Base de dados : MEDLINE
Pesquisa : M01.526.070.490 [Categoria DeCS]
Referências encontradas : 4517 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 452 ir para página                         

  1 / 4517 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28366578
[Au] Autor:Yoo SK; Ahmed AA; Ileto J; Zaorsky NG; Deville C; Holliday EB; Wilson LD; Jagsi R; Thomas CR
[Ad] Endereço:Department of Radiation Oncology, University of Southern California, Keck School of Medicine, Los Angeles, California.
[Ti] Título:Industry Funding Among Leadership in Medical Oncology and Radiation Oncology in 2015.
[So] Source:Int J Radiat Oncol Biol Phys;99(2):280-285, 2017 Oct 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To quantify and determine the relationship between oncology departmental/division heads and private industry vis-à-vis potential financial conflict of interests (FCOIs) as publicly reported by the Centers for Medicare and Medicaid Services Open Payments database. METHODS AND MATERIALS: We extracted the names of the chairs/chiefs in medical oncology (MO) and chairs of radiation oncology (RO) for 81 different institutions with both RO and MO training programs as reported by the Association of American Medical Colleges. For each leader, the amount of consulting fees and research payments received in 2015 was determined. Logistic modeling was used to assess associations between the 2 endpoints of receiving a consulting fee and receiving a research payment with various institution-specific and practitioner-specific variables included as covariates: specialty, sex, National Cancer Institute designation, PhD status, and geographic region. RESULTS: The majority of leaders in MO were reported to have received consulting fees or research payments (69.5%) compared with a minority of RO chairs (27.2%). Among those receiving payments, the average (range) consulting fee was $13,413 ($200-$70,423) for MO leaders and $6463 ($837-$16,205) for RO chairs; the average research payment for MO leaders receiving payments was $240,446 ($156-$1,234,762) and $295,089 ($160-$1,219,564) for RO chairs. On multivariable regression when the endpoint was receipt of a research payment, those receiving a consulting fee (odds ratio [OR]: 5.34; 95% confidence interval [CI]: 2.22-13.65) and MO leaders (OR: 5.54; 95% CI: 2.62-12.18) were more likely to receive research payments. Examination of the receipt of consulting fees as the endpoint showed that those receiving a research payment (OR: 5.41; 95% CI: 2.23-13.99) and MO leaders (OR: 3.06; 95% CI: 1.21-8.13) were more likely to receive a consulting fee. CONCLUSION: Leaders in academic oncology receive consulting or research payments from industry. Relationships between oncology leaders and industry can be beneficial, but guidance is needed to develop consistent institutional policies to manage FCOIs.
[Mh] Termos MeSH primário: Pesquisa Biomédica/economia
Consultores
Administradores de Instituições de Saúde/economia
Indústrias/economia
Oncologia/economia
Radioterapia (Especialidade)/economia
[Mh] Termos MeSH secundário: Intervalos de Confiança
Conflito de Interesses/economia
Feminino
Guias como Assunto
Seres Humanos
Liderança
Masculino
Razão de Chances
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE


  2 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28260409
[Au] Autor:Barson S; Doolan-Noble F; Gray J; Gauld R
[Ad] Endereço:Otago Business School, University of Otago , Dunedin, New Zealand.
[Ti] Título:Healthcare leaders' views on successful quality improvement initiatives and context.
[So] Source:J Health Organ Manag;31(1):54-63, 2017 Mar 20.
[Is] ISSN:1758-7247
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose The purpose of this paper is to investigate the contextual factors contributing to the sustainability of healthcare quality improvement (QI) initiatives. Design/methodology/approach Themes from semi-structured interviews with international healthcare leaders are compared with Kaplan and Provost et al.'s (2012) model for understanding success in quality (MUSIQ). Critical success factors within these themes are shown in detail. Findings The interviews provide a rich source of information on critical success factors. The themes largely correspond with MUSIQ, reinforcing its robustness. An important factor emerging from the interviews was the importance of engagement with patients and families in QI, and this needs consideration in seeking to understand context in QI. Research limitations/implications Interview participants represent a limited set of western countries and health systems. Their experiences may not hold true in other settings. Practical implications The detail on critical success factors provides QI practitioners with guidance on designing and implementing sustainable initiatives. Originality/value Including consideration of contextual factors for engagement with patients and families in frameworks for context in QI appears to be an original idea that will add value to such frameworks. Researchers in patient engagement are starting to address contextual factors and connections should be made with this work.
[Mh] Termos MeSH primário: Administradores de Instituições de Saúde
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Seres Humanos
Entrevistas como Assunto
Participação do Paciente/métodos
Desenvolvimento de Programas/métodos
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1108/JHOM-10-2016-0191


  3 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28220717
[Au] Autor:Ouyang W; Hilsenrath PE
[Ad] Endereço:1 University of the Pacific, Stockton, CA, USA.
[Ti] Título:Merger & Acquisition and Capital Expenditure in Health Care.
[So] Source:Inquiry;54:46958017692275, 2017 Jan.
[Is] ISSN:1945-7243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Investment, especially through merger and acquisition (M&A), is a leading topic of concern among health care managers. In addition, the implications of this activity for organization and market concentration are of great interest to policy makers. Using a sample of 2256 firm-year observations in the health care industry during the period from 1985 to 2011, this article provides novel evidence that managers learn from financial markets in making capital expenditure (CAPEX) and M&A investment decisions. Within the industry, managers in the Drugs subsector are most likely to do so, whereas managers in the Medical Equipment and Supplies are least likely to do so. We find informative stock prices improve firm financial performance. This article highlights the importance of financial markets for real economic activity in the health care industry.
[Mh] Termos MeSH primário: Gastos de Capital
Instituições Associadas de Saúde/economia
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Tomada de Decisões
Administradores de Instituições de Saúde/educação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE
[do] DOI:10.1177/0046958017692275


  4 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28166772
[Au] Autor:Mitchell D; O'Brien L; Bardoel A; Haines T
[Ad] Endereço:Allied Health Workforce, Innovation, Strategy, Education and Research Unit, Monash Health, Dandenong, Victoria, Australia. debra.mitchell@monash.edu.
[Ti] Título:Challenges, uncertainties and perceived benefits of providing weekend allied health services-a managers' perspective.
[So] Source:BMC Health Serv Res;17(1):118, 2017 Feb 06.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health services that operate 7 days per week are under pressure to show the increased cost of providing weekend services can be measured in improved patient outcomes. The evidence for weekend allied health services in acute medical and surgical wards is weak and there is wide variation between the services offered at different hospitals. METHODS: This qualitative study was undertaken during a multi-site stepped wedge randomised controlled trial involving twelve acute medical and surgical wards from two Australian hospitals, in which weekend allied health services were removed before being reinstated with a stakeholder driven model. In-depth interviews were conducted with twenty-two staff responsible for managing weekend services at the involved hospitals. Participants were asked about their perceptions of the advantages and disadvantages of providing a weekend allied health service. RESULTS: Managers perceive the services improve patient flow and quality of care and reduce adverse incidents, such as falls and intensive care admissions. They also highlighted the challenges involved in planning, staffing and managing these services and the uncertainties about how to provide it most effectively. CONCLUSIONS: Rising healthcare costs provide opportunity for public and professional debate about the most effective way of providing weekend allied health care services, particularly when health services provide limited other weekend services. Some managers perceived weekend allied health services to improve patient quality of care, but without studies which show these services on acute medical and surgical wards clearly change patient outcomes or provide health economic gains, these resources may need to be redirected. The resources may be better spent in areas with clear evidence to show the addition of weekend allied health services improves patient outcomes, such as on acute assess units and rehabilitation wards.
[Mh] Termos MeSH primário: Plantão Médico
Pessoal Técnico de Saúde
Administradores de Instituições de Saúde/psicologia
Serviços de Saúde
Incerteza
[Mh] Termos MeSH secundário: Austrália
Custos de Cuidados de Saúde
Conhecimentos, Atitudes e Prática em Saúde
Acesso aos Serviços de Saúde
Hospitalização
Seres Humanos
Entrevistas como Assunto
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2035-4


  5 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28143539
[Au] Autor:Storkholm MH; Mazzocato P; Savage M; Savage C
[Ad] Endereço:Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden.
[Ti] Título:Money's (not) on my mind: a qualitative study of how staff and managers understand health care's triple Aim.
[So] Source:BMC Health Serv Res;17(1):98, 2017 Jan 31.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The "Triple Aim" - provision of a better care experience and improved population health at a lower cost - may be theoretically sound, but paradoxical in practice as it forces together the logics of management and medicine. The aim of this study was to explore how staff and managers understand the change imperative inherent to the Triple Aim and the mental models underlying their understanding. METHODS: This qualitative study builds on thirty semi-structured interviews conducted with managers, nurses, midwives, medical secretaries, and physicians at a department of Gynecology and Obstetrics in Denmark who successfully cut costs through staff and bed reductions and, from what we can ascertain, maintained care quality. Mental models were articulated from a content analysis of the interviews. RESULTS: Staff and managers identified with the different dimensions of the Triple Aim along classic professional divides, i.e. nurses and midwives focused on patient experience, physicians on health outcomes, and manager on all three. Underlying these, we found four mental models. The understanding of change was guided by a Professional ethos (inner drive to improve care) and a Socio-political discourse (external requirement to become more efficient) mental model. The understanding of economics was guided by a You-get-what-you-pay-for and by a More-bang-for-the-buck mental model. A complex interplay could be discerned between all four, which led staff to see the Triple Aim as a dilemma between quality and economics and a threat to clinical care and quality, whereas managers saw it as a paradox that invited improvement efforts. Despite these differences, managers chose a change strategy in line with staff mental models. CONCLUSIONS: The practical challenges inherent to the Triple Aim may be symptomatic of the interactions between the different mental models that guide staff and managers' understanding and choice of change strategies. Pursuit of quality improvement in the face of financial constraints (the essence of the Triple Aim) may be facilitated through conscious exploration of these empirically identified mental models. Managers might do well to translate the socio-political discourse into a change process that resonates with the mental models held by staff.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Redução de Custos
Administradores de Instituições de Saúde/psicologia
Objetivos Organizacionais
Melhoria de Qualidade
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Adulto
Idoso
Dinamarca
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Tocologia
Pesquisa Qualitativa
Qualidade da Assistência à Saúde/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2052-3


  6 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28118800
[Au] Autor:Marcell AV; Okano L; Pilgrim NA; Jennings JM; Page KR; Sanders R; Loosier PS; Dittus PJ
[Ad] Endereço:1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
[Ti] Título:Prevalence of HIV Testing Provision at Community Organizations Serving Young People in a Mid-Atlantic City, 2013-2014.
[So] Source:Public Health Rep;132(2):203-209, 2017 Mar/Apr.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving young people in a mid-Atlantic urban city and (2) the characteristics associated with organizations that provide such testing. METHODS: We conducted telephone or in-person surveys between February 2013 and March 2014 with 51 directors and administrators of community organizations serving young people. We asked whether the organization provided HIV screening or testing, and we collected data on organizational characteristics (eg, setting, client, and staff member characteristics; services offered). We generated frequencies on measures and used Poisson regression analysis to examine the association between testing and organizational characteristics. RESULTS: Of the 51 organizations surveyed, 21 provided HIV testing. Of the 30 organizations that did not provide HIV testing, only 7 had a relationship with programs that did provide it. Characteristics associated with the provision of HIV testing included offering general health services (relative risk [RR] = 4.57; 95% confidence interval [CI], 1.68-12.48; P = .003) and referral services for sexually transmitted infection screening (RR = 5.77; 95% CI, 1.70-19.59; P = .005) and HIV care (RR = 4.78; 95% CI, 1.61-14.21; P = .005), as well as among administrators who perceived their staff members were comfortable talking with young people about sexual health (RR = 3.29; 95% CI, 1.28-8.49; P = .01). CONCLUSIONS: The prevalence of HIV testing provision at organizations serving young people in this mid-Atlantic city was low, and few organizations offered linkages to HIV testing. Strategies are needed to increase the provision of HIV testing at community organizations serving young people, whether through direct or linked approaches.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária
Infecções por HIV/diagnóstico
Programas de Rastreamento/utilização
[Mh] Termos MeSH secundário: Adolescente
Administradores de Instituições de Saúde
Seres Humanos
Masculino
Mid-Atlantic Region/epidemiologia
Inquéritos e Questionários
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1177/0033354916689616


  7 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27871627
[Au] Autor:Shanafelt TD; Noseworthy JH
[Ad] Endereço:Director of the Program on Physician Well-being, Mayo Clinic, Rochester, MN. Electronic address: shanafelt.tait@mayo.edu.
[Ti] Título:Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout.
[So] Source:Mayo Clin Proc;92(1):129-146, 2017 Jan.
[Is] ISSN:1942-5546
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:These are challenging times for health care executives. The health care field is experiencing unprecedented changes that threaten the survival of many health care organizations. To successfully navigate these challenges, health care executives need committed and productive physicians working in collaboration with organization leaders. Unfortunately, national studies suggest that at least 50% of US physicians are experiencing professional burnout, indicating that most executives face this challenge with a disillusioned physician workforce. Burnout is a syndrome characterized by exhaustion, cynicism, and reduced effectiveness. Physician burnout has been shown to influence quality of care, patient safety, physician turnover, and patient satisfaction. Although burnout is a system issue, most institutions operate under the erroneous framework that burnout and professional satisfaction are solely the responsibility of the individual physician. Engagement is the positive antithesis of burnout and is characterized by vigor, dedication, and absorption in work. There is a strong business case for organizations to invest in efforts to reduce physician burnout and promote engagement. Herein, we summarize 9 organizational strategies to promote physician engagement and describe how we have operationalized some of these approaches at Mayo Clinic. Our experience demonstrates that deliberate, sustained, and comprehensive efforts by the organization to reduce burnout and promote engagement can make a difference. Many effective interventions are relatively inexpensive, and small investments can have a large impact. Leadership and sustained attention from the highest level of the organization are the keys to making progress.
[Mh] Termos MeSH primário: Esgotamento Profissional/prevenção & controle
Assistência à Saúde/organização & administração
Administradores de Instituições de Saúde/psicologia
Promoção da Saúde/normas
Seguro Saúde/tendências
Satisfação no Emprego
Serviços de Saúde do Trabalhador/normas
Médicos/psicologia
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Esgotamento Profissional/psicologia
Assistência à Saúde/economia
Assistência à Saúde/legislação & jurisprudência
Administradores de Instituições de Saúde/organização & administração
Administradores de Instituições de Saúde/normas
Promoção da Saúde/métodos
Promoção da Saúde/organização & administração
Seres Humanos
Seguro Saúde/economia
Seguro Saúde/legislação & jurisprudência
Liderança
Serviços de Saúde do Trabalhador/métodos
Serviços de Saúde do Trabalhador/organização & administração
Cultura Organizacional
Inovação Organizacional
Patient Protection and Affordable Care Act/economia
Patient Protection and Affordable Care Act/normas
Médicos/organização & administração
Equilíbrio Trabalho-Vida/métodos
Equilíbrio Trabalho-Vida/organização & administração
Equilíbrio Trabalho-Vida/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


  8 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28319967
[Au] Autor:Byrnes J
[Ad] Endereço:president and CEO, Byrnes Group LLC, Ada, Michigan.
[Ti] Título:How to Find the Ideal Chief Medical Officer.
[So] Source:J Healthc Manag;61(5):311-313, 2016 Sep/Oct.
[Is] ISSN:1096-9012
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administradores de Instituições de Saúde
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE


  9 / 4517 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO México
Texto completo SciELO Saúde Pública
[PMID]:27991985
[Au] Autor:Orozco-Núñez E; Alcalde-Rabanal J; Navarro J; Lozano R
[Ad] Endereço:Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, México.
[Ti] Título:[Administrative efficiency in the Mexican Fund for the Prevention of Catastrophic Expenditures in Health].
[Ti] Título:Eficiencia de los procesos administrativos para la gestión del Fondo de Protección contra Gastos Catastróficos en México..
[So] Source:Salud Publica Mex;58(5):543-552, 2016 Sep-Oct.
[Is] ISSN:1606-7916
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:Objective:: To show that the administrative regime of specialized hospitals has some influence on the administrative processes to operate the Mexican Fund for Catastrophic Expenditures in Health (FPGC, in Spanish), for providing health care to breast cancer, cervical cancer and child leukemia. Materials and methods:: The variable for estimating administrative efficiency was the time estimated from case notification to reimbursement. For its estimation, semistructured interviews were applied to key actors involved in management of cancer care financed by FPGC. Additionally, a group of experts was organized to make recommendations for improving processes. Results:: Specialized hospitals with a decentralized scheme showed less time to solve the administrative process in comparison with the model on the hospitals dependent on State Health Services, where timing and intermediation levels were higher. Conclusions:: Decentralized hospitals administrative scheme for specialized care is more efficient, because they tend to be more autonomous.
[Mh] Termos MeSH primário: Administradores de Instituições de Saúde
Seguro Médico Ampliado
[Mh] Termos MeSH secundário: Adulto
Idoso
Institutos de Câncer/organização & administração
Eficiência Organizacional
Feminino
Acesso aos Serviços de Saúde
Hospitais Especializados/organização & administração
Seres Humanos
Entrevistas como Assunto
Masculino
México
Meia-Idade
Modelos Teóricos
Programas Nacionais de Saúde
Neoplasias/economia
Neoplasias/terapia
Política
Mecanismo de Reembolso
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


  10 / 4517 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
[PMID]:27871333
[Au] Autor:Tetui M; Hurtig AK; Ekirpa-Kiracho E; Kiwanuka SN; Coe AB
[Ad] Endereço:Makerere University School of Public Health (MakSPH), Makerere University, New Mulago Complex, P.O. B0X 7072, Kampala, Uganda. tetuimoses@gmail.com.
[Ti] Título:Building a competent health manager at district level: a grounded theory study from Eastern Uganda.
[So] Source:BMC Health Serv Res;16(1):665, 2016 Nov 21.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building. METHODS: Twenty-two interviews were conducted with district level administrative and political managers, district level health managers and health facility managers to understand their perceptions and definitions of management and capacity building. Kathy Charmaz's constructive approach to grounded theory informed the data analysis process. RESULTS: An interative, dynamic and complex model with three sub-process of building a competent health manager was developed. A competent manager was understood as one who knew his/her roles, was well informed and was empowered to execute management functions. Professionalizing health managers which was viewed as the foundation, the use of engaging learning approaches as the inside contents and having a supportive work environment the frame of the model were the sub-processes involved in the model. The sub-processes were interconnected although the respondents agreed that having a supportive work environment was more time and effort intensive relative to the other two sub-processes. CONCLUSIONS: The model developed in our study makes four central contributions to enhance the WHO framework and the existing literature. First, it emphasizes management capacity building as an iterative, dynamic and complex process rather than a set of characteristics of competent managers. Second, our model suggests the need for professionalization of health managers at different levels of the health system. Third, our model underscores the benefits that could be accrued from the use of engaging learning approaches through prolonged and sustained processes that act in synergy. Lastly, our model postulates that different resource investments and a varied range of stakeholders could be required at each of the sub-processes.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Administração de Instituições de Saúde
[Mh] Termos MeSH secundário: Fortalecimento Institucional
Países em Desenvolvimento
Teoria Fundamentada
Administradores de Instituições de Saúde
Seres Humanos
Entrevistas como Assunto
Uganda
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE



página 1 de 452 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde