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The presentation explores thinking and practice in health care on the problem of operational efficiency. Beginning with Frederick Taylor's principles of scientific management and their application to the assembly-line, the presentation utilizes brief case studies in which the human factors traditionally excluded from economies of industrial production, may be seen as highly relevant to the organization of health care. The case studies offer valuable comparisons between efficiency goals and unintended consequences in which 'the human factor' plays a large role. Examples range from production at Dell Computers to the very humane efficiencies of the Shouldice Hospital and their implications for practice elsewhere.
The second module of this program focuses on health care systems and their complexity. The module will be directed by Antonia Maioni of McGill and Ted Marmor of Yale. The issues that face participants will be examined in the context of the systems they are in, the policies that drive those systems and the changes that have been initiated in them.