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尼日利亚高原州乔斯市公立医院和私立医院执业医生领导能力的比较。

A comparison of leadership competencies among doctors practicing in public and private hospitals in Jos metropolis of Plateau State, Nigeria.

作者信息

Yakubu Kenneth, Dankyau Musa, Lodenyo Maxwell

机构信息

Department of Family Medicine, University of Jos and Jos University Teaching Hospital, Jos, Plateau State, Nigeria.

Department of Family Medicine, Bingham University Teaching Hospital, Jos, Plateau State, Nigeria.

出版信息

Ann Afr Med. 2019 Jan-Mar;18(1):23-29. doi: 10.4103/aam.aam_9_18.

DOI:10.4103/aam.aam_9_18
PMID:30729929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6380117/
Abstract

AIM

This study aimed at assessing and comparing perceived leadership competencies of doctors occupying managerial positions in a public and various private hospitals in Jos metropolis of Plateau state, Nigeria.

MATERIALS AND METHODS

This was a cross-sectional, comparative multicenter study. It involved self-assessment by 27 doctors occupying managerial positions in public and private hospitals within Jos metropolis and peer-assessments by 89 health and nonhealth professionals who worked with the doctor-managers at the time of the study. The National Center for Healthcare Leadership competency model was used as the assessment tool.

RESULTS

We found that perceived leadership competencies were low for all doctor-managers irrespective of their hospital affiliation. Distributions of these competencies varied with the private sector showing superiority for certain competencies.

CONCLUSION

Perceived leadership competencies were low for the doctor-managers assessed. This calls for an innovative approach to the training and practice of health management in Jos Metropolis.

摘要

目的

本研究旨在评估和比较尼日利亚高原州乔斯市公立医院和各类私立医院中担任管理职位的医生的领导能力认知情况。

材料与方法

这是一项横断面、多中心比较研究。研究对象包括乔斯市公立医院和私立医院中担任管理职位的27名医生的自我评估,以及89名在研究期间与医生管理者共事的卫生专业人员和非卫生专业人员的同行评估。采用国家医疗保健领导力中心能力模型作为评估工具。

结果

我们发现,无论医院所属类型如何,所有医生管理者的领导能力认知水平都较低。这些能力的分布因私营部门在某些能力方面表现出优势而有所不同。

结论

接受评估的医生管理者的领导能力认知水平较低。这就需要在乔斯市采取创新的方法进行卫生管理培训和实践。

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本文引用的文献

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Health workforce and governance: the crisis in Nigeria.卫生人力与治理:尼日利亚的危机
Hum Resour Health. 2017 May 12;15(1):32. doi: 10.1186/s12960-017-0205-4.
2
Industrial action by healthcare workers in Nigeria in 2013-2015: an inquiry into causes, consequences and control-a cross-sectional descriptive study.2013 - 2015年尼日利亚医护人员的罢工行动:对原因、后果及管控的调查——一项横断面描述性研究
Hum Resour Health. 2016 Jul 27;14(1):46. doi: 10.1186/s12960-016-0142-7.
3
A comparison of experiences, competencies and development needs of doctor managers in Kenya and the United Kingdom (UK).肯尼亚与英国医生管理者的经验、能力及发展需求比较
Int J Health Plann Manage. 2017 Oct;32(4):509-539. doi: 10.1002/hpm.2357. Epub 2016 May 2.
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Doctors as managers of healthcare resources in Nigeria: Evolving roles and current challenges.尼日利亚医生作为医疗资源管理者:角色演变与当前挑战
Niger Med J. 2015 Nov-Dec;56(6):375-80. doi: 10.4103/0300-1652.171614.
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Empirical impact evaluation of the WHO Global Code of Practice on the International Recruitment of Health Personnel in Australia, Canada, UK and USA.澳大利亚、加拿大、英国和美国对世卫组织《国际卫生人员招聘国际行为准则》的实证影响评估。
Global Health. 2013 Nov 14;9:60. doi: 10.1186/1744-8603-9-60.
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African leadership for sustainable health policy and systems research.非洲在可持续卫生政策与系统研究方面的领导力。
BMC Health Serv Res. 2013;13 Suppl 2(Suppl 2):S15. doi: 10.1186/1472-6963-13-S2-S15. Epub 2013 May 31.
7
Public employment and political pressure: the case of French hospitals.公共就业与政治压力:以法国医院为例
J Health Econ. 2011 Sep;30(5):1103-12. doi: 10.1016/j.jhealeco.2011.07.007. Epub 2011 Aug 2.
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Mens Sana Monogr. 2009 Jan;7(1):63-79. doi: 10.4103/0973-1229.41799.
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Common competencies for all healthcare managers: the Healthcare Leadership Alliance model.所有医疗保健管理人员的共同能力:医疗保健领导联盟模式。
J Healthc Manag. 2008 Nov-Dec;53(6):360-73; discussion 374.
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Hum Resour Health. 2008 Feb 8;6:4. doi: 10.1186/1478-4491-6-4.