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- Title
Hospital quality improvement in Ethiopia: a partnership-mentoring model.
- Authors
Elizabeth Bradley; Kari A. Hartwig; Laura A. Rowe; Emily J. Cherlin; Josh Pashman; Rex Wong; Tim Dentry; W. Edward Wood; Yigeremu Abebe
- Abstract
: Background and Objective Quality improvement efforts are increasingly common in the United States; however, their use in developing countries is limited. We sought to evaluate the impact of a large-scale intervention on several key management indicators through hospital quality improvement efforts. : Design Pre–post-descriptive study of 14 hospitals in Ethiopia. : Setting Six regions and two city administrations in Ethiopia. : Participants Hospital leaders and management mentors in participating hospitals. : Intervention In collaboration with the Ministry of Health and the Clinton HIV/AIDS Initiative, we implemented a countrywide quality improvement initiative in which 24 mentors with hospital administration experience were placed for 1 year in Ethiopia to work side-by-side with hospital management teams. We also provided a professional development course to enhance quality improvement skills. : Main Outcome Measure(s) Presence of 75 key management indicators; reported management skills of hospital leaders by the mentors. : Results In pre–post analysis, we found improvement in 45 of the 75 (60%) key management indicators between August 2006 and May 2007. The changes reflected a total of 105 management indicators improved across the 14 hospitals, which equates to a per-hospital mean of 7.5 (standard deviation 5.9) improvements. Reported management skills of hospital leaders improved in several management domains, although their reported confidence in these skills remained largely unchanged. : Conclusions Our findings indicate that quality improvement efforts can be effective in improving hospital management in developing countries. Longer follow-up is required to assess the sustainability of the hospital improvements accomplished.
- Subjects
GEL permeation chromatography; SOCIAL systems; ECONOMIC development; POSTINDUSTRIAL societies; COMPLEX societies; DEVELOPED countries
- Publication
International Journal for Quality in Health Care, 2008, Vol 20, Issue 6, p392
- ISSN
1353-4505
- Publication type
Article
- DOI
10.1093/intqhc/mzn042