公立病院におけるマネジメント・システムの研究(1) : 青森県立中央病院が直面する諸問題

概要

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This paper is the first part of the group study about Aomori Prefectural Central Hospital (APCH). Recently, APCH is recording sequential operational losses, which become a part of financial pressure for Aomori Prefecture. The purpose of this paper is to show an overview of management environment APCH faces and clarify the problems for APCH to overcome. We point out a few of problems behind the APCH's operational losses; vague mission, a lack of collaboration with other hospitals, problematic governance structure, a lack of management accounting systems, dysfunction of subsidies, a lack of incentivies, a lack of the principal doctor's authority, vague organization atructure and a lack of the concept of customer satisfaction. Each of these problems should be discussed more in the succeeding papers.
2004-03-20