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[布基纳法索一家私立管理的公立医院的绩效分析]

[Performance analysis of a privately managed public hospital in Burkina Faso].

作者信息

Bara Anata, Tougri Halima, Belrhiti Zakaria, Baguiya Adama, Ouedraogo Adja Mariam, Compaoré Rachidatou, Kouanda Seni

出版信息

Sante Publique. 2020 September-December;32(5):519-523. doi: 10.3917/spub.205.0519.

Abstract

INTRODUCTION

Hospitals in Sub-Saharan Africa face many challenges. Burkina Faso has experimented a private operating system in a public hospital, in order to improve its performance.

AIM

To assess the Tengandogo Teaching Hospital's (TTH's) performance in Ouagadougou. Burkina Faso.

METHOD

We carried out a mixed-method cross-sectional study. We collected data in April 2017 using document review and quantitative data (key performance indicators), individual interviews with key informants. The analytical framework covered services continuity, health department efficiency and staff working environment safety.

RESULTS

Our study findings indicated that the performance of TTH hospital is hampered by frequent shortages in medicine and medical consumables, deteriorating facilities, poor coordination of care and lack of data on patients and staff security.

CONCLUSION

Private management of public hospitals is not sufficient to improve the performance of hospitals in Burkina Faso. More attention should be paid to improving supply management of medicine, consumables and ensuring a safe work environment for health workers.

摘要

引言

撒哈拉以南非洲的医院面临诸多挑战。布基纳法索在一家公立医院试行一种私立运营系统,以提升其绩效。

目的

评估布基纳法索瓦加杜古的滕甘多戈教学医院(TTH)的绩效。

方法

我们开展了一项混合方法的横断面研究。2017年4月,我们通过文件审查和定量数据(关键绩效指标)、与关键信息提供者进行个人访谈来收集数据。分析框架涵盖服务连续性、卫生部门效率和工作人员工作环境安全。

结果

我们的研究结果表明,药品和医疗耗材频繁短缺、设施不断恶化、护理协调不佳以及缺乏患者和工作人员安全数据,阻碍了TTH医院的绩效。

结论

公立医院的私立管理不足以提高布基纳法索医院的绩效。应更加注重改善药品、耗材的供应管理,并确保卫生工作者有一个安全的工作环境。

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