Iryo To Shakai
Online ISSN : 1883-4477
Print ISSN : 0916-9202
ISSN-L : 0916-9202
Research Note
Organizational Structures of Hospitals and their Management
Corporate Governance in Non-Profit Organizations
Megumi Kojima
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JOURNAL FREE ACCESS

2008 Volume 18 Issue 2 Pages 291-304

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Abstract
Trust hospitals have aimed to offer medical services due to dissatisfaction arising from the fact that there were many cases of medical malpractice around the year 2000 in UK, and have applied the concept of 'corporate governance', which is popular in private enterprises through out the world. It is remarkable that hospitals, which are a symbol of non-profit organizations, have practiced the reforms of corporate governance. I consider that management involvement is an extremely important clue to apply corporate governance to hospital management.
This paper clarifies how foundation trusts have approached for patient-centered management involvement, based on results from interviews in the Basingstoke and North Hampshire NHS Foundation Trust (BNHFT) of the South Central Strategic Health Authority in November 2007. I examined what kind of people are involved in hospital management, what interests and views people such as patients had, and how the people contributed to the management system and corporate governance in BNHFT.
This study shows that BNHFT places special emphasis on consideration of the minority community such as young people, older people, and disabled people and board of governors' selections of one chair in board of directors. BNHFT also have constructed flexible and precise management systems in setting on management involvement and committees in board of governors.
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© 2008 The Health Care Science Institute
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