Hospital --- A Complex Entity
Hospital is an integral part of social and medical organization, the function of which is to
provide complete health care for the population, both curative and preventive and whose out-
patient services reach out to the family and its home environment. The hospital is also a centre
for training of health workers and for research.
EDUCATION &
RESEARCH
Diagnosis and
Treatment
Outpatient Care
Inpatient Care
ADMINISTRATIVE
SERVICES
Hospital can be described as a component part of total health system.
Dr. Jhilam Rudra De
Components of hospital system are -------
Hospital System
Cure Subsystem Minor Subsystem Care Subsystem
Diagnostic Subsystem Administrative Nursing Subsystem
Therapeutic Subsystem Supportive Subsystem
Technical
The Clinical departments of a hospital would not be able to function without the support
services. For efficient and effective service practice, proper co-ordination and integration
between these departments are necessary. Proper links should be maintained with the clinical
facilities also, so that the ultimate goal can be achieved.
Dr. Jhilam Rudra De
The utility of the support services can be derived from the following diagram-
Diagnostic and Treatment Services
Radiology
Pathology
OT
Outpatient clinic Inpatient Flow
Emergency
Clinical Physiology
Supplies Suppiles
Support Services
Administration/ Medical Records/ CSSD/ Pharmacy/
Dietary/Laundry/ Store etc.
Effective delivery of healthcare involves assessment and projection of health situation,
definition of the nature of health problems and selection of priorities, establishment of goals
and objectives, programme planning and implementation of services, monitoring and
evaluation of services.
The ultimate objective of the hospital and its different services is to render quality care to the
patients and to make them comfortable and satisfied. The patient satisfaction factor is
important, since----
» A hospital is an open system and interacts with its environment
directly.
Dr. Jhilam Rudra De
» The output of different service departments are not clearly and easily
measurable.
Therefore, to derive ultimate patient satisfaction, proper co-ordination between the supportive
services is needed.
The other reasons may include-----
» The hospital as a system is not an end in itself and must function as a
part of the larger health care system.
» It is important, to run the functions of the hospital without delay,
since delay in certain areas may cost lives.
» It is necessary to maintain a professional image to the outside world.
» It is important because proper co-operation and co-ordination can
bring the employees together and motivate them effectively to achieve the ultimate
target.
Dr. Jhilam Rudra De