埃塞俄比亚西南部吉马地区公立医院中医疗保健管理人员对公民宪章标准实施情况及相关因素的承诺

Health care manager commitment towards implementation of citizen charter standards and associated factors in public hospitals of Jimma zone, Southwest Ethiopia.

作者信息

Getachew Nigusu, Tsega Gebeyehu, Worku Firehiwot, Fufa Debela Tilahun, Melese Dejene, Ali Yesuf Elias, Siraneh Yibeltal

机构信息

Department of Health Policy and Management, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia.

Department of Public Health, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

BMC Health Serv Res. 2021 Oct 23;21(1):1145. doi: 10.1186/s12913-021-07137-1.

DOI:10.1186/s12913-021-07137-1

PMID:34686202

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8539878/

Abstract

BACKGROUND

Managerial commitment is important for effective design and implementation of citizen charter to assure the quality of health service delivery as per the standards depicted in the document. Hence the objective of this study is to assess the level of managerial commitment towards implementation of the citizen charter standards and associated factor in Jimma zone public hospitals.

METHODS

A Facility based cross-sectional study design was employed in Jimma zone public hospitals from March 14 to May 16, 2019 and 422 health managers who were currently working at all levels of management were participated in the study. After checking its completeness, the data was entered into EPI data version 3.1 and exported to SPSS version 20 for statistical analysis. Factor analysis was conducted. Simple and multiple linear regression were done using 95%CI and significance was declared at P < 0.05. All assumptions of linear regression and principal component analysis were checked.

RESULTS

The percentages mean score of managerial commitment for health managers working in jimma zone public hospitals was 58%. Perceived value and care for managers (β = .329,95% CI,.245,.413, p-value<.001), Interaction between staff and managers' (β = 0.077,95%CI,.032,.122, p-value< 001),involvement during implementation of citizen charter(β = 0.061,95%CI,.010,.112,p-value = 018) and positional level(β = - 122,95%CI,-.242,-.002,p-value = .046) as predictors of managerial commitment towards implementation of citizen charter standards.

CONCLUSIONS

In this study, the percentage mean score of managerial commitment for health care managers working in Jimma zone public hospitals was medium. Hence, all levels of managers to consider and maintain factors identified in this study in their management practice to foster a higher level of managerial commitment towards implementation of citizen charter standards in jimma zone public hospitals.

摘要

背景

管理承诺对于有效设计和实施公民宪章以确保按照文件中描述的标准提供医疗服务质量至关重要。因此，本研究的目的是评估吉马地区公立医院对实施公民宪章标准的管理承诺水平及相关因素。

方法

2019年3月14日至5月16日在吉马地区公立医院采用基于机构的横断面研究设计，422名各级在职卫生管理人员参与了该研究。检查数据完整性后，将其录入EPI数据3.1版，并导出到SPSS 20版进行统计分析。进行了因子分析。使用95%置信区间进行简单和多元线性回归，P<0.05时具有统计学意义。检查了线性回归和主成分分析的所有假设。

结果

在吉马地区公立医院工作的卫生管理人员管理承诺的百分比平均得分为58%。管理者的感知价值和关怀（β = 0.329，95%置信区间，0.245，0.413，p值<0.001）、员工与管理者之间的互动（β = 0.077，95%置信区间，0.032，0.122，p值<0.001）、公民宪章实施期间的参与度（β = 0.061，95%置信区间，0.010，0.112，p值 = 0.018）和职位级别（β = -0.122，95%置信区间，-0.242，-0.002，p值 = 0.046）可作为对实施公民宪章标准管理承诺的预测因素。