Discovering Local Logics in the Hospital World

Abstract

A project aiming to study the delineation of responsibilities between hospitals in Paris, with a view to improving administration of patients' admission and transfer led to the restructuring of problems and the discovery of problems not fully realised prior to this, i.e. in addition to mismatches between formal responsibilities and real patient arrivals, and inertia in patient transfer, issues such as which care is to be given priority; precise role of emergency reception services; allocation of beds to specialities, and so on. More and more facets of the problem were uncovered: material resources; organisational issues; individual matters and taboos and culture. When everyone has agreed the problem the study will end.

Citation

Agrell, P.S. and Moisdon, J. (1985), "Discovering Local Logics in the Hospital World", International Journal of Operations & Production Management, Vol. 5 No. 1, pp. 49-54. https://doi.org/10.1108/eb054732