Hospital management in the context of health sector reform: a planning model in Ethiopia
Hospital management in the context of health sector reform: a planning model in Ethiopia
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DOI：
10.1002/hpm.915
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发表时间：
2008-07-01
影响因子：
2.7
通讯作者：
Bradley, Elizabeth H.
中科院分区：
文献类型：
--
作者：
Hartwig, Karl;Pashman, Josh;Bradley, Elizabeth H.
通过发展中国家卫生部门的改革，各国卫生部努力通过加强社区治理和提高公立医院的管理效率来加强保健。在本文中，我们提出了伙伴关系，指导模式，以提高管理能力，已在埃塞俄比亚试点，并可能在其他发展中国家有用。该模式包括使用医院管理指标清单进行需求评估和基线评价，部署24名研究员，（美国和国际医院管理人员）一年，在14家埃塞俄比亚医院担任医院管理团队的导师，继续为医院管理团队提供质量改进方法的教学和实践培训，以及24个管理改善项目，将于年内完成，并计划酌情在更广泛范围内推广。在现场活动的第一季度对研究员和埃塞俄比亚管理人员进行的调查发现，他们对彼此的能力和实施变革的意图高度信任。伙伴关系----指导模式促进了可持续性，并可为其他国家提供通过改进医院管理来提高医院护理质量的方法。版权所有（c），2007约翰威利父子有限公司。
Through health sector reform in developing Countries, Ministries of Health have sought to enhance health care through greater community governance and improved management effectiveness ill their public hospitals. In this paper, we present partnership-mentoring model for enhancing management capacity that has been piloted in Ethiopia and may be useful in other developing Countries. The model included needs assessment and baseline evaluation using a hospital management indicator checklist, deployment of 24 Fellows (US and international hospital administrators) for I year to work as mentors with hospital management teams in 14 Ethiopian hospitals, continuing didactic and practical training in quality improvement methods for hospital management teams, and 24 management improvement projects to be completed during the year with plans for replication more broadly as appropriate. Surveys of Fellows and Ethiopian managers within the first quarter of onsite activity found high levels of trust in one another's abilities and intent to implement changes. The partnership-mentoring model promotes sustainability and may provide other Countries with approaches for improving the quality of hospital care through improved hospital management. Copyright (c), 2007 John Wiley & Sons, Ltd.