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The European Journal of Public Health Advance Access originally published online on May 9, 2007
The European Journal of Public Health 2008 18(1):71-76; doi:10.1093/eurpub/ckm042
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© The Author 2007. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Health Services

The interdisciplinary model of hospital administration: do health professionals and managers look at it in the same way?

Petros V. Vlastarakos1 and Thomas P. Nikolopoulos2

1 Registrar, ENT Department, Hippokrateion General Hospital of Athens, Greece
2 Professor, ENT Department, Atticon University Hospital, Greece

Correspondence: Petros V. Vlastarakos, MD, MSc, 29 Dardanellion Street, Athens 16562, Greece, tel: 00302109637250, fax: 00302109714870, e-mail: pevlast{at}hotmail.com

Received August 23, 2006 , accepted March 28, 2007

Background: To assess health practitioners’ views on the issue of hospital administration and explore possible conflicts. Methods: Questionnaire-based, multi-stage cluster sampling technique was used as the design,in which 124 doctors, 154 certified nurses and 15 hospital managers participated. Results: Only 39% of doctors and 51% of nurses were aware of the manager's basic degree and 70% of them considered it inadequate. Health sciences were chosen as the best basic degree for effective management by 65% of health practitioners. Moreover, 74% of doctors and 96% of nurses believed that an interdisciplinary board of directors, with the manager acting as a chairman could be the ideal administrative model. Even though this model was the current system in the interviewed hospitals, most health practitioners (87%) considered it ineffective. With regard to the acceptance of the manager as authority in the hospital, 76% of the doctors believed that there were related problems (47% considered the manager as an outsider to the health sector), whereas only 45% of the managers admitted such problems. Trainees showed a less tolerant attitude towards managerial administration in comparison to specialists. Conclusion: Most health professionals believe that hospital administration is ineffective. The interdisciplinary model, with a manager having both health sciences and economics degrees and exercising his/her role with flexibility and taking the widest consent of health professionals may improve the very low rates of acceptance and perceived efficacy. Trainees and nurses seem to often have different views, suggesting the importance of their participation in the administrative model.

Keywords: conflicts, doctors, hospital administration, managers, nurses


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