A BEFORE AND AFTER TRIAL OF THE EFFECTIVENESS OF NETWORK ANALYSIS IN HEALTH OPERATIONS MANAGEMENT |
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| Authors: | R BHALWAR M SRIVASTAVA SS VERMA M VAZE VW TILAK |
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| Affiliation: | *Reader, Dept of Preventive and Social Medicine, AFMC, Pune - 40;**Lecturer in Biostatistics, Dept of Preventive and Social Medicine, AFMC, Pune - 40;++Consultant and Head, Dept of Preventive and Social Medicine, AFMC, Pune - 40;+Associate Prof, Dept of Hospital Administration, AFMC, Pune - 40;#Commanding Offr, Station Health Organization, Kirkee |
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| Abstract: | An intervention trial using “before-and-after” approach was undertaken to address the question whether network analysis as a health managerial tool of control can favourably affect the delays that occur in planning and executing the antimalaria operations of a Station Health Organization in a large military station. Exposure variable of interest was intervention with a network diagram, by which the potential causes of delay along the various activities were assessed and remedial measures were introduced during the second year. Sample size was calculated using conventional alpha and beta error levels. The study indicated that there was a definite beneficial outcome in that the operations could be started as well as completed in time during the intervention year. There was reduction in time requirement in 5 out of the 9 activities, the exact ‘p’ value being 0.08, by both parametric and non-parametric tests. The use of network analysis in health care management has been recommended.KEY WORDS: Health services research, Health care, Health plan implementation, Malaria, Network analysis, Operations research |
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