Does anyone have notes for the chapters in the book?
●Multiple tasks and lines of authority ●Complicated community relationships ●Changing social roles ●Professional group rivalries ●Does not fit Max Weber's bureaucratic model ●Much waste ●Many hospitals losing money Lecture #20 I. Types of hospitals ●General hospital (private non-profit) ●Municipal hospital (public non-profit) ●Proprietary hospital (private for-profit) oDumping of patients from private hospital to public hospital ●University hospital (can be any type of ownership) ●Veterans hospital (public non-profit) ●Military hospital (public non-profit) I. Which patients use hospitals? ●Need factors ●Predisposing factors ●Enabling factors ●Hansell study of which young people get hospitalized oNeed factors - no effect oPredisposing factors of prior hospitalization - big effect oEnabling factor of insurance - biggest effect ●Lack of patient insurance contributes to patient dumping I. Hospice as alternative to hospital ●Hospital care for dying patients expensive, painful ●Hospice care oFor patients who live 6 months or less oExtensive nursing care for comfort of patients oEmphasis in pain control with drugs oEmphasis on spending time with family and friends oLow tech medical care oMuch cheaper than hospitalization I. Patient role in hospital ●Hospital rules benefit hospital personnel, not patients ●Depersonalization of patient
oStripping oRestriction of mobility oControl of resources oControl of communication and information ●Patient conformity to hospital rules oDoctors' view of patient ●Long stay patients may become "institutionalized" oProgressive apathy oLoss of coping skills oFear of being discharged Lecture #21 I.
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- Spring '07