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Health Services Management Question Paper
Health Services Management
Course:Master Of Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
SUPPLEMENTARY/SPECIAL EXAMINATION FOR THE DEGREE OF MASTER OF PUBLIC HEALTH
HPH 703: HEALTH SERVICES MANAGEMENT
DATE: Friday, 4th December, 2009 TIME: 9.00 a.m. – 12.00
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INSTRUCTIONS:
Question ONE is Compulsory. Answer any other THREE questions.
Q.1 Either
a) The Radiology Department Manager of Victoria Hospital has a budget set
on just two budget lines; staff and non staff. The performance over the
month shows an adverse variance as tabulated below:
SP PER Sq BUDGET AP PER AQ ACTUAL
FILM K£ FILMS K£ FILM K£ FILMS BUDGET
STAFF 1 1000 1200 1140
NON STAFF 0.50 1000 0.60 720
TOTAL
a) Show by calculation whether staff variance is favourable or adverse.
b) Calculate staff variance rate and efficiency
c) Calculate non-staff variance rate and efficiency
d) Calculate the total variance and explain your answer(50 marks)
Or
b) Discuss using examples, how as health manager, you would perform the
staffing function in the management of a health care organization. (50 marks)
Q.2 Either
a) Write an essay on “Ohio State Model” of leadership. (30 marks)
Or
b) Discuss, with examples, the relevance of the following three management
theories in the management of health care organizations:
a) Administrative Organization Theory
b) Behavioural Science Theory
c) Japanese Management Theory (30 marks)
Q.3 Either
a) Explain the contribution of Henry Mintzberg to health management and
policy. (30 marks)
Or
b) Identify general guidelines you will apply in managing organization-wide
change and discuss the mistakes you will have to avoid in the process.(30 marks)
Q.4 Either
a) “A Hospital is considered as an open system”. Discuss. (30 marks)Or
b) Discuss with examples the usefulness of Total Quality Management
approach in the management of a hospital. (30 marks)
Q.5 Either
a) Saint Andrew’s Hospital was built on January 1, 2002. Selected balance
account at December 31, 2003 were:
Kshs
Account payable 50,000
Building 100,000
Land 300,000
Interest payable 2,000
Medical equipment 200,000
Vehicle 100,000
Bond payable 50,000
Bank 200,000
Long Term debt 100,000
Short Term debt 50,000
Stock 500,000
Depreciation equipment 30,000
Depreciation vehicle 10,000
a) Prepare the balance sheet as at 31st December 2003.
b) Calculate the solvency ration: (The solvency ration is obtained by
dividing current liabilities by current assets).(30 marks)
Or
b) Identify and discuss the characteristics of Max Weber’s ideal bureaucracy
and their usefulness in the management of the current health
organizations. (30 marks)
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