DEFINITION HOSPITAL IS AN INSTITUTION FOR THE CARE, CURE, AND TREATMENT OF THE SICK AND WOUNDED , FOR THE STUDY OF DISEASES AND FOR THE TRAINING DOCTORS AND NURSES . (STEADMAN’S MEDICAL DICTIONARY)
PHILOSOPHY To maintain the highest quality of services of curative, restorative and preventive services to all persons who seek its services. To render high standard of patient care in all functional areas of the hospital. Commitment to research in patient care, educational training and management. Commitments as screening and referral centre for patient suffering from particularly complex health problem
OBJECTIVES Provide optimum health services Provide care, cure, preventive service. Protect the human rights of clients. Provide training for professionals. Provide in-service/continuing education in all discipline professional technical personnel. Participate/conduct research
SCOPE OF HOSPITAL TEAM APPROACH CONTENTS OF SERVICE CO-ORDINATION CONTINUITY OF CARE EVALUATION AND RESEARCH.
FUNCTIONS Patient care Diagnosis and treatment of disease Out-patient services Medical Education and training Medical and nursing research Prevention of disease and promotion of health
CLASSIFICATION OF HOSPITAL Length of stay of patient Clinical basis. Ownership/control basis Objectives Size Management System of medicine.
Length of stay of patient (long-term and short-term) Clinical basis (general )`
According to OWNERSHIP/CONTROL. Public Hospitals Run by the central or state governments or local bodies on noncommercial lines. General hospital or specialised hospitals or both. Voluntary Hospitals Established and incorporated under the Societies Registration Act 1860; or Public Trust Act 1882 or any other appropriate act of central or state governments. Run with public or private funds Private Nursing hospitals/Nursing Homes Generally owned by an individual doctor or a group of doctors. Run the hospital or nursing home on a commercial basis. Corporate Hospitals Hospitals which are public limited companies formed under the companies act. Run on commercial lines. They can be either general or specialised or both (e.g. Hinduja hospital, Apollo Group of Hospitals).
According to the Objectives Teaching-cum -Research Hospital College is attached for medical/ nursing/dental/pharmacy education. Main objective is teaching based on research and the provision of health care is secondary, e.g. AIIMS, D Y PATAIL HOSPITAL. General Hospitals Provide treatment for common diseases and conditions. Provide active medical and nursing care for more than one category of medical discipline such as general medicine, general surgery, obstetrics and gynaecology , paediatrics etc. Main objective is to provide medical care, teaching and research is secondary and incidental, e.g. PHC or rural hospitals.
Specialised Hospitals Provide medical and nursing care primarily for only one discipline or a specific disease or condition of one system. Concentrate on a particular aspect or organ of the body and provide medical and nursing care in that field, e.g. tuberculosis, ENT, ophthalmology, Orthopedics, Pediatrics, cardiology, mental health/psychiatric oncology, STDs, maternal etc. Isolation Hospitals Persons suffering from Infections/communicable disease requiring isolation of the patients, e.g. Epidemic Diseases Hospital, Bangalore.
According to Size TEACHING HOSPITAL 500 BEDS DISTRICT HOSPITAL 200 BEDS TALUKA HOSPITAL 50 BEDS PRIMARY HEALTH CENTRE 10 BEDS
According to Management UNION GOVERNMENT/GOVERNMENT OF INDIA. STATE GOVERNMENTS LOCAL BODIES AUTONOMOUS BODIES PRIVATE VOLUNTARY AGENCIES
According to System Allopathic hospitals Ayurvedic hospitals Homeopathic hospitals Unani hospitals Hospitals of other systems of medicine.
FACTORS INFLUENCING HOSPITAL UTILISATION
AVAILABILITY OF BEDS METHODS OF PAYMENT FOR HOSPITAL SERVICES AGE OF THE POPULATION SERVICE COVERAGE AND BED DISTRIBUTION AVAILABILITY OF EXTRAMURAL MEDICAL SERVICES HOSPITAL ‘BOTTLENECKS” MEDICAL CUSTOMS AND SOCIAL PATTERNS SUPPLY OF PHYSICIANS
Research and Training Existence of Proprietary Hospitals Housing Morbidity Internal Organisation