Umble K E, Brooks J, Lowman A, Malison M, Huong N T, Iademarco M, Laserson K
North Carolina Institute for Public Health, School of Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA.
Int J Tuberc Lung Dis. 2009 Feb;13(2):238-46.
National Tuberculosis Program (NTP), Vietnam.
To show how the Sustainable Management Development Program (SMDP) of the US Centers for Disease Control and Prevention created capacity within Vietnam's NTP to organize a management training program, and to assess the influence of the NTP's in-country training program on individual and team management practices and the performance of provincial TB control programs.
Eight case studies of participating provincial TB organizations, including cross-case and content analysis.
Participants and their back-home learning project teams demonstrated a solid understanding of the concepts taught, particularly evidence-based decision making, problem diagnosis and problem solving, and using teamwork to improve results. They gave multiple examples of how they use these concepts in their daily work. Project teams exceeded, attained or very nearly attained their target objectives, including improved DOTS implementation. Process improvements had become a routine part of their practice and were often diffused to other districts. Several teams said they now took more initiative in identifying problems and devising solutions. Others said that increased teamwork was improving the commitment of the NTP staff.
Management training, including applied projects with coaching, can improve managerial and program performance of NTPs.
越南国家结核病防治项目（NTP）。
展示美国疾病控制与预防中心的可持续管理发展项目（SMDP）如何在越南国家结核病防治项目中培养组织管理培训项目的能力，并评估该项目在国内的培训项目对个人和团队管理实践以及省级结核病控制项目绩效的影响。
对参与项目的省级结核病防治组织进行八个案例研究，包括跨案例分析和内容分析。
参与者及其回国后的学习项目团队对所学概念有扎实的理解，特别是基于证据的决策、问题诊断与解决，以及利用团队合作提高成效。他们给出了多个在日常工作中运用这些概念的例子。项目团队超额、达到或非常接近其目标，包括改进直接观察短程疗法（DOTS）的实施。流程改进已成为他们工作的常规部分，并常常传播到其他地区。几个团队表示，他们现在在发现问题和制定解决方案方面更加主动。其他团队称，团队合作的加强提高了国家结核病防治项目工作人员的投入度。
管理培训，包括有指导的应用项目，可提高国家结核病防治项目的管理水平和项目绩效。
