TY - JOUR
T1 - Educating leaders in hospital management
T2 - A pre-post study in Ethiopian hospitals
AU - Kebede, Sosena
AU - Mantopoulos, Jeannie
AU - Ramanadhan, Shoba
AU - Cherlin, Emily
AU - Gebeyehu, Mahlet
AU - Lawson, Ruth
AU - Bradley, Elizabeth H.
N1 - Funding Information:
This work was supported by a grant from the Clinton Foundation HIV/AIDS Initiative, and Dr Bradley was supported by the Donaghue Medical Research Foundation.
Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2012/2
Y1 - 2012/2
N2 - Despite recent focus on health systems strengthening, few studies report large-scale efforts to improve hospital management capacity in low-income countries, a central component of improving health care delivery. We sought to assess the contributions of a systems-based approach, the Ethiopian Hospital Management Initiative (EHMI), which established hospital chief executive officers (CEOs) trained through a Masters of Healthcare and Hospital Administration (MHA) degree programme in Ethiopia. We conducted a pre-post study of 24 hospitals that are managed by CEOs in the MHA programme. We measured changes in hospital functioning based on adherence to a set of 86 hospital performance standards across 12 management domains published in the Standards for Hospital Management in Ethiopia. We found that adherence to hospital performance standards increased significantly during the one-year follow-up (27% compared with 51% of standards met at baseline and follow-up, respectively; P-value < 0.001); overall improvement was driven by improvement in seven of the 12 management domains. The EHMI is an example of health systems strengthening with focus on building hospital management capacity. Early evidence suggests that the establishment of hospital CEOs and MHA training to equip them with management skills may promote scalable improvements in health facility functioning.
AB - Despite recent focus on health systems strengthening, few studies report large-scale efforts to improve hospital management capacity in low-income countries, a central component of improving health care delivery. We sought to assess the contributions of a systems-based approach, the Ethiopian Hospital Management Initiative (EHMI), which established hospital chief executive officers (CEOs) trained through a Masters of Healthcare and Hospital Administration (MHA) degree programme in Ethiopia. We conducted a pre-post study of 24 hospitals that are managed by CEOs in the MHA programme. We measured changes in hospital functioning based on adherence to a set of 86 hospital performance standards across 12 management domains published in the Standards for Hospital Management in Ethiopia. We found that adherence to hospital performance standards increased significantly during the one-year follow-up (27% compared with 51% of standards met at baseline and follow-up, respectively; P-value < 0.001); overall improvement was driven by improvement in seven of the 12 management domains. The EHMI is an example of health systems strengthening with focus on building hospital management capacity. Early evidence suggests that the establishment of hospital CEOs and MHA training to equip them with management skills may promote scalable improvements in health facility functioning.
KW - Africa
KW - Ethiopia
KW - education
KW - hospital management
KW - hospital performance standards
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U2 - 10.1080/17441692.2010.542171
DO - 10.1080/17441692.2010.542171
M3 - Article
C2 - 21259143
AN - SCOPUS:84855508172
SN - 1744-1692
VL - 7
SP - 164
EP - 174
JO - Global public health
JF - Global public health
IS - 2
ER -