Engage Your Nurses, Clinicians and Patients to Drive Your Hospital

  • Edda Weimann
  • Peter Weimann



  • What can we learn from other health systems?

  • What do the different stakeholders expect from their health system?

  • How innovative is your hospital?

  • Which managerial attitudes are not sustainable?

This chapter introduces different health systems and health care costs. Over the past few years a new market-driven orientation of hospitals has taken place. We elaborate on the Kutzin framework to improve efficiencies of health systems and highlight what the different stakeholders can anticipate with regard to a health system. In addition, the expectations of health care users in developing and developed countries are debated. The chapter ends with a questionnaire to investigate how innovative your hospital is and how you can engage in the innovation process.


Five forces model Business process Competitive advantage Core competencies Core process Corporate design Corporate identity Corporate image Mission Porter’s value chain Process success of a hospital Value creation Work motivation 

References and Further Reading

  1. Coovadia DMH, Jewkes R, Barron P, Sanders D (2009) The health and health system of South Africa: historical roots of current public health challenges. Lancet 374(9692):817–834CrossRefPubMedGoogle Scholar
  2. Coulter A (2005) What do patients and the public want from primary care? BMJ (Clin Res Ed) 331(7526):1199–1201CrossRefGoogle Scholar
  3. Coulter A, Jenkinson C (2005) European patients’ views on the responsiveness of health systems and healthcare providers. Eur J Public Health 15(4):355–360CrossRefPubMedGoogle Scholar
  4. Frogner B (2010) Health and economic gains: what is at stake in South Africa’s Health Reform? World Med Health Policy 2(3):25Google Scholar
  5. Keeton C (2010) Bridging the gap in South Africa. Bull World Health Organ 88:803–804CrossRefPubMedGoogle Scholar
  6. Kutzin J (2001) A descriptive framework for country level analysis of healthcare financing arrangements. Health Policy 56(3):171–204CrossRefPubMedGoogle Scholar
  7. Weimann E (2013) Universal health coverage: warrantor for good health service provision. Dtsch Ärztebl 110(3):A-69Google Scholar
  8. Weimann E, Stuttaford M (2014) Consumers’ perspectives on National Health Insurance in South Africa: using a mobile health approach. JMIR 2(4):8–21Google Scholar
  9. World Health Organisation (2007) Everybody’s business. Strengthening health systems to improve health outcomes. WHO’s framework for action. World Health Organization, GenevaGoogle Scholar
  10. World Health Organisation (2013)

Copyright information

© Springer Berlin Heidelberg 2017

Authors and Affiliations

  • Edda Weimann
    • 1
    • 2
  • Peter Weimann
    • 1
    • 3
  1. 1.Commerce Faculty Department of Information SystemsUniversity of Cape TownCape TownSouth Africa
  2. 2.Groote Schuur Hospital Academic HospitalUniversity of Cape TownCape TownSouth Africa
  3. 3.Beuth UniversityBerlinGermany

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