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Die toepassing van 'n voorsieningsadministrasiestelsel vir openbare hospitaalapteke en mediese depots
Full text linkThesis (Ph.D. (Public Management))--University of the Free State, 2003Afrikaans: Openbare instellings, soos byvoorbeeld hospitale, het hulle ontstaan daaraan dat hulle in die behoefte aan essensiële goedere en gesondheidsdienste vir die handhawing van die algemene welsyn van die gemeenskap in Suid-Afrika moet lewer. Geen gesondheidinstelling kan sonder mediese voorraad funksioneer nie en gevolglik sal sodanige instellings jaarliks ‘n sekere deel van ‘n staat se beperkte fondse by wyse van begroting, vir die aankoop van mediese voorrade moet bestee. Die optimale aanwen-ding van skaars middele en bronne vir die bevrediging van die toenemende behoeftes van die gemeenskap in Suid-Afrika noodsaak die doeltreffende logistieke hantering van mediese voorrade.
Die betekenis, omvang en vereistes van voorsieningsadministrasie vir mediese voor-rade is breedvoerig verklaar. Verskillende faktore wat ‘n voorsieningsadministrasie-stelsel by openbare hospitaalapteke en mediese depots noodsaak soos onder andere noodsaaklikheid van opgeleide personeel en bewerkstelliging van gestandaardiseerde metodes en prosedures by voorsieningsadministrasie is uitgelig.
Die omvang van voorsieningsadministrasie by mediese depots en hospitaalapteke in die openbare sektor is kompleks van aard. Daar bestaan verskeie funksies en dienste waarby voorsieningsadministrasie van mediese voorrade in die openbare sektor ‘n rol speel. Die omvang van die behoeftes vir mediese voorrade by die openbare sektor is uiteenlopend van aard en verskil van streek tot streek na gelang wat die verskillende siektetoestande soos byvoorbeeld malaria wat gebiedsgebonde is, mag voorkom.
Organisatoriese reëlings vir ‘n voorsieningsadministrasiestelsel by openbare hospitaal-apteke en mediese depots word onderneem om goedere en dienste aan pasiënte tydens hulle behandeling, te kan lewer. Die organisatoriese reëlings in provinsies moet sorgvuldig beplan en verdeel word tussen instellings, afdelings en onder funksio-narisse om die doelwit, te wete doeltreffende en effektiewe voorsiening van mediese voorrade aan mediese depots, hospitale en klinieke te kan bewerkstellig.
Organisatoriese reëlings word onderverdeel in werkverdeling, delegasie van bevoegd-hede, kommunikasie en koördinering. Daar is gepoog om hierdie organisatoriese reëlings deeglik uit te lig wat noodsaaklik vir ‘n voortreflike voorsienings-administrasiestelsel by openbare hospitaalapteke en mediese depots is. Die koördi-nering van mediese bevoorrading is noodsaaklik omdat daar gefragmenteerde dienslewering in die gesondheidsektor van Suid-Afrika voorkom. Omdat gedefrag-menteerde gesondheidsdienste by provinsies voorkom, verg dit ‘n hoë mate van koördinering van bedrywighede. Aanbevelings is gemaak om die organisatoriese reëlings van mediese bevoorrading by openbare hospitaalapteke en mediese depots meer doeltreffend en effektief te bewerkstellig en te bevorder.English: Public institutions, such as hospitals, originate from the needs, by which they have to satisfy the needs of the community for essential goods and health services to maintain the general well-being of the community of South Africa. No health institution can function without medical items and consequently such institutions will annually spend a certain portion of the limited funds of government by means of a budget, to procure medical items. The optimum use of scarce resources and funds to satisfy the needs of the community of South Africa necessitates an effective logistical handling of medical items.
The meaning, extent and requirements of provisioning administration for medical items is explained in detail. Various factors, that necessitate a provisioning administration system in public hospital pharmacies and medical depots such as, the necessity of trained personnel and the accomplishment of standardized methods and procedures for provisioning administration are fully declared.
The extent of provisioning administration at medical depots and hospital pharmacies in the public sector is complex of nature. Various functions and services exist whereby provisioning administration of medical items in the public sector play a part. The extent of the needs for medical items in the public sector which is diverse of nature and differ from region to region depending on different diseases such as malaria are explained.
Organizational functions for a provisioning administration system at public hospital pharmacies and medical depots are undertaken to provide goods and health services to patients during their treatment. The organizational functions at provinces must be thoroughly planned and divided among institutions, divisions and among officials in order to promote the objective of effective and efficient provisioning of medical items.
Organizational functions are subdivided into work division, delegation of authority, communication and co-ordination. These organizational functions are explained thoroughly to bring about an excellent provisioning administration system at public hospital pharmacies and medical depots. The co-ordination of medical provisioning is essential with the fragmented service tendering in the health sector of South Africa. Since frayed health services occur at provinces a process of provisioning requires the co-ordination of all activities. Possible recommendations are made that may bring about and promote a more effective and efficient organization of medical provisioning at public hospital pharmacies and medical depots
Application of selected public sector management techniques to improve service delivery
No full textThesis (Ph.D. (Public Management))--University of the Free State, 2002Afrikaans: In hierdie proefskrif word die konsep van Openbaresektor-bestuurstegnieke
ondersoek. In die konteks van die toepassing van geselekteerde Openbaresektorbestuurstegnieke
vir die verbetering van dienslewering in 'n openbarediens-organisasie
impliseer die konsep 'verbetering van dienslewering' die verbetering van
doeltreffendheid; effektiwiteit en produktiwiteit. Die Openbaresektor-bestuurstegnieke
wat in hierdie proefskrif bespreek word, word gestel sodat staatsamptenare hul kennis
kan verbreed deur soveel moontlik Openbaresektor-tegnieke te ontdek ten einde
dienslewering in openbarediens-organisasies te verbeter.
Die dokument moet voorts gesien word as beginpunt in die studie van ander relevante
Openbaresektor-bestuurstegnieke soos Rasionele Probleemoplossing; Innoverende
Dienslewering; Openbarehulpbron-bestuur; en Diensverbeteringbestuur. Dit sluit in
die bewusmaking en ontwikkeling van die tegniese vaardighede; konseptueie
vaardighede; implementeringsvaardighede; ekonomiesejbesigheidsvaardighede;
bestuursvaardighede; kommunikasievaardighede; en onderhandelingsvaardighede van
staatsamptenare.
Die proefskrif verstrek 'n breedvoerige onderskeid tussen doeltreffendheid in hoofstuk
4; effektiwiteit in hoofstuk 5; en produktiwiteit in hoofstuk 6, asook eienskappe en
bestuurstegnieke geïdentifiseer ~m onderskeidelik die doeltreffendheid, effektiwiteit en
produktiwiteit van dienslewering in openbaresektor-organisasies te verbeter, waardeur
die tydigheid; geskiktheid; en gehalte van openbaredienslewering teen bekostigbare
tariewe verbeter sal word.
Hoofstuk 1 bied 'n algemene oorsig van die proefskrif. In hoofstuk 2 word die teorie
en rasionaal van Openbaresektor-bestuurstegnieke bespreek. In hoofstuk 3 word
gefokus op bestuurspraktyk met betrekking tot doeltreffendheid; effektiwiteit en
produktiwiteit om die weg te baan vir die toepassing van die geselekteerde
Openbaresektor-bestuurstegnieke in openbarediens-organisasies.
Van die 12 Openbaresektor-bestuurstegnieke wat in hoofstuk 2 geïdentifiseer en
bespreek is, word drie vir toepassing gekies ten einde doeltreffendheid soos bespreek
in hoofstuk 4 te verbeter; twee word vir toepassing gekies ten einde effektiwiteit soos
bespreek in hoofstuk 5 te verbeter; en twee word vir toepassing gekies ten einde
produktiwiteit soos bespreek in hoofstuk 6 te verbeter. Die proefskrif word afgesluit
met 'n opsomming en aanbevelings in hoofstuk 7.English: In this thesis, the concept of Public Sector Management Techniques (PSMT) is
examined. In the context of the application of selected Public Sector Management
Techniques (PSMT) for improvement of service delivery in public service organization,
the concept 'service delivery improvement' implies the improvement of efficiency;
effectiveness and productivity. These Public Sector Management Techniques
From the twelve Public Sector Management Techniques identified and discussed in
Chapter 2, three are selected for application in order to improve efficiency as
discussed in chapter 4; two are selected for application in order to improve
effectiveness as discussed in chapter 5; and two are selected for application in order
to improve productivity as discussed in chapter 6. The thesis is concluded with a
summary and recommendations in chapter 7.
discussed in the thesis are put forward in order for public officials to expand their
knowledge on discovering as many as possible Public Sector Management Techniques
to improve service delivery in public service organizations.
This work should further be seen as a starting point in the study of other relevant
Public Sector Management Techniques such as Rational Problem-Solving; Innovative
Service Delivery; Public Resources Management and Service Improvement
Management. This includes the awareness and development of the technical skills;
conceptual skills; implementation skills; economic/business skills; managerial skills;
communication skills and negotiation skills of public officials.
The thesis gives a profuse distinction between efficiency in chapter 4; effectiveness in
chapter 5 and productivity in chapter 6 as well as characteristics and elements of each
of these .concepts, It further identifies 12 Public Sector Management Techniques
(PSMT), which are then classified as Public Sector Management Techniques to improve
the efficiency of service dellverv; Public Sector Management Techniques to improve
the effectiveness of service delivery and Public Sector Management Techniques to
improve the productivity of service delivery in public service organizations. Therefore
improving the timely; appropriate and quality of public services delivery at affordable
charges.
Chapter 1 provides a general overview of the thesis. Chapter 2 addresses the theory
and rationale of Public Sector Management Techniques. Chapter 3 focuses on
management practice related to efficiency; effectiveness and productivity to pave the
way for the application of the selected Public Sector Management Techniques in public
service organizations
Decentralisation of district health services in the Free State Province
No full textThesis (Ph.D. (Public Management))--University of the Free State, 2012Experiments with decentralisation began in the late 1970s and continued
throughout the 1980s. Decentralisation is regarded as a key element of the
primary health care approach. It is initially seen as having important political
value that can be used as a means to enhance health service policy. However, in
many instances, western donors who believe that because one form of
decentralisation works in developed countries, it will also work in the
developing world often pursue decentralisation.
The challenge facing the South African National Health System and the Free
State Health System in particular, is to design a comprehensive programme to
redress social and economic injustices brought about by apartheid to the
majority of the population to ensure that emphasis is placed on health and not
just medical care so that issues relating to socio-economic conditions such as
poverty, water and sanitation, and proper housing should be addressed
adequately. At present, implementation of the District Health System (DHS)
based on primary health care (PHC) approach is provided by the Free State
Department of Health (FSDOH) and by local municipalities on an agency basis.
The above approach is concerned with keeping people healthy, as it is with
caring for them when they become unwell.
In an endeavour to address aforementioned challenges, the South African
Government of National Unity (GNU) has adopted decentralisation as a model
for both governance and management. Decentralised governance is embodied
in the Constitution of the Republic of South Africa, 1996, in the form of powers
and functions for the three spheres of government. The powers and functions of
the local sphere of government bear testimony to the importance of this sphere
in particular. The GNU, through its adoption of the Reconstruction and
Development Programme (RDP) in 1994, committed itself to the development
of a DRS based on PRC approach as enunciated at the Alma Ata conference in
1978.
The hypothesis for this study indicated that decentralisation of DRS in the Free
State Province will enhance efficiency and equity and thus make local public
representatives accountable for services rendered. The hypothesis and research
objectives for the study were validated by means of literature review and
empirical survey.
The thesis outlines the conceptualisation and forms of decentralisation and also
draws lessons from the experiences of various countries including Canada,
Zambia, Indonesia, and Brazil and highlights the need to approach the
formulation and implementation strategies for health sector reforms
systematically, rather than importing, uncritically, structural models developed
abroad. Political considerations are inherent in any decision made and a
political environment limits the extent of decentralisation. Without doubt, the
most serious mistake any reformer can make is to assume decentralisation to be
a managerial exercise devoid of political cause and consequences.
The thesis concludes by presenting analysis and interpretation of research
findings while also outlining key recommendations that might be of assistance
for identifying an appropriate form for decentralisation of health services