A DIAGNOSIS OF THE NURSING DIVISIONS OF COUNTY HEALTH DEPARTMENTS IN TAIWAN PROVINCE: A SYSTEMS MODEL APPROACH (CHINA).
Contributors: University of South Carolina.
Published: 1993
Number of pages: 139
Subjects: Health Sciences, Public Health.; Health Sciences, Nursing.; Business Administration, Management.
Description: The 21 nursing divisions of county health departments in Taiwan Province were diagnosed in the context of administrative functioning with eight components in inputs, transforming processes, and outputs including resources, environment, mission/job description, task, technology, structure, behavior, and administrative effect. The 21 nursing chiefs were asked to respond to structured open-ended questions using interview and asked to provide the secondary data, then they were retested using a mailed questionnaire to confirm the problems identified. The ten problems identified are (1) unclear job description between the nursing and the disease control divisions in county health department, (2) insufficient manpower of the nursing division, (3) limited county funding and difficulty in operating with provincial fund, (4) township health center director's preference for treatment vs. preventive services, (5) the nursing chiefs' powerlessness in recruiting and promoting their staff, (6) multiple accountability to provincial institutions, (7) high compliance with provincial rules with low autonomy in executing programs based on county needs, (8) excessive red tape pertaining to budget operations, (9) incompetence of nursing supervisors, especially in program planning, and (10) emphasis on process rather than outcome in outcome reporting. The major strategies to serve as a reference for policy decisions are suggested as: reorganizing the functions of divisions in the county health department, improving the staffing of the nursing division, assessing the health system to clearly describe the accountability of the nursing division and county health department, and continuing the current revision of center physician's (director) payment system.
Notes: Source: Dissertation Abstracts International, Volume: 54-07, Section: B, page: 3577.

Thesis (DR.P.H.)--UNIVERSITY OF SOUTH CAROLINA, 1993.

School code: 0202.