Okonkwo U, Ekpeyoung B, Ndep A, Nja G
Department of Internal Medicine; Public Health, University of Calabar, Cross River State, Nigeria.
Public Health, University of Calabar, Cross River State, Nigeria.
Niger J Clin Pract. 2020 Jul;23(7):988-994. doi: 10.4103/njcp.njcp_667_19.
Tertiary hospitals are specialized institutions that provide managed care for patients. It has been shown that the productivity of any organization/institution is as good as the performance of its managers.
This study assessed the management knowledge of Healthcare Managers in a tertiary hospital in Calabar, Nigeria.
This was a descriptive cross-sectional study that employed a structured questionnaire (adapted from the Health Leadership Alliance competency directory). Data were analyzed using SPSS version 20.
A total of 266 managers were included in this studywith a M: F ratio of 1.3:1. The knowledge rating of role of non-clinical professionals, regulatory agency standards, preparation of business communication, change process management and policy formulation and analysis varied significantly among the three levels of management (p < 0.05). Less than 50% of operational and middle managers rated themselves as experts in all the competency domains while majority (80%) of strategic managers rated themselves as more than proficient in most of the competency items.
There is inadequate managerial knowledge at all levels of management in a typical tertiary hospital in Nigeria with the potential to impact negatively on quality healthcare delivery.
三级医院是为患者提供管理式医疗服务的专业机构。研究表明，任何组织/机构的生产力与其管理者的绩效相当。
本研究评估了尼日利亚卡拉巴尔一家三级医院医疗管理者的管理知识。
这是一项描述性横断面研究，采用结构化问卷（改编自健康领导力联盟能力目录）。使用SPSS 20版对数据进行分析。
本研究共纳入266名管理者，男女比例为1.3:1。非临床专业人员的角色、监管机构标准、商务沟通准备、变革过程管理以及政策制定与分析等方面的知识评分在三个管理层级之间存在显著差异（p < 0.05）。不到50%的运营和中层管理者认为自己在所有能力领域都是专家，而大多数（80%）战略管理者认为自己在大多数能力项目上表现出色。
在尼日利亚一家典型的三级医院中，各级管理层的管理知识都不足，这有可能对高质量医疗服务的提供产生负面影响。
