RESUMEN
BACKGROUND: An evaluation of an effective and engaging intervention for educating general practice (GP) receptionists about integrated care and the importance of their role within the whole system was conducted. METHODS: Workshops took place in North West London, one of England's 14 'Integrated Care Pioneers.' Three training days featuring Sequential Simulations (SqS) were held. Forty GP receptionists attended on each day, as well as 5-6 patients and 8-9 healthcare professionals. The SqS developed was from a collection of patient stories, the key scene of which featured a GP receptionist. The scenes were designed to show the consequences for the patient of professionals working in silos. This provided the focus for facilitated table discussions. The discussants suggested ways in which an unfortunate series of events could have been dealt with differently. These suggestions were then incorporated in a re-designed SqS. Evaluation was conducted through questionnaires, field notes and analysis of video material. Descriptive statistics and thematic analysis were applied. RESULTS: Ninety three participants responded to the questionnaire out of 131 attendees. All (93/93) respondents reported that the event was a powerful learning experience and that they had gained confidence in improving patient care. 98 % (91/93) reported that their knowledge of integrated care had improved. The simulation was rated highly as a learning experience [60 % (57/93) - excellent, 39 % (37/93) good]. Further evidence of educational benefit was expressed through comments such as: 'The simulations really got me thinking about the patient as a human with many problems and situations.' CONCLUSION: SqS is an innovative and practical way of presenting current care pathways and health care scenarios in order to create a shared focus, engage the emotions of the participants and bring the principles of integrated care to life. Facilitated table discussions are an opportunity to see events from multiple perspectives, share reactions and ideas, and practise co-producing service reforms with patients. We believe this approach is a useful way of preparing front-line staff to participate in integrated care.
Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Educación Continua/métodos , Medicina General/organización & administración , Administradores de Instituciones de Salud/educación , Relaciones Profesional-Paciente , Actitud del Personal de Salud , Administradores de Instituciones de Salud/organización & administración , Humanos , Londres , Investigación Cualitativa , Encuestas y CuestionariosAsunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Administradores de Instituciones de Salud/educación , Relaciones Interprofesionales , Personal de Enfermería/educación , Garantía de la Calidad de Atención de Salud/organización & administración , Prestación Integrada de Atención de Salud/normas , Prestación Integrada de Atención de Salud/tendencias , Administradores de Instituciones de Salud/organización & administración , Humanos , Personal de Enfermería/organización & administración , Cultura Organizacional , Innovación Organizacional , Garantía de la Calidad de Atención de Salud/normas , Garantía de la Calidad de Atención de Salud/tendencias , VirginiaRESUMEN
Provincial and regional decision makers in the injury prevention field were interviewed in British Columbia (B.C.) to obtain their views about best processes for the transfer or dissemination of relevant data. These decision makers (n = 13) indicated that data should provide them with a holistic and comprehensive picture to support their decision processes. In addition, they felt information about injury types and rates should be linked backward to determinants or causes and forward to consequences or outcomes. This complete chain of data is needed for planning and evaluating health promotion interventions. It was also felt that data providers needed to devote more effort to fostering effective receptor capacity, so that injury prevention professionals will be better able to understand, interpret and apply the data. These findings can likely be generalized to other jurisdictions and policy areas, and offer additional insight into the practicalities of knowledge transfer and exchange in researcher/decision maker partnerships.
Asunto(s)
Actitud del Personal de Salud , Administradores de Instituciones de Salud/psicología , Difusión de la Información/métodos , Ejecutivos Médicos/psicología , Regionalización/organización & administración , Heridas y Lesiones/epidemiología , Personal Administrativo , Colombia Británica/epidemiología , Causalidad , Costo de Enfermedad , Toma de Decisiones en la Organización , Difusión de Innovaciones , Personas con Discapacidad/estadística & datos numéricos , Femenino , Administradores de Instituciones de Salud/educación , Administradores de Instituciones de Salud/organización & administración , Política de Salud , Promoción de la Salud , Necesidades y Demandas de Servicios de Salud , Humanos , Masculino , Programas Nacionales de Salud/organización & administración , Ejecutivos Médicos/educación , Ejecutivos Médicos/organización & administración , Vigilancia de la Población , Desarrollo de Programa , Encuestas y Cuestionarios , Heridas y Lesiones/etiología , Heridas y Lesiones/prevención & controlAsunto(s)
Competencia Clínica , Terapias Complementarias/organización & administración , Administradores de Instituciones de Salud/organización & administración , Liderazgo , Rol Profesional , Benchmarking/organización & administración , Terapias Complementarias/educación , Conducta Cooperativa , Administradores de Instituciones de Salud/educación , Administradores de Instituciones de Salud/psicología , Cuidados Paliativos al Final de la Vida/organización & administración , Humanos , Relaciones Interprofesionales , Apoyo Social , Reino UnidoRESUMEN
In many developing countries, healthcare administrators are currently facing challenges that are representative of those in the United States. Most healthcare administrators here are physicians with no formal training in healthcare administration, and this is perhaps most apparent in their difficulties with time management. The authors' purpose in this study was to characterize the time management difficulties of administrators working in primary healthcare facilities of the Ministry of Healthcare. In the study, 67 healthcare administrators each completed a 31-item time management questionnaire. Of the participants, 79.1% reported that they have never attended time management courses or workshops. Although 76.1% said they were free to choose the priority of their daily tasks, only 44.8% felt they knew how much time they should allow for each activity in their daily life. These and other findings in the study suggest that the need for time management education is a well-defined target for intervention, both in university-based programs for future healthcare administrators and in workplace-based programs, such as in-service training for healthcare administrators who are already working.
Asunto(s)
Administradores de Instituciones de Salud/normas , Evaluación de Necesidades , Ejecutivos Médicos/normas , Competencia Profesional/estadística & datos numéricos , Análisis y Desempeño de Tareas , Administración del Tiempo , Adulto , Femenino , Administradores de Instituciones de Salud/educación , Administradores de Instituciones de Salud/psicología , Humanos , Gobierno Local , Masculino , Persona de Mediana Edad , Programas Nacionales de Salud/organización & administración , Objetivos Organizacionales , Delegación al Personal , Admisión y Programación de Personal/estadística & datos numéricos , Ejecutivos Médicos/educación , Ejecutivos Médicos/psicología , Desarrollo de Personal , Encuestas y Cuestionarios , Turquía , Carga de Trabajo/psicología , Carga de Trabajo/estadística & datos numéricosRESUMEN
The education of students of health administration has traditionally combined both the theoretical and practical to enhance and balance the learning experience. Classroom exposure to the principles of management, law, organizations, and finance is coupled with problem solving, practicum, internship, and administrative residency experiences. However, just as recent years have seen the developmentof courses from managed care and alternative delivery systems to total quality management and continuous quality improvement, there is also emerging an awareness of the need to enhance the practical side of the learning equation. Perhaps this need is finding expression in curricular opportunities for students to learn from a participatory model known as civic engagement (CE). CE is a way of integrating academic study and community service to strengthen learning while promoting civic and personal responsibility to strengthen communities. Based on experiences with graduate and undergraduate students spanning the last ten years at Texas State University--San Marcos (Texas State), it is suggested that a CE paradigm has been developed within the Department of Health Administration that merits consideration by other programs of health administration. As a model for change, it has the potential for reforming both health administration education and most other higher education disciplines as well.
Asunto(s)
Relaciones Comunidad-Institución , Educación Profesional/organización & administración , Administradores de Instituciones de Salud/educación , Estudios Transversales , Curriculum , Humanos , Innovación Organizacional , Competencia Profesional , TexasRESUMEN
The American Academy of Medical Administrators of Tennessee (AAMA-TN) Chapter has established a graduate level internship program for individuals interested in a career in health care management. One such internship included involvement in a variety of programs such as Cancer Answer Evenings, National Cancer Survivor Day, community-wide skin cancer screenings, and submission of an R-25 Federal Grant, the Tennessee Comprehensive Cancer Control Plan.
Asunto(s)
Administradores de Instituciones de Salud , Liderazgo , Mentores , Instituciones Oncológicas , Financiación Gubernamental , Administradores de Instituciones de Salud/educación , Promoción de la Salud , Humanos , TennesseeAsunto(s)
Administradores de Instituciones de Salud/normas , Sistemas de Información/tendencias , Benchmarking , Alfabetización Digital , Toma de Decisiones en la Organización , Prestación Integrada de Atención de Salud , Administradores de Instituciones de Salud/educación , Humanos , Liderazgo , Innovación Organizacional , Estados UnidosRESUMEN
The effective health services executive needs to continue to develop analytical, technical and behavioral skills to anticipate and meet the changing requirements of the health care industry. Those leading the field of health administration will need to be competent in achieving transformations. Lifelong learning is a necessity. As the structure and knowledge of the field change, so must the ways of exchanging information about health and medical care. Distance learning is a strategy for lifelong learning that can be used to continue one's education. In order to be successful in positioning a health care organization in the competitive world, investment in continued education to update strategic thinking and the analytical competency of executives and managers is imperative. Academic programs able to respond to the educational needs of the health care industry have a dedicated faculty who understand corporate culture and competitiveness in the health care marketplace and are able to offer effective adult education using cutting-edge computer technology for distance learning.
Asunto(s)
Educación Continua/métodos , Administradores de Instituciones de Salud/educación , Administración de los Servicios de Salud , Competencia Profesional , Educación Basada en Competencias , Redes de Comunicación de Computadores , Instrucción por Computador , Prestación Integrada de Atención de Salud/organización & administración , Humanos , Aprendizaje , Desarrollo de Personal , Estados UnidosRESUMEN
Apresenta e discute um arcabouço teórico sobre o papel da administraçäo de saúde e dos programas de educaçäo para profissionalizar os recursos humanos nesta área. Revisa a literatura sobre o ensino de administraçäo de saúde, com ênfase para a evoluçäo histórica desse campo de interesse acadêmico e profissional. Apresenta os achados do estudo de oito programas PROASAs que ilustram a busca de um paradigma para o ensino de administraçäo de saúde e, a seguir, as conclusöes