Bjegović V, Zivković M, Marinković J, Vuković D, Legetić B
Institute of Social Medicine, Statistics and Health Research Medical School University of Belgrade.
Srp Arh Celok Lek. 1996 Jul-Aug;124(7-8):184-9.
The term of project management is commonly used to describe the work of a team that is handling a special program. In this type of management, a form of leadership which creates environment, enables fast movement of participants through different work phases achieving the common aims, is used [1-4]. The "Healthy School" Project, launched in almost all European countries, has been taking place in Yugoslavia since the end of 1991 [5]. The project developed within the country designed as a health promotion-education intervention study in primary schools. The network of 13 schools on 11 locations representing typical economic, cultural and social environments, was established to cover the country. Although the proposed methodological approach from WHO was followed [6], the specific situation in the country (economic crisis, break down of Yugoslav Federation, the war and international blockade) distated the particular modification. The management of the Healthy School Project in general, and in Yugoslavia particularly, is based upon project management structure (Scheme 1). The objective of this research was to assess the Healthy School project management in Yugoslavia, by measuring causal, intervening and output variables.
In the process of assessing the management in general, three groups of criteria are commonly used: (a) causal (those that influence the course of developments in the Project), (b) intervening (representing the current condition of the internal state of the Project), and (c) output (that reflect the Project achievements). (a) For the purpose of this study the causal criteria were measured by analyzing the overall management strategy and the level of agreement in objectives of the Project itself, the Project Coordinators and main participants in the Project. (b) The intervening criteria used in this assessment were: the time spent on different project activities, the estimate of the severity of the problems in different aspects of project management, the level of personal influence on different aspects of Project development and overall work motivation and satisfaction of all participants. (c) The outcomes of the given management attempts were analyzed by the following output variables: the number of different types of meetings held, the number of seminars, mass media presentation and articles, the amount of money raised and the number of questionnaires administered. Triangular method was used to gather the data: (1) direct observation, (2) four types of questionnaires and (3) project reports and documentation. Four types of specially designed questionnaires were used to examine four groups of participants (Project Coordinators, School Project Managers, Directors and Project Co-operators). The questionnaires were different in the questions concerning examinees' project tasks and types of external communication, while the questions referring to personal characteristics, general features of the project (goals, common jobs, participation in decision making, motivation and satisfaction) were the same for all groups.
The average age of the project participants was 45.50 ranging from 25 to 60 years of age. The oldest group was the group of School Directors, while the youngest were School Co-operators. The project has been run mostly by women, while men were predominantly represented in the group of School Directors. The teaching occupation is presented by 61.8%, the rest being health professionals, mostly of preventive orientation. The analysis and classification of participants goals verify that the personal goals of all participants correspond with the main Project goals. Certain groups have also some additional motives which support their successful and affective movement towards the overall Project goals. The largest problem in all groups appear to be in the field of financing the Project activities (Figure 1). (ABSTRACT TRUNCATED)
项目管理一词通常用于描述负责特定项目的团队的工作。在这种管理类型中,采用了一种领导形式,这种形式营造环境,使参与者能够在不同工作阶段快速推进,以实现共同目标[1-4]。“健康学校”项目几乎在所有欧洲国家都已启动,自1991年底起在南斯拉夫开展[5]。该国开展的该项目被设计为一项小学健康促进教育干预研究。建立了一个覆盖全国的网络,包括位于11个地点的13所学校,代表典型的经济、文化和社会环境。尽管遵循了世界卫生组织提出的方法[6],但该国的特殊情况(经济危机、南斯拉夫联邦解体、战争和国际封锁)需要进行特殊调整。总体而言,尤其是在南斯拉夫,“健康学校”项目的管理基于项目管理结构(方案1)。本研究的目的是通过衡量因果变量、干预变量和产出变量来评估南斯拉夫的“健康学校”项目管理。
在评估总体管理的过程中,通常使用三组标准:(a)因果标准(那些影响项目发展进程的标准),(b)干预标准(代表项目内部状态的当前状况),以及(c)产出标准(反映项目成果)。(a)为了本研究的目的,通过分析总体管理策略以及项目本身、项目协调员和项目主要参与者的目标达成一致程度来衡量因果标准。(b)本次评估中使用的干预标准包括:在不同项目活动上花费的时间、对项目管理不同方面问题严重程度的估计、个人对项目发展不同方面的影响程度以及所有参与者的总体工作积极性和满意度。(c)通过以下产出变量分析给定管理尝试的结果:召开的不同类型会议的数量、研讨会的数量、媒体报道和文章的数量、筹集的资金数额以及发放的问卷数量。采用三角测量法收集数据:(1)直接观察,(2)四种类型的问卷,以及(3)项目报告和文件。使用四种专门设计的问卷来调查四组参与者(项目协调员、学校项目经理、校长和项目合作者)。问卷在涉及受访者项目任务和外部沟通类型的问题上有所不同,而涉及个人特征、项目一般特征(目标、共同工作、参与决策、积极性和满意度)的问题对所有组都是相同的。
项目参与者的平均年龄为45.50岁,年龄范围在25岁至60岁之间。年龄最大的群体是学校校长组,最年轻的是学校合作者组。该项目主要由女性运作,而男性在学校校长组中占主导地位。教学职业占61.8%,其余为健康专业人员,大多为预防方向。对参与者目标的分析和分类证实,所有参与者的个人目标与项目主要目标一致。某些群体还有一些额外的动机,这些动机支持他们朝着项目总体目标成功且高效地推进。所有群体中最大的问题似乎在于项目活动的融资领域(图1)。(摘要截断)