Result to assess management capability of maternity hospitals
- VernacularTitle:Нийслэлийн амаржих газруудын менежментийн чадамжийг үнэлсэн үр дүн
- Author:
Batbold Ts
1
;
Tumurbaatar L
2
;
Munkh-Erdene L
3
Author Information
1. Amgalan Maternal Hospital
2. City Health Department
3. Public Health School, Mongolian National University of Medical Sciences
- Publication Type:Journal Article
- From:Innovation
2020;14(1):44-48
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Healthcare organizations are successfully implementing quality management
system by forming legal entity, administration’s structure, arrangement and developing healthcare
organization’s structure, arrangement, functional standard, clinical guideline, rule and employee’s
moral principles. Implementation of accreditation system into healthcare organizations is proof
of accepted standard application. However, the results of healthcare paradigm shift outcome
is insufficient. Also researchers, citizens and policy makers commented that quality and access
of healthcare service began to worsen compared with previous degree of development.
Management capability index presents management assessment by score, assesses outcome of
organizational functions and give chance to measure capability of management.
Methods:This study was performed at the Amgalan Maternity Hospital, Urguu Maternity Hospital
and Khuree Maternity Hospital. The study involved 480 employees of above-mentioned hospitals.
The study used 9 chapter and 90 criteria that was used in over 30 Mongolian Governmental
Organizations for capability assessment to determine management capability index of Maternity
Hospitals, using Cross-Sectional study method. In the study, a questionnaire with 90 questions
including organization management capability 9 chapters which are organizational goal and task,
leadership skill in organization, worthwhile structure and arrangement, organization’s motivation
and leverage, organization’s relationship and collaboration, organizational culture, resource
utilization, knowledge and innovation, organizational productivity, quality and performance was
used. Organizations capability index was estimated by assessment of each questions in scores 1
to 5.
Results:Total 480 employees consisting of 220 employees working at Urguu Maternity Hospital,
125 employees of Khuree Maternity Hospital and 135 employees of Amgalan Maternity Hospital
filled the questionnaire. 46 administration officials, 75 doctors, 208 nurses and obstetricians,
105 caregivers and service assistants and 46 economic employees involved it. Organizational
management capability was 71.8, 73.6 and 93 respectively Urguu Maternity Hospital, Khuree
Maternity Hospital and Amgalan Maternity Hospital. It is obvious that there has necessity to
improve organizational knowledge, innovation, resource utilization, behavior, culture and activate
their organization. In result of studying doctors, nurses, obstetricians and other employee’s work
task management, there has relatively little difference of management capability index with
0-3.9% between Urguu Maternity Hospital and Khuree Maternity Hospital while management
capability index of Amgalan Maternity Hospital had difference with 14.7-20.1%. In the work task
questionnaire analysis, no difference was noted but administrative officials and service assistants
gave high assessment for organizational management. Regression analysis was used to assess the
relationship between management capability assessment of doctors, nurses, obstetricians and
other employee of Maternity Hospitals and the result was p<0.001 and r=0.89. It represented the
presence of strong association between those.
Conclusions:Management capabilities of Urguu and Khuree Maternity Hospitals which don’t
implement the quality management system have difference from Amgalan Maternity Hospital’s
management capability. All participants of Amgalan Maternity Hospital implementing quality
management system gave same assessment for their organizational management capability
index regarding of differences of work tasks.
- Full text:Innovation-2020-14(1);44-48.pdf
