混合临床医生-管理人员:探索医院环境中的机遇和挑战
Anita N Parbhoo1,2, Vera Scott1
1School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
Journal of the colleges of medicine of South Africa
|September 15, 2025
概括
南非的混合管理者面临着诸如行政负担和竞争优先事项等挑战,类似于高收入国家. 他们需要更好的支持,培训和指导,以在他们的双重临床和管理角色中取得成功.
科学领域:
- 医疗保健管理的管理
- 临床领导力 临床领导力
- 在LMICs中加强卫生系统
背景情况:
- 有效的领导和管理对于低收入和中等收入国家 (LMICs) 的优质医疗保健服务至关重要.
- 在LMICs的临床医生经常在没有正式管理培训的情况下过渡到混合经理 (HM) 角色,面临双重临床和行政责任.
- 这项研究调查了南非高等学术医院HM的经历.
研究的目的:
- 探索南非一家高等学术医院中混合管理人员面临的机遇和挑战.
- 了解在LMIC学术环境中与HM角色相关的独特负担和好处.
- 确定改善HM的支持和培训的领域.
主要方法:
- 采用了定性研究设计.
- 用有目的的抽样来招募参与者.
- 在没有正式的管理培训的情况下,与12名担任HM的临床医生进行了深入采访,超过12个月.
主要成果:
- 人工智能员报告说,最初的支持很少,管理负担很大.
- 学术医院的设置呈现了双层官僚机构 (医院和大学) 与研究和教学期望一起.
- 尽管面临挑战,直接的患者互动为创造意义,工作满意度和从临床角度了解组织需求提供了机会.
结论:
- 低低收入国家/地区的混合管理人员与高收入国家的同行有共同的挑战,包括身份问题,竞争优先事项以及管理复杂的研究和教学职责.
- 三级医院的HM需要全面的支持,包括对行政流程,预算,人力资源管理和大学/医院工作流程的指导.
- 辅导和有针对性的培训对于促进心态转变至关重要,使健康管理人员能够充分拥抱他们的管理角色.
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