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June 1995
A Study of Philippine Hospital
Management Administrative Systems
DISCUSSION PAPER SERIES NO. 95-16
Fred A vestruz
A
STU DY
O F
PH IL IP P IN E
H O S P ITA L
MA NA G E ME N T
AN D
AD M IN IST RA T IVE
SY ST E M S
P ID S
P ro je c t
N o. D O H
/9 1 -9 2
/0 5
(F in a l
R e p o rt)
O c to b e r
30, 1994
F red
S. A ves tr u z ,
M B A , Ph .D .
A sian
In stitu te
of M anagem ent
TA B L E
OF CO NT ENT S
Ch a p te r
P a g e
1
IN T R O D U C T IO N
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1 .1 O b je c tiv e s
of th e S tu d y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1 .2 Co n c e p tu a l
F ram ewo rk
of H os p ita l M a n a g e m e n t. . . . . . . . . . . . . . . .
2
1 .3 T h e Ho s p ita l
in th e P h ilip p in e
H e a lth C a re S y s te m. . . . . . . . . . . . . . . . .
3
1 .3 .1
T h e P h ilip p in e
H e a lth C a re S y s te m. . . . . . . . . . . . . . . . . . . . .
5
'_ 1 .3 .2
R o le
of H os p ita ls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
1 .3 .3
Ho s p ita ls
In d u stry
S tru c tu re. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 5
1 .4 O p e ra tio n a l
C h a ra c te ris tic s
of P h ilip p in e
Ho s p ita ls. . . . . . . . . . . . . . . .
1 8
1.5 Ho spitals
in the C ase
S tu d ie s. . . . . . . . . . . . . . . . . . . . . . 2. . . . . . . . . . . . . . . . . . . . . . .
2 3
2
E X T E R NA L
IN F L U E N C E S
O N
H O S P IT A L
M ANAGEM ENT
A N D
PERFORM ANCE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 .1 M a rk e t
D em an d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 .2 N e tw o rk in g
a n d
Re fe rra l
S y s te m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
2 .3 H e a lth
C a re F in a n c in g
P ro g ra m s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 9
2 .4T e c h n o lo g y
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 1
2 .5 M a c ro e c o n o m ic
C o n d itio n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 2
2.6 E x te rn a l
O rg a n iz a tio n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 3
2 .7 G o v e r n m e n t
P o lic ie s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 3
2.7 .1
G eneral
In te rv e n tio n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 3
2.7 . 2
Local Governm ent
C ode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 6
2 .8 S u m m a ry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 7
3
M A N A G E R IA L
D E C IS IO N S
A N D
C O N T R O L
SY STEM S
I N
P H IL IP P IN E
H O S P IT A L S
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . .
1
3 .1 G o a ls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
3 .2 D e c is io n
M A k in g
P r o c e s s e s
to E stablish
a H o s p ita l. . . . . . . . . . . . . .
1 0
3 .3 K e y H o s p ita l
A cto rs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 1
3 .4 P la n n in g
P r o c e s s e s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 5
3 .5 In te ra c tio n s
A m ong
K e y H o s p ita l A c to rs s a n d D e c is io n s
M a k in g
P r o c e s s e s
in P h ilip p in e
H o s p ita ls. . . . . . . . . . . . . . . . . . . . . . . . .
18
3 .5 .1
C a p ita l
E x p e n d itu re
D e c is io n. . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 8
3 .5 .2
B udget
D e c is io n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 2
3 .5 .3
P e rs o n n e l
D e c is io n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
3 .5 .4
P ric in g
D e c is io n s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 6
3 .6 C o n tro l
S y s te m
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 3
3. 6 .1
Q u a lity
C o n tro l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 3
3 .6 .2
F in a n c ia l
C o n tro l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 8

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deleted_fbuser_1321442644left a comment

review on the plantilla for 50 bed capacity should be done especially in the district hospital in the province of iloilo..thanks.

Ailyn Mae Kuan-Del Rioleft a comment

Hi! thanks for posting! Would you be kind to send me a copy? please!? you may send it at ailynkuandelrio@yahoo.com. Thanks so much!

bsrehalleft a comment

Hello, is it convenient for you to send a copy of this to me? My son is planning to go into Hospital Management and is preparing for it. My email is bsrehal@gmail.com. Thanks and regards, Bhupinder

momobelleleft a comment

hi. can i ask for a copy of this please. i need this to help me with my management in our hospital. thank you very much. my email add is snowbelle_2008@hotmail.com.thank you very much

MUNGRADAleft a comment

Salam, can you please send a copy of this book to me as I really need this book for my job in hospital. My email = mungrada@sr.net Thanks mate !