Organizational management to balance appropriate provision of health care and efficient hospital management: Case analysis of a committee on medical supply purchase at hospital X

Abstract

The objective of the present study was to discuss the process in which appropriate provision of healthcare and efficient hospital management are achieved through cross-sectional organizations, such as committees in a large hospital organization. This ethnographic study at an acute care general hospital showed that not only organizing committees but also accurately understanding the situation of the healthcare field and creating an organizational system that values cooperation with medical practitioners led to a policy aiming toward efficient hospital management while valuing expertise in the healthcare field. As such, cooperation based on common acknowledgement throughout the whole hospital organization, including the healthcare field, is important in achieving efficient hospital management while providing appropriate healthcare.