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绘制撒哈拉以南非洲地区医疗保健领导力干预措施及其成效

Mapping healthcare leadership interventions and their performance in sub-Saharan Africa.

作者信息

Masike Magome A, Mahomed Ozayr

机构信息

Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.

Health Professional Council of South Africa, Pretoria, South Africa.

出版信息

J Public Health Afr. 2025 Mar 10;16(1):754. doi: 10.4102/jphia.v16i1.754. eCollection 2025.

Abstract

BACKGROUND

Healthcare leadership development programmes (LDPs) are gaining recognition globally as enablers for competent leadership. Sub-Saharan Africa countries are also implementing healthcare leadership development initiatives.

AIM

This scoping review sought to map healthcare leadership interventions and their performance in sub-Saharan Africa.

SETTING

Sub-Saharan Africa.

METHOD

A search of relevant articles was performed in PubMed, Semantic Scholar, and Academia, for articles written in English and published between 2003 and 2023. The Arksey and O'Malley framework was used to map the published studies. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews were used to report the results (PRISMA-ScR).

RESULTS

One hundred and ten articles were retrieved. Twenty-eight articles were included in the review. Twenty-one per cent ( = 6) of the studies on LDPs were conducted in South Africa. Twenty-one per cent ( = 6) used the 'case study' design, 18% mixed-method ( = 5) and 14% ( = 4) used qualitative study designs. Twenty-three of the 46 countries in sub-Saharan Africa conducted LDPs. Four programmes are postgraduate university degrees with entry requirements, while two programmes do not have any formal entry requirements.

CONCLUSION

Healthcare LDPs exist in sub-Saharan Africa. However, they are marketed as 'healthcare leadership development', while their content is management development.

CONTRIBUTION

This article summarises the research on the state and contributions of the healthcare LDPs in sub-Saharan Africa. Development of all future healthcare LDPs must consider applicable policies and be based on curricula that are focused on healthcare leadership competency development across all functional areas in the healthcare service delivery value chain.

摘要

背景

医疗保健领导力发展项目(LDPs)作为培养胜任领导能力的手段,在全球范围内日益受到认可。撒哈拉以南非洲国家也在实施医疗保健领导力发展举措。

目的

本范围综述旨在梳理撒哈拉以南非洲地区的医疗保健领导力干预措施及其成效。

地点

撒哈拉以南非洲。

方法

在PubMed、Semantic Scholar和Academia数据库中检索2003年至2023年期间发表的英文相关文章。采用阿克西和奥马利框架对已发表研究进行梳理。使用系统评价和Meta分析的首选报告项目扩展版(PRISMA-ScR)来报告结果。

结果

共检索到110篇文章,纳入综述的有28篇。关于LDPs的研究中,21%(=6)在南非开展。21%(=6)采用“案例研究”设计,18%采用混合方法(=5),14%(=4)采用定性研究设计。撒哈拉以南非洲46个国家中有23个开展了LDPs。4个项目是有入学要求的研究生大学学位项目,而2个项目没有任何正式入学要求。

结论

撒哈拉以南非洲地区存在医疗保健LDPs。然而,它们被宣传为“医疗保健领导力发展”,但其内容却是管理发展。

贡献

本文总结了撒哈拉以南非洲地区医疗保健LDPs的现状及贡献。未来所有医疗保健LDPs的开发都必须考虑适用政策,并基于专注于医疗服务交付价值链中所有功能领域医疗保健领导力能力发展的课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f087/11966659/2c5a24685775/JPHIA-16-754-g001.jpg

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