Question

Imagine that you have been appointed the director of health at the Kaluyu Memorial Hospital in Nairobi, Kenya—a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents and chronicle and communicable diseases, and it houses an HIV/AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees deliver files and leave your office in a hurry. As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts when they can go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness. There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls, some employees are quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants, and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital's expenses are higher than the industry standard, and it makes losses year after year.

Answer 1

The health care quarter is an employer that gives medical care solution and offerings to the public. Initially health care institutions, have not tried to evaluate the cost of lowering the operational price because they have been until now reimbursed on a sum, primarily based on their true cost or annual finances projection. Since the hospitals exceptionally solely treated the indigent populace they were compelled to are seeking for financial resource from either government businesses or different funding institutions in order to recover all their operational cost. During the nineteenth century, hospitals had been transformed clinically and organizationally. New strategies in surgical treatment and remedy decreased infectious ailments amongst sufferers and made cures possible. As the affected person combine changed and the for income fitness care firms entered the market, funding establishments began to view the fitness care market and its operational prices differently.