An assessment of management competencies for primary health care managers in Timor‐Leste

2019 ◽  
Vol 35 (2) ◽  
pp. 520-531 ◽  
Author(s):  
Alipio Gusmão Lopes ◽  
Kanida Narattharaksa ◽  
Taweesak Siripornpibul ◽  
David Briggs
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Competencies ◽  
Health Care Managers ◽  
Care Managers ◽  
Primary Health ◽  
Timor Leste

scholarly journals Evidence-Based Practice in Primary Health Care From The Managerial Point of View: – A National Survey

2020 ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
National Survey ◽  
Evidence Based Practice ◽  
Direct Result ◽  
Evidence Based ◽  
Care Organization ◽  
Health Care Managers ◽  
Care Managers ◽  
Primary Health

Abstract Background: The vast availability of and demand for evidence in modern primary health care forces clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary health care managers play a key role in implementing these governing documents. Thus, the aim of this article was to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary health care managers.Methods: The study utilized a quantitative method based on a national survey of primary health care managers. The study population was recruited nationally from Sweden and consisted of 186 respondents. The data were analysed using empirically constructed themes and validated using factor analysis. To determine the statistical significance in making comparisons, the chi-square test was utilized. Associations between variables were calculated using Spearman’s correlation. All tests were two-sided, and the significance level was set to 0.05.Results: A majority (97%) of managers stated there was an impact of guidelines and policy documents on primary health care; 84% of managers could see a direct influence in daily practices. Most of the managers (70%) stated that some adaptation had to be made when new evidence was introduced. The managers emphasised the importance of keeping themselves updated and open to new information about work routines (96%). Conclusions: Evidence-based practice has a fundamental impact on Swedish primary health care. The study illustrated a nearly unanimous response about evidence influencing daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date can be seen as a direct result of this. An information-dense organization such as a primary health care organization would have much to gain from cooperation with regional information resources such as clinical libraries.Trial registration: Not applicable.

scholarly journals Facilitators and barriers in prevention of cardiovascular disease in Limpopo, South Africa: a qualitative study conducted with primary health care managers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mbuyiselo Douglas ◽  
Nancy Kgatla ◽  
Tholene Sodi ◽  
Geofrey Musinguzi ◽  
Tebogo Mothiba ◽  
...  
Keyword(s):  
South Africa ◽  
Cardiovascular Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Health Care Managers ◽  
Primary Health ◽  
Care Facilities ◽  
Facilitators And Barriers ◽  
Prevention Of Cardiovascular Disease

Abstract Background In the Southern African countries, cardiovascular disease burden is increasing and the second most prevalent cause of death after infectious diseases. The sustainable primary prevention of cardiovascular disease is associated with the engagement of facilitators that support it and hindered by barriers that undermine the support of a healthy lifestyle at the community level. The purpose of the study was to investigate facilitators and barriers at the level of primary health care facilities, on prevention of cardiovascular disease in Limpopo Province of South Africa. Methods This study is an exploratory and descriptive qualitative design, where open-ended key informant interviews were conducted among 20 primary health care managers conveniently sampled in their respective health care facilities. Coding and analysis were done using the thematic analysis method with the assistance of Atlas ti qualitative software. Results Various facilitators for the prevention of CVD were identified in this study. One of such facilitators is the availability and adherence to CVD treatment guidelines in the district. Other facilitators included top-down health education programme; collaboration with schools, traditional and religious leaders; the use of modern technology; and a structured healthcare system. Barriers were also identified as poor infrastructural development; shortage of medical supplies and equipment; lack of health promotion activities; shortage of nurses and other health care personnel; and poor accessibility to primary health care services. Conclusion This study has identified barriers and facilitators that may be harnessed to improve cardiovascular disease prevention, care, and management in a rural setting in South Africa. The facilitators should be strengthened, and barriers identified redressed. Trial registration number: REC-0310111-031.

Sign in / Sign up

Export Citation Format

Share Document