tailieunhanh - báo cáo hóa học:" Medical work Assessment in German hospitals: a Real-time Observation study (MAGRO) – the study protocol"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Medical work Assessment in German hospitals: a Real-time Observation study (MAGRO) – the study protocol | Journal of Occupational Medicine and Toxicology BioMed Central Study protocol Medical work Assessment in German hospitals a Real-time Observation study MAGRO - the study protocol Stefanie Mache 1 2 and David A Gronebergt1 Open Access Address institute of Occupational Medicine Charité - School of Medicine Free University and Humboldt University Thielallee 69-73 14195 Berlin Germany and 2Department of Medicine Psychosomatics Charité - School of Medicine Free University and Humboldt University Luisenstrasse 13a 10117 Berlin Germany Email Stefanie Mache - David A Groneberg - Corresponding author fEqual contributors Published 8 June 2009 Received 20 April 2009 Journal of Occupational Medicine and Toxicology 2009 4 12 doi 1745-6673-4-12 Accepted 8 June 2009 This article is available from http content 4 1 12 2009 Mache and Groneberg licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The increasing economic pressure characterizes the current situation in health care and the need to justify medical decisions and organizational processes due to limited financial resources is omnipresent. Physicians tend to interpret this development as a decimation of their own medical influence. This becomes even more obvious after a change in hospital ownership . from a public to a private profit oriented organization. In this case each work procedure is revised. To date most research studies have focused mainly on differences between hospitals of different ownership regarding financial outcomes and quality of care leaving important organizational issues unexplored. Little attention has been devoted to the effects of hospital ownership on physicians .