Hartwig Kari, Pashman Josh, Cherlin Emily, Dale Martha, Callaway Marguerite, Czaplinski Cindy, Wood W Edward, Abebe Yigeremu, Dentry Timothy, Bradley Elizabeth H
Yale School of Public Health, New Haven, Connecticut 06520-8034, USA.
Int J Health Plann Manage. 2008 Jul-Sep;23(3):203-18. doi: 10.1002/hpm.915.
Through health sector reform in developing countries, Ministries of Health have sought to enhance health care through greater community governance and improved management effectiveness in their public hospitals. In this paper, we present a partnership-mentoring model for enhancing management capacity that has been piloted in Ethiopia and may be useful in other developing countries. The model included needs assessment and baseline evaluation using a hospital management indicator checklist, deployment of 24 Fellows (US and international hospital administrators) for 1 year to work as mentors with hospital management teams in 14 Ethiopian hospitals, continuing didactic and practical training in quality improvement methods for hospital management teams, and 24 management improvement projects to be completed during the year with plans for replication more broadly as appropriate. Surveys of Fellows and Ethiopian managers within the first quarter of onsite activity found high levels of trust in one another's abilities and intent to implement changes. The partnership-mentoring model promotes sustainability and may provide other countries with approaches for improving the quality of hospital care through improved hospital management.
通过发展中国家的卫生部门改革，各国卫生部一直致力于通过加强社区治理和提高公立医院的管理效率来提升医疗保健水平。在本文中，我们介绍了一种提升管理能力的伙伴关系指导模式，该模式已在埃塞俄比亚进行试点，可能对其他发展中国家有用。该模式包括使用医院管理指标清单进行需求评估和基线评估，部署24名研究员（美国和国际医院管理人员）为期1年，作为导师与埃塞俄比亚14家医院的医院管理团队合作，为医院管理团队持续开展质量改进方法的理论和实践培训，以及在这一年中要完成的24个管理改进项目，并计划在适当时更广泛地推广。在现场活动的第一季度对研究员和埃塞俄比亚管理人员进行的调查发现，双方对彼此的能力和实施变革的意图高度信任。伙伴关系指导模式促进了可持续性，并可能为其他国家提供通过改善医院管理来提高医院护理质量的方法。
