Evolution of the Problem Essay Example | Topics and Well Written Essays - 500 words

Evolution of the Problem - Essay Example Due to the specialised nature of their services and the unique administrative framework, we expect substantial variations in the results of such investigations. Primarily, the NHCGL is a military hospital that aims at higher standards of service but not necessarily higher profitability. The administration is naturally not inclined to streamlining the organisation and optimising functionality as long as the services are not visibly affected. As the organisation grows larger it beocmes more and more difficult to alter the existing systems and the urger to continue with the current practices becomes stronger; thwarting efforts of change. The structure of most hospitals evolved as a response to their main function: which is "to cure patients with a great diversity of diseases in an effective way and with a minimum of risk, using most advanced medical techonologies available" (Don and Wolff, 1988). The core activities are performed by highly trained professionals- medical specialists in the case of hospitals. Their activities are highly standardized and they work relatively independetly of their colleagues though in close contact with their patients. This gives the health care organiational structure a certain looseness so that the tasks of the other members are not well defined. This was documented as early as 1988 in a study by Don Wallis and Charles Johannes Wolff. Their study also showed that the differentiation of tasks and the flexibility of rotations were lesser in public hospitals as compared to private hospitals. Hospitals have less formalisation and functional differentiation than industrial firms. In hospit als, the number of different medical specialisations and the differentiation of nursing departments are quite independent of each other. In summary, the existence of various communication related issues have been allowed to exist and even develop in the military