison of works previously published on this subject revealed that the technique for improving on-the-job efficiency according to the theory-based concepts of the process reengineering approach is not adaptable to public hospitals in Spain. The case study supported this finding, additionally highlighting the fact that in order for any relatively major changes in the working processes at public hospitals to be recommended, a number of organizational and human factors must be taken into consideration as aspects involved regardless of the methodological approach taken. The indiscriminate implementation in public hospital administration of trends currently fashionable in the business administration field may defeat its own purpose if these trends are not previously evaluated prior to being implemented. An assessment must first be made as to their being suited to the intended purpose.

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Section: Reingeniería De Procesos En Las Organizacionesunclassified

Section: ¿Deberían Los Hospitales Públicosunclassified

Process reengineering in public hospitals. Reinventing the wheel?

Acosta¹,

Alonso²

2001

Rev. Esp. Salud Publica

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“…Shaffer argues, in effect like Knoepflmacher, that a profound paradigm shift occurs in nineteenth-century culture through the higher criticism, but she links this not only to an ethical and religious crisis, but also to a new sense of textuality: If in our time 'text' has been liberated from 'writing and become a system of signs, so in that period text was liberated from the letter of divine inspiration and became a system of human significances. That social criticism should be conducted according to the same canons as Biblical criticism would have been congenial to the men of whom we speak... [8] One can be even more explicit than Shaffer in addressing the consequences of this shift. It is crucial to stress that while the work of the higher critics has an obvious significance in the context of religious history, what is equally important and much less understood is the import of higher critical texts on epistemological issues pertaining to the nature of fact, testimony, and interpretation.…”

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confidence: 97%

Reading the “Key”: George Eliot and the higher criticism

Bailey¹

1996

Women's Writing

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While the problem of Victorian "relativism" exists in both Darwinian and Idealist cultural discourses, it is the higher criticism of the Bible which explicitly takes human testimony and the problems of textual interpretation as its subject. Drawing on work by Strauss and Feuerbach, whom George Eliot translated, this paper argues that the formal and epistemological complexity of Middlemarch has its philosophical analogue in the discourse of the higher critics, which provides a nineteenth-century model for the understanding of narrative, testimony, and interpretive fictions.[A] man may be puffed and belauded, envied, ridiculed, counted upon as a tool and fallen in love with, or at least selected as a future husband, and yet remain virtually unknown-known merely as a cluster of signs for his neighbours' false suppositions. (Middlemarch [1]) Presenting what one has understood to others is itself a production, therefore a 'text,' and so is not hermeneutics, but an object for hermeneutics. (Friedrich Schleiermacher, Hermeneutics: The Handwritten Manuscripts [2])

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“…For Dysart, the only thing that is worse than Alan's loss of passion is being the person responsible for inflicting this metamorphosis. "The Normal is the indispensable, murderous god of Health, and I am his priest" [5]. Dysart is enslaved to his profession-his personal calling-and despite his reluctance he will use the tools of his craft to "fix" Alan.…”

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confidence: 99%

"Equus" and the Relationship between Religion and Medicine

2005

AMA Journal of Ethics

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Medical Humanities Equus and the Relationship of Religion and Medicine by Allison GradyThe play Equus by Peter Shaffer is an example of the complex and sometimes adversarial relationship between medicine and religion. The play's main character, 17year-old Alan Strang, is sent to psychiatrist Martin Dysart, after he gouges out the eyes of 6 horses that were previously the object of his most sincere emotions. Despite Alan's heinous actions, Dysart is not convinced that conventional medicine is the best solution for his problems. Dysart recognizes the centrality of the horses in Alan's life, the passion that they've inspired, and the simple fact that, even though Alan is living outside the bounds of convention, his life is more complete than that of the average person-even Dysart's. Throughout the play, Dysart struggles with the possibility of "curing" Alan through traditional medicine, leaving him void of the passion and purpose that make him unique.

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Business Reengineering, Information Technology, and the Healthcare Connection

Cited by 6 publications

References 3 publications

Process reengineering in public hospitals. Reinventing the wheel?

Process reengineering in public hospitals. Reinventing the wheel?

Reading the “Key”: George Eliot and the higher criticism

"Equus" and the Relationship between Religion and Medicine

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