南非的绩效管理和发展系统,一个必要的邪恶:定性研究
1Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Gauteng, South Africa.
PloS one
|July 1, 2025
概括
初级医疗保健医生认为绩效管理和发展系统 (PMDS) 是"必要的邪恶". 有效的PMDS实施需要战略管理和专注于个人和专业成长,以改善医疗保健服务.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 南非一级医疗保健系统疲软与领导力和治理问题有关.
- 绩效管理对于解决医疗保健工作者短缺问题和确保优质护理至关重要.
研究的目的:
- 探索初级医疗保健医生对绩效管理和发展系统 (PMDS) 的看法.
- 了解医生对PMDS的理解和经验,以告知实施策略.
主要方法:
- 定性,解释和现象学研究设计.
- 针对17名医务人员的四个焦点小组讨论进行了分层的有目的抽样.
- 对参与者的经验进行主题分析.
主要成果:
- 总体主题将PMDS确定为"必要的邪恶",强调了好处和挑战.
- 关键的子主题包括了解PMDS组件,改善临床结果,监督员工关系,培养绩效文化和个人成长.
- 发现的挑战是公平的模两可,缺乏管理能力,以及需要自下而上,现实的方法.
结论:
- 有效的PMDS实施取决于战略管理和监管人员的参与.
- 投资于管理人员和监督人员的发展对于有效地理解和实施PMDS至关重要.
- 要成功将PMDS整合到临床治理中,需要一种自下而上的方法和现实的工具.
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