Educating leaders in hospital management

A pre-post study in Ethiopian hospitals

Dados Bibliográficos

ID15540879
AutoresSosena Kebede (Yale University), Jeannie Mantopoulos (Yale University), Shoba Ramanadhan (0000-0003-0650-9433, Yale University), Emily Cherlin (0000-0002-9209-9954, Yale University), Mahlet Gebeyehu (Jimma University), Ruth Lawson, Elizabeth H Bradley (0000-0003-2592-2741, Yale University, autor correspondente)
Ano2011
Volume7
Fascículo2
Páginas164-174
Data de publicação2011-01-22
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2010.542171
PMID21259143
OpenAlexW1972112292
IdiomaEN
Citações recebidas9
Referências citadas15

Despite recent focus on health systems strengthening, few studies report large-scale efforts to improve hospital management capacity in low-income countries, a central component of improving health care delivery. We sought to assess the contributions of a systems-based approach, the Ethiopian Hospital Management Initiative (EHMI), which established hospital chief executive officers (CEOs) trained through a Masters of Healthcare and Hospital Administration (MHA) degree programme in Ethiopia. We conducted a pre-post study of 24 hospitals that are managed by CEOs in the MHA programme. We measured changes in hospital functioning based on adherence to a set of 86 hospital performance standards across 12 management domains published in the Standards for Hospital Management in Ethiopia. We found that adherence to hospital performance standards increased significantly during the one-year follow-up (27% compared with 51% of standards met at baseline and follow-up, respectively; P-value < 0.001); overall improvement was driven by improvement in seven of the 12 management domains. The EHMI is an example of health systems strengthening with focus on building hospital management capacity. Early evidence suggests that the establishment of hospital CEOs and MHA training to equip them with management skills may promote scalable improvements in health facility functioning

Economic growth · Family medicine · Political science · Healthcare Policy and Management · Healthcare Quality and Management · Medicine · Nursing · Primary Care and Health Outcomes