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沙特阿拉伯麦加市基层医疗中心负责人的变革准备情况评估。

The assessment of readiness to change among head managers of primary healthcare centers in Makkah, KSA.

作者信息

Arbaein Turky J, Alharbi Khulud K, Alzhrani Abdulrhman A, Monshi Sarah S, Alzahrani Ali M, Alsadi Talal M

机构信息

Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA.

Al Awali Primary Healthcare Department, Makkah Healthcare Cluster, KSA.

出版信息

J Taibah Univ Med Sci. 2024 Mar 8;19(2):453-459. doi: 10.1016/j.jtumed.2024.02.005. eCollection 2024 Apr.

Abstract

BACKGROUND

KSA is currently undergoing significant changes in its healthcare system, with a particular emphasis on enhancing the role of primary healthcare centers (PHCs) to elevate patient experience and overall healthcare quality. At the forefront of this transformation are head managers in PHCs, who play a crucial role in implementing these changes effectively. The readiness of these managers is paramount to the successful execution of the envisioned transformation and the subsequent improvement of patient experience.

OBJECTIVE

This study aims to assess the readiness to change among head managers of primary healthcare centers in Makkah, KSA.

METHODOLOGY

Cross-sectional study utilized the ADKAR model questionnaire, consisting of 22 Likert scale questions, to assess PHCs head managers' awareness, desire, knowledge, ability, reinforcement, and overall change readiness.

RESULTS

The study found a significant association between higher educational levels and increased awareness (β = 0.214, p = 0.030), along with greater desire (β = 0.207, p = 0.029) among primary healthcare (PHC) managers. Additionally, a positive association was found between age (≥41 years) and knowledge among PHC managers (β = 0.138, p = 0.030). However, managers with 11 or more years of experience showed a negative association with change readiness (β = -0.112, p = 0.001).

CONCLUSION

The ADKAR model outlines five dimensions that are useful for identifying the readiness and willingness of head managers in PHCs in Makkah cluster to undergo change. Assessing change readiness is crucial for organizational transformation, with head managers playing a significant role. Factors such as age, education, and experience influence managers' readiness for change in primary healthcare centers (PHCs) in Makkah.

摘要

背景

沙特阿拉伯(KSA)目前其医疗体系正在经历重大变革,尤其注重加强初级医疗保健中心(PHCs)的作用,以提升患者体验和整体医疗质量。处于这一变革前沿的是初级医疗保健中心的主管,他们在有效实施这些变革方面发挥着关键作用。这些管理人员的准备情况对于成功执行预期变革以及随后改善患者体验至关重要。

目的

本研究旨在评估沙特阿拉伯麦加市初级医疗保健中心主管的变革准备情况。

方法

横断面研究采用了ADKAR模型问卷,该问卷由22个李克特量表问题组成,用于评估初级医疗保健中心主管的意识、愿望、知识、能力、强化以及整体变革准备情况。

结果

研究发现,较高的教育水平与增强的意识之间存在显著关联(β = 0.214,p = 0.030),同时初级医疗保健(PHC)管理人员的愿望也更强(β = 0.207,p = 0.029)。此外,还发现年龄(≥41岁)与初级医疗保健中心管理人员的知识之间存在正相关(β = 0.138,p = 0.030)。然而,有11年或以上工作经验的管理人员与变革准备情况呈负相关(β = -0.112,p = 0.001)。

结论

ADKAR模型概述了五个维度,这些维度有助于确定麦加地区初级医疗保健中心主管接受变革的准备情况和意愿。评估变革准备情况对于组织转型至关重要,主管们发挥着重要作用。年龄、教育和经验等因素会影响麦加地区初级医疗保健中心管理人员对变革的准备情况。

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Change Management in Health Care.医疗保健中的变革管理。
Health Care Manag (Frederick). 2020 Apr/Jun;39(2):50-65. doi: 10.1097/HCM.0000000000000290.
10
Leading change with ADKAR.用ADKAR引领变革。
Nurs Manage. 2019 Apr;50(4):28-35. doi: 10.1097/01.NUMA.0000554341.70508.75.

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