health systems

1. In the last decade,

some hospitals have closed most health services have been restructured and have struggled to divert resources from acute care to primary care and/orto effectively integrate or coordinate care. From your perspective and experience and from the theory you have read:

a) Explain

why this reform/restructure of health systems continues and identify which influences present the most challenge to health managers.

b)

Explain why some health services survive or do betterthan others. In addressing this aspect ofthe question take into account organisational theories of resource dependence, strategic management, population ecology and the institutional perspective.

c) What

approaches and practices do you consider most appropriate to adopt in managing in complex and constantly changing circumstances?

2.
Strategic planning, performance management, lean management, reengineering,

Strategic planning, performance management, lean management, reengineering, quality, safety and clinical governance, teamwork and effective decision making are approaches to management adopted in most organisations. These approaches can contribute to effective management and are often promoted as a solution to organisational ills. However, they have also been criticised as ‘fads’that are not particularly effective in professionally dominated human service organisations. Comment on these statements; identify the main impediments to the successful implementation and use ofthese approaches and how you might best manage to make effective use ofthem in the management of your service or organisation. Are they equally effective and capable of use in all circumstances? What other management skills/approaches might be moreeffective.
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