PRODUCTIVITY PERFORMANCE IN SELECTED DIFFERENT WORK ENVIRONMENTS:THE CASE OF PRIVATE AND PUBLIC HOSPITALS IN NIGERIA
The level of productivity achieved and the way jobs are performed can be functions of the immediate environment in which the jobs take place. Human Factors Engineering or Ergonomics is concerned with this aspect of job design, and employs different environmental design factors. Health is among the basic needs of life and man can perform optimally when in good health. Some scholars, who examined the cost and productivity of health service delivery, recommend a merger of both the private and public hospitals. However, the states of health care service delivery, the cost, the performance and productivity of health institutions, still pose great challenges to the government, the public and other stake holders. This work as a modest contribution takes a holistic view by assessing the outputs and input performances simultaneously. The work investigated the performance outcome by identifying the effects that the work environment has on mans physiological processes and also evaluated the performance outcome of the outputs and the human labour consumption. It specifically evaluated the work environment in selected private and public hospitals in Nigeria, the performance levels in terms of not just the human labour inputs, but also the outputs, and carried out a comparative analysis. The Input-Output Productivity (IOP) Evaluation model, used in the analysis, not only decomposes Profitability into Productivity and Price Recovery components, it also has the added advantage of investigating simultaneously, the performance of a system from both the input and the output orientations. The performance measures of focus here are the productivity and profitability. Data which were both accounting and activity based were collected from the chosen public and private hospitals. The techniques employed for data collection included record viewing, direct observation, questionnaire and oral interview. The data covered a six-year period; from 2002 to 2007. The results showed that for the period, the productivity for the private hospitals were 1.01, 1.01, 0.99, 0.99 and 0.99 for the total output, while the labour results were 1.01, 1.03, 1.18, 1.11 and 0.84, for the years respectively. For the public hospital, the productivity values were 1.0, 1.0, 0.99, 1.0, and 0.92 for the outputs 1, 2, 3, and 4 respectively. For labour the productivity were 1.04, 1.41, 1.1, 1.06 and 2.19. As per profitability, the private hospital values were 1.52, 1.52, 0.71, 0.83 and 1.05 for outputs 1, 2, 3 and 4 respectively; and 1.16, 1.16, 0.91, 0.99 and 0.71 for the labour. In contrast, the profitability values of public hospitals were 0.11, 1.02, 0.12, 0.89 and 0.94 for output; and also for labour the values were 0.87, 1.33, 0.85, 1.03 and 0.95 respectively. A comparative analysis shows that the productivity were higher in the private hospital in terms of the output but labour productivity higher in public hospitals. Furthermore, profitability values in private hospitals were higher in both outputs and labour than in the public hospitals. These results can be used to decide what factors need improvement, and for strategic decision making for the public and private health delivery system.
Ergonomic Factors Hospitals Performance Productivity
Anyaeche, C.O Oluwanimifise M, K.
Department of Industrial and Production EngineeringUniversity of Ibadan, Ibadan, Nigeria Department of Industrial and Production Engineering University of Ibadan, Ibadan, Nigeria
国际会议
17th World Congress on Ergonomics(第十七届国际人类工效学大会)
北京
英文
1-10
2009-08-09（万方平台首次上网日期，不代表论文的发表时间）