Hospital quality improvement in Ethiopia: a partnership-mentoring model
Hospital quality improvement in Ethiopia: a partnership-mentoring model
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DOI：
10.1093/intqhc/mzn042
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发表时间：
2008-12-01
影响因子：
2.6
通讯作者：
Abebe, Yigeremu
中科院分区：
文献类型：
--
作者：
Bradley, Elizabeth;Hartwig, Kari A.;Abebe, Yigeremu
质量改进工作在美国越来越普遍;然而，在发展中国家的使用是有限的。我们试图通过医院质量改进工作来评估大规模干预对几个关键管理指标的影响。对埃塞俄比亚14家医院的前后描述性研究。埃塞俄比亚的六个地区和两个城市管理部门。参与医院的医院领导和管理导师。与卫生部和克林顿艾滋病毒/艾滋病倡议合作，我们实施了一项全国范围的质量改进计划，其中24名具有医院管理经验的导师被派往埃塞俄比亚，与医院管理团队并肩工作一年。我们亦提供专业发展课程，以提升质素改善技巧。75项主要管理指标的存在;导师汇报医院领导人的管理技巧。在事前事后分析中，我们发现75项主要管理指标中有45项（60%）在2006年8月至2007年5月期间有所改善。这些变化反映了14家医院共有105项管理指标得到改善，相当于每家医院平均改善7.5项（标准差5.9）。报告的管理技能的医院领导人在几个管理领域的改善，虽然他们的报告在这些技能的信心基本保持不变。我们的研究结果表明，质量改进的努力可以有效地改善发展中国家的医院管理。需要更长时间的后续行动，以评估医院改善工作的可持续性。
Quality improvement efforts are increasingly common in the United States; however, their use in developing countries is limited. We sought to evaluate the impact of a large-scale intervention on several key management indicators through hospital quality improvement efforts.Pre-post-descriptive study of 14 hospitals in Ethiopia.Six regions and two city administrations in Ethiopia.Hospital leaders and management mentors in participating hospitals.In collaboration with the Ministry of Health and the Clinton HIV/AIDS Initiative, we implemented a countrywide quality improvement initiative in which 24 mentors with hospital administration experience were placed for 1 year in Ethiopia to work side-by-side with hospital management teams. We also provided a professional development course to enhance quality improvement skills.Presence of 75 key management indicators; reported management skills of hospital leaders by the mentors.In pre-post analysis, we found improvement in 45 of the 75 (60%) key management indicators between August 2006 and May 2007. The changes reflected a total of 105 management indicators improved across the 14 hospitals, which equates to a per-hospital mean of 7.5 (standard deviation 5.9) improvements. Reported management skills of hospital leaders improved in several management domains, although their reported confidence in these skills remained largely unchanged.Our findings indicate that quality improvement efforts can be effective in improving hospital management in developing countries. Longer follow-up is required to assess the sustainability of the hospital improvements accomplished.