Hospital function and classification
Hospital administration
We have described in article :
Define hospital
Functions of hospital
Classifications of hospital
Services delevered by hospital
Primary health care in hospital
Duties of UHFPO hospital
Define Hospital :
Define : Hospital is a combination of many processes. To the community it is a place to receive medical care, to the physician it is a place to treat patients, to the employees it is a place of work, and to the hospital manager it is a multifaceted organization.
Functions of hospitals:
1) Restorative or curative:
- Diagnosis
- Treatment
- Rehabilitation.
- Emergency care
2) Prevention of diseases and promotion of health:
- Management of pregnancy and childbirth
- Immunization
- Control of communicable and non-communicable diseases and accidents.
- Health education.
3) Education and research :
- Education and training of medical students, nurses and other paramedical stuff.
- Biomedical and health services research.
4) Professional support: Professional support to medical practitioners at stipulated cost.
5) Part of primary health care :
- Provide support to PHC
- Promote community health development action.
- Provide basic and continuing education to PHC workers.
- Conduct research on PHC.
Classification of hospital:
1) According to patient care :
- General hospitals.
- Special hospitals: e.g. hospitals for internal medicine, neurology, cardiovascular disease, chest disease, urology, children diseases, cancer, leprosy, infectious diseases, sexually transmitted diseases, eye, ENT etc.
2) According to ownership and control:
- Government hospitals: Teaching hospital, district hospital, upazila health complex, military hospital, police hospital, railway hospital, port hospital etc.
- Semi-government hospitals : Municipal hospital, cantonment board hospital.
- Private or NGO hospitals : Red Crescent or Red Cross hospital, church hospital, private medical college hospitals etc.
Services delivered by hospital:
General administration : Financial, personnel, material.
Clinical and nursing services:
- In-patient, out-patient, emergency and casualty.
- Operation theatre
- ICU (intensive care unit), CCU (coronary care unit).
- Nursing
Supportive services:
- Clinical laboratory.
- Radiology & imaging
- Nuclear medicine.
- Blood bank
- Store and pharmacy
- Central sterile supply services
- Medical records
- Physical medicine.
- Medical social welfare
Utility services:
- Dietary
- Laundry and linen
- Housekeeping
- Communication.
- Transportation Public relation and security
Role of hospital in primary health care :
Hospital and primary health care services are two interrelate equally necessary parts of a truly comprehensive system of health care provision; neither can operate properly without the other.
The roles hospital can play are:
- Provide support to PHC
- Promote community health development action.
- Provide basic and continuing education to PHC workers.
- Conduct research on PHC.
Duties & responsibilities of UH&FPO/UHFPO/TH&FPO:
- To be responsible for technical & administrative supervision of health activities at the Thana le- & below.
- To be the controlling officer in respect of officers & staff of health division.
- To be responsible for the management, administration and maintenance of the Thana health complex
- To be responsible for all training activities of health division
- To allocate duties amongst the medical officers regarding clinical activities and technical supervision of health program
- To allocate duties and responsibilities among field workers.
- To ensure maintenance of necessary information and statuettes is the Thana health complex and send necessary reports and returns to higher authorities.
- To visit the unions & villages to acquaint himself with the problem and achievement of health programs.
- To be responsible for timely procurement, distribution and proper utilization of stores (S & E)
- To work in co-operation and collaboration with the concerned officers or agencies of the government & non-government organizations.
- To be responsible for the enforcement of health legislation including Drugs act, pure food ordinance etc.
- To perform any other duties that may be assigned to him from time to time, related to his sphere of responsibilities.
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