Hospital quality improvement in Ethiopia: a partnership-mentoring model.
Int J Qual Health Care
; 20(6): 392-9, 2008 Dec.
Article
em En
| MEDLINE
| ID: mdl-18784268
ABSTRACT
BACKGROUND AND OBJECTIVE:
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.DESIGN:
Pre-post-descriptive study of 14 hospitals in Ethiopia.SETTING:
Six regions and two city administrations in Ethiopia.PARTICIPANTS:
Hospital leaders and management mentors in participating hospitals. INTERVENTION 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. MAIN OUTCOMEMEASURE:
s) Presence of 75 key management indicators; reported management skills of hospital leaders by the mentors.RESULTS:
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.CONCLUSIONS:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Mentores
/
Administradores Hospitalares
/
Hospitais Públicos
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Int J Qual Health Care
Ano de publicação:
2008
Tipo de documento:
Article