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Management development for primary health care: a framework for analysis.

A Cassels1, K Janovsky

  • 1Liverpool School of Tropical Medicine, England.

The International Journal of Health Planning and Management
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

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Strengthening management is key for primary health care (PHC) implementation. Effective management development requires contextual analysis and comprehensive strategies beyond just training to address organizational and societal challenges.

Area of Science:

  • Health Services Management
  • Primary Health Care (PHC) Implementation
  • Organizational Development

Background:

  • Management strengthening is crucial for improving primary health care (PHC) implementation.
  • Management development programs face diverse expectations and terminology challenges.
  • Existing strategies often show a mismatch with organizational structures for PHC delivery.

Purpose of the Study:

  • To present a conceptual framework for analyzing management development programs in PHC.
  • To guide program planners in reviewing options, opportunities, and limitations.
  • To critically assess the role and limitations of management development in PHC.

Main Methods:

  • Development of a conceptual framework examining management development from three perspectives: approach, outcomes, and expansion/adaptation.

Related Experiment Videos

  • Analysis of management development strategies within the context of PHC implementation.
  • Review of social, political, economic, and organizational forces influencing change.

    • Main Results:

    • Management development can facilitate change when PHC strategies and organizational structures are misaligned.
    • The effectiveness of management development is constrained by various external forces.
    • Critical contextual analysis is essential for successful change management program design.

    Conclusions:

    • No single best approach to management development exists; strategies must be context-dependent.
    • Training alone is insufficient when organizational structures impede PHC strategy implementation.
    • Comprehensive programs are required for effective management development in PHC settings.