Department of Family and Community Medicine, Al Fateh University, Tripoli, Libya.
Libyan J Med. 2008 Sep 1;3(3):148-55. doi: 10.4176/080306.
Health services have the functions to define community health problems, to identify unmet needs and survey the resources to meet them, to establish SMART objectives, and to project administrative actions to accomplish the purpose of proposed action programs. For maximum efficacy, health systems should rely on newer approaches of management as management-by-objectives, risk-management, and performance management with full and equal participation from professionals and consumers. The public should be well informed about their needs and what is expected from them to improve their health. Inefficient use of budget allocated to health services should be prevented by tools like performance management and clinical governance. Data processed to information and intelligence is needed to deal with changing disease patterns and to encourage policies that could manage with the complex feedback system of health. e-health solutions should be instituted to increase effectiveness and improve efficiency and informing human resources and populations. Suitable legislations should be introduced including those that ensure coordination between different sectors. Competent workforce should be given the opportunity to receive lifetime appropriate adequate training. External continuous evaluation using appropriate indicators is vital. Actions should be done both inside and outside the health sector to monitor changes and overcome constraints.
卫生服务具有定义社区卫生问题、确定未满足的需求并调查满足这些需求的资源、制定 SMART 目标以及规划行政行动以实现拟议行动计划的目的的功能。为了达到最大的效果,卫生系统应该依靠目标管理、风险管理和绩效管理等较新的管理方法,并让专业人员和消费者充分平等地参与。公众应该充分了解他们的需求以及对他们的期望,以改善他们的健康状况。通过绩效管理和临床治理等工具,可以防止卫生服务预算的低效使用。需要将处理过的数据转化为信息和情报,以应对不断变化的疾病模式,并鼓励制定能够管理卫生复杂反馈系统的政策。应实施电子卫生解决方案,以提高效果、提高效率,并通知人力资源和人口。应引入包括确保不同部门之间协调的立法。应给予有能力的劳动力接受适当的终身培训的机会。使用适当指标进行外部持续评估至关重要。应在卫生部门内外采取行动,监测变化并克服限制。