Graham Ross, Sibbald Shannon L
Middlesex-London Health Unit, UK.
Healthc Pap. 2012;12(3):10-24. doi: 10.12927/hcpap.2012.23080.
Healthcare policy and hospital administration are dynamic and growing fields, oriented toward shaping the future. In an effort to understand where these fields have come from, as well as some of the re-occuring challenges faced, we conducted a retrospective analysis. Our research identified progress and major accomplishments, as well as issues that continue to challenge the field in five key areas: (1) the evolution of nursing, (2) funding and legislation, (3) hospital design, construction and technology, (4) patient care and infection control and (5) leadership. To explore these areas, a thematic content review was conducted on the 12 inaugural issues of Hospital Administration in Canada, a hospital administration periodical from 1962. All written content was reviewed, coded and categorized into major themes that represented the major hospital administration topics of 50 years ago. In this article, five prominent themes are explored and further illustrated using key stories and milestones from 1962.
医疗保健政策和医院管理是充满活力且不断发展的领域,旨在塑造未来。为了了解这些领域的起源以及所面临的一些反复出现的挑战,我们进行了一项回顾性分析。我们的研究确定了进展和主要成就,以及在五个关键领域持续挑战该领域的问题:(1)护理的演变,(2)资金与立法,(3)医院设计、建设与技术,(4)患者护理与感染控制,以及(5)领导力。为了探究这些领域,我们对加拿大《医院管理》的12期创刊号进行了主题内容回顾,这是一份始于1962年的医院管理期刊。所有书面内容都经过审查、编码,并归类为代表50年前主要医院管理主题的主要主题。在本文中,我们将探讨五个突出主题,并使用1962年的关键故事和里程碑进行进一步说明。