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Educating leaders in hospital management: a new model in Sub-Saharan Africa
QUALITY ISSUE: The vast majority of health system capacity-building efforts have focused on enhancing medical and public health skills; less attention has been directed at developing hospital managers despite their central role in improving the functioning and quality of health-care systems. INITIAL...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803009/ https://www.ncbi.nlm.nih.gov/pubmed/19951963 http://dx.doi.org/10.1093/intqhc/mzp051 |
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author | Kebede, Sosena Abebe, Yigeremu Wolde, Mirkuzie Bekele, Biftu Mantopoulos, Jeannie Bradley, Elizabeth H. |
author_facet | Kebede, Sosena Abebe, Yigeremu Wolde, Mirkuzie Bekele, Biftu Mantopoulos, Jeannie Bradley, Elizabeth H. |
author_sort | Kebede, Sosena |
collection | PubMed |
description | QUALITY ISSUE: The vast majority of health system capacity-building efforts have focused on enhancing medical and public health skills; less attention has been directed at developing hospital managers despite their central role in improving the functioning and quality of health-care systems. INITIAL ASSESSMENT AND CHOICE OF INTERVENTION: Initial assessment of hospital management systems demonstrated weak functioning in several management areas. In response, we developed with the Ethiopian Ministry of Health (MoH) a novel Master of Hospital Administration (MHA) program, reflecting a collaborative effort of the MoH, the Clinton HIV/AIDS Initiative, Jimma University and Yale University. The MHA is a 2-year executive style educational program to develop a new cadre of hospital leaders, comprising 5% classroom learning and 85% executive practice. IMPLEMENTATION: The MHA has been implemented with 55 hospital leaders in the position of chief executive officer within the MoH, with courses taught in collaboration by faculty of the North and the South universities. EVALUATION AND LESSONS LEARNED: The program has enrolled two cohorts of hospital leaders and is working in more than half of the government hospitals in Ethiopia. Lessons learned include the need to: (i) balance education in applied, technical skills with more abstract thinking and problem solving, (ii) recognize the interplay between management education and policy reform, (iii) remain flexible as policy changes have direct impact on the project, (iv) be realistic about resource constraints in low-income settings, particularly information technology limitations, and (v) manage the transfer of knowledge for longer term sustainability. |
format | Text |
id | pubmed-2803009 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-28030092010-01-08 Educating leaders in hospital management: a new model in Sub-Saharan Africa Kebede, Sosena Abebe, Yigeremu Wolde, Mirkuzie Bekele, Biftu Mantopoulos, Jeannie Bradley, Elizabeth H. Int J Qual Health Care Papers QUALITY ISSUE: The vast majority of health system capacity-building efforts have focused on enhancing medical and public health skills; less attention has been directed at developing hospital managers despite their central role in improving the functioning and quality of health-care systems. INITIAL ASSESSMENT AND CHOICE OF INTERVENTION: Initial assessment of hospital management systems demonstrated weak functioning in several management areas. In response, we developed with the Ethiopian Ministry of Health (MoH) a novel Master of Hospital Administration (MHA) program, reflecting a collaborative effort of the MoH, the Clinton HIV/AIDS Initiative, Jimma University and Yale University. The MHA is a 2-year executive style educational program to develop a new cadre of hospital leaders, comprising 5% classroom learning and 85% executive practice. IMPLEMENTATION: The MHA has been implemented with 55 hospital leaders in the position of chief executive officer within the MoH, with courses taught in collaboration by faculty of the North and the South universities. EVALUATION AND LESSONS LEARNED: The program has enrolled two cohorts of hospital leaders and is working in more than half of the government hospitals in Ethiopia. Lessons learned include the need to: (i) balance education in applied, technical skills with more abstract thinking and problem solving, (ii) recognize the interplay between management education and policy reform, (iii) remain flexible as policy changes have direct impact on the project, (iv) be realistic about resource constraints in low-income settings, particularly information technology limitations, and (v) manage the transfer of knowledge for longer term sustainability. Oxford University Press 2010-02 2009-12-01 /pmc/articles/PMC2803009/ /pubmed/19951963 http://dx.doi.org/10.1093/intqhc/mzp051 Text en © The Author 2009. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved http://creativecommons.org/licenses/by-nc/2.0/uk/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Papers Kebede, Sosena Abebe, Yigeremu Wolde, Mirkuzie Bekele, Biftu Mantopoulos, Jeannie Bradley, Elizabeth H. Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title | Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title_full | Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title_fullStr | Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title_full_unstemmed | Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title_short | Educating leaders in hospital management: a new model in Sub-Saharan Africa |
title_sort | educating leaders in hospital management: a new model in sub-saharan africa |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803009/ https://www.ncbi.nlm.nih.gov/pubmed/19951963 http://dx.doi.org/10.1093/intqhc/mzp051 |
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