DEVELOPMENT AND PILOT IMPLEMENTATION OF A MULTILEVEL COMPETENCY ASSESSMENT AND DEVELOPMENT SYSTEM (MSRK PMSP) BASED...

Area of Science:

• Public Health
• Healthcare Management
• Organizational Development

Background:

• Reproducible appraisal of primary healthcare (PHC) organizational maturity is crucial for quality, safety, and sustainability.
• Existing methods like accreditation and audits lack an integrated, development-oriented view for outpatient settings.

Purpose of the Study:

• Develop the Multilevel System for Competency Development in primary healthcare organizations (MSRK PMSP) based on the Indicator Model For Outpatient Clinic Development (IMORP).
• Assess the feasibility and applicability of the IMORP model in urban polyclinics.

Main Methods:

• The IMORP model was developed using aggregated data from a six-year monitoring program (2020-2025) across eight urban polyclinics.
• Organizational maturity was structured across seven domains with four maturity tiers.
• Statistical analyses included descriptive statistics, Kruskal-Wallis tests, and Repeated Measures ANOVA/Friedman tests.

Main Results:

• The IMORP model showed clear managerial interpretability and domain-level diagnostics.
• Significant differences in clinic-level mean IMORP scores were observed (p<0.001), with scores ranging from 60.0±3.3 to 105.3±8.1.
• All eight facilities fell within the 'Intermediate' maturity tier, despite score variations, indicating structural heterogeneity.

Conclusions:

• The MSRK PMSP (IMORP) provides a practical, multi-domain instrument for PHC organizations, supporting diagnostic profiling and improvement planning.
• Future work will involve full psychometric validation on a larger sample (≥35 polyclinics) to establish reliability and validity.