Issues for Consideration in the Establishment of a Program Management Structure

Abstract

French

In a product management structure, the management of separate products is moved down in the organization to achieve greater participatory management as well as greater effectiveness in the identification of factors most relevant to the survival of the product. For the business industry, managing products as separate entitites enables more effective competition in the marketplace.

This approach has been used in U.S. hospitals in managing programs and services. Described here are the initial attempts at program management undertaken at the Health Sciences Centre in Winnipeg, a highly specialized, provincial 1, 100-bed teaching and referral hospital. Some issues important in developing and implementing the program management approach are discussed.

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References

Salter

1986. Product line management: Its meaning and future promise. Health Care Strategic Management May: 9–15.

Anderson

R.A.

1985. Products and product line management in nursing. Nursing Administration Quarterly Fall: 67–70.

Stewart

and Sherrard

1987. Managing hospitals from a program perspective. Health Management Forum 8(1): 58–63.

Shortell

1985. The medical staff of the future: Replanting the garden. Frontiers of Health Services Management 1(3): 36–40.

Davis

and Lawrence

P.J.

1977. Matrix. Reading, Massachusetts: Addison-Wesley.

Fetter

R.B.

and Freeman

J.L.

1986. Diagnosis related groups: Product line management within hospitals. Academy of Management Review 2(1): 41–46.

Folger

J.C.

and Gee

E.P.

1987. Product Management for Hospitals. Organizing for Profitability. Chicago: American Hospital Association.

Nackel

J.G.

and Kues

J.W.

1986. Product line management within hospitals. Hospital and Health Services Administration 31(2): 109–123.

Heyssel

R.M.

1984. Special report: Decentralized management in a teaching hospital. New England Journal of Medicine 310(22): 1477–1480.

10.

Hyman

H.H.

1984. Implementing Institutional Objectives. A Guide for Hospital Planners. Rockville, Maryland: Aspen Publications.

11.

Eni

and Tan

1989. Going north on a north bound trail: A model for achieving health management goals and objectives. Health Services Management Research. In press.

12.

Boissoneau

R.M.

1984. Matrix organization increases physician management cooperation. Hospital Progress April: 53–57.

13.

Goodrich

and Hastings

G.R.

1985. St. Luke's Hospital reaps benefits by using product line management. Modern Health Care. February: 155–158.

14.

Gelmon

S.B.

and Mickevicius

1984. Do physicians manage? A perspective on physician managers in teaching hospitals. Health Management Forum 5(4): 55–65.