Haile Assalif Beyene, Haile Mesfin Beyene, Dagnaw Abebe Mihretie, Asefa Eyosiyas Yeshialem, Tizazu Michael Amera
Midwifery Department, Health Science College, University of Debre Berhan, Debre Berhan, Ethiopia.
Addis Ababa Health Bureau, Addis Ababa, Ethiopia.
Risk Manag Healthc Policy. 2021 May 27;14:2201-2209. doi: 10.2147/RMHP.S310878. eCollection 2021.
A board member was an important bridge to accelerate a day-to-day health care quality in a routine clinical activity at health institutions. They are significant in planning and examine integrated governance systems that encourage quality of care and accountability. So, the current research was planned to identify the level of engagement of the board members in health care quality and factors associated.
A facility-based cross-sectional study was implemented among 250 board members and data were collected by self-administered questionnaire at selected governing health centers in Addis Ababa, Ethiopia from May 1 to 30, 2018. A simple random sampling technique was used to reach the study participants. Data were entered using EpiData 3.1 software and analysis was done using SPSS 23. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 was used to declare statistical significance. The level of board members' engagement was found to be low which implies that the board members do not give appropriate attention to the quality of care.
Good level of engagement of board members was (50.9%) [AOR=7.11, 95% CI (3.07-16.47)]. Most of the governing board members did not engage in the quality of health care activities. Uses quality data as a basis for recognition [AOR=7.11, 95% CI (3.07-16.47)], review a quality scorecard or dashboard [AOR=10.83, 95% CI (3.75-31.29)], establishing goals relating to staff satisfaction [AOR=15.42, 95% CI (6.14-38.75)] and receiving formal training [AOR=3.42, 95% CI (1.35 -8.62)], having a strategy relating to communication with clients [AOR= 4.95, 95% CI (2.02-12.15)] and spending more than 20% [AOR=11.96, 95% CI (3.27-43.83)], received training on healthcare disparities [AOR=3.81, 95% CI (1.40-10.36)], and having a plan on quality [AOR=16.38 95% CI (5.39-49.72)] were found to be significant predictors of level of board member engagement.
Collectively, most of the governing board members did not engage in the quality of health care activities. Stakeholders should work on capacity building for board members using training and further follow-up. Encouraging them to put quality health services at the forefront of their agenda during their involvement at their respective facilities.
在医疗机构的日常临床活动中，董事会成员是加速提升医疗保健质量的重要桥梁。他们在规划和审查鼓励医疗质量与问责制的综合管理系统方面具有重要意义。因此，本研究旨在确定董事会成员在医疗保健质量方面的参与程度及相关因素。
在250名董事会成员中开展了一项基于机构的横断面研究，于2018年5月1日至30日在埃塞俄比亚亚的斯亚贝巴选定的管理健康中心通过自填问卷收集数据。采用简单随机抽样技术选取研究参与者。数据使用EpiData 3.1软件录入，并使用SPSS 23进行分析。采用95%置信区间的调整比值比和p值<0.05来判定统计学意义。发现董事会成员的参与程度较低，这意味着董事会成员未对医疗质量给予适当关注。
董事会成员的良好参与程度为(50.9%)[调整比值比=7.11，95%置信区间(3.07 - 16.47)]。大多数董事会成员未参与医疗保健质量活动。将质量数据用作认可依据[调整比值比=7.11，95%置信区间(3.07 - 16.47)]、审查质量记分卡或仪表板[调整比值比=10.83，95%置信区间(3.75 - 31.29)]、设定与员工满意度相关的目标[调整比值比=15.42，95%置信区间(6.14 - 38.75)]、接受正规培训[调整比值比=3.42，95%置信区间(1.35 - 8.62)]、拥有与客户沟通的策略[调整比值比=4.95，95%置信区间(2.02 - 12.15)]、支出超过20%[调整比值比=11.96，95%置信区间(3.27 - 43.83)]、接受过医疗保健差异方面的培训[调整比值比=3.81，95%置信区间(1.40 - 10.36)]以及拥有质量计划[调整比值比=16.38，95%置信区间(5.39 - 49.72)]被发现是董事会成员参与程度的重要预测因素。
总体而言，大多数董事会成员未参与医疗保健质量活动。利益相关者应通过培训和进一步跟进开展董事会成员能力建设。鼓励他们在参与各自机构事务期间将优质医疗服务置于议程首位。
