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Journal of the Academy of Hospital Administration

Vol. 12, No. 2 (2001-07 - 2001-12)

Editorial

The present day Health Care Institutions have transformed into automated, multifacted and multi-disciplinary complex systems. Globalisation, economic liberalisation, privatisation, technological advancement and innovations have influenced the delivery of health care.

Health care delivery in India is under pressure from internal and external forces which will lead to drastic changes in near future. The external pressure is due to globalisation of health sector in India, information technology, world wide marketing, e-commerce, pressure of IMF for reforms in health care in developing countries, reductions in subsidies as well as government deficits. Internal pressure is due to improvement in the overall education level of population, awareness regarding health activities by NGOs and public interest groups, judiciary, need for health insurance etc. Due to these pressures there may be changes like. Govt. may be forced to concentrate mainly on Primary Health Care. Secondary and tertiary health care may totally go to the private sector.

This will lead to privatisation of hospitals in a big way. Many new hospitals and diagnostic centres will be operational at the district level and these will be more corporate sector hospitals in the mega cities. Thus, there is bound to be a felt need for efficient and cost effective management of these hospitals, thereby making it compulsory for development of hospital administrators fully equipped with skills for facing the challenges.

The resource crunch and the infinite demands from patients and the community poses challenges for the hospital administration who tries to adhere to the basic economic principle of stretching the limited means to meet the unlimited end. One of the essential steps to attain effective efficiency in the management of health care institutions is to appropriately train the hospital administrators.

It has been rightly said that management means Manage-Men T i.e. Managing men tactfully. If a hospital administrator is able to manage men tactfully and carry his team along with him he will be an effective administrator. The training thus should therefore not only be confined to imparting knowledge but skills, aptitude and attitude must also be appropriately developed. Subjects like sensitivity training, networking, global approach to situations, corporate and non-corporate marketing, outsourcing of hospital services must form an essential component of the curriculum. It is worthwhile remembering that situational sensitivity and behavioural flexibility are the crux of Hospital Administration.

Dr. P.C. Chaubey

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