Health Service Administration
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Health Service Administration

Working Group objectives:

Outline management and organizational strategies to improve the efficiency, effectiveness and equity of health service delivery.

Table 8 Health Service Administration

Issues

Recommendations

Strategies

Human Resource Development and Management

· Poor selection and recruitment process

· Lack of orientation system for staff

· No performance based culture/ reward system

· Ill-defined job description

· No system of discipline

· Weak continuing education programme

 

 

 

 

 

 

 

 

 

Centralization of Authority

This produces problems of:

· unclear line of authority

· lack of accountability

· lack of empowerment

· non-adherence to systems and procedure

 

· lack of sense of ownership

· absence of team concept

by health professional through out the private and public sector.

 

 

 

 

 

 

 

Develop a comprehensive human resource and management plan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Decentralization of authority

Review policy guidelines of Public Service Commission for effective ness (selection and recruitment)

· Leadership development within health institutions

· Establish a performance based culture and rewarding system for health managers and employees

· Establish a system of discipline by instituting financial penalties for lack of accountablity on the job

· Cultivate a positive work ethics amongst health staff

· A system of continuing education should be established according to needs within institutions

 

 

 

In order to address problems associated with centralization one should;

Concentrate on line authority in the organizational structure of health institution-

· flatten organizational structure to increase

accountability

· empower all levels of staff through committee participation

· revisit systems and procedures for consensus and standardization

· encourage effective resource sharing to achieve sense of ownership amongst staff

· and adopt a multi-disciplinary approach to health care administration

 

Operational Guidelines

The following problems have been identified with health institutions:

- Inadequate strategic planning

 

- Lack of a sense of direction in institutions

- Overburdened secondary health care services

 

- lack of communication between centralized authority and the community

 

Regulation

The health care environment is plagued with regulatory problems some of these are as follows:

· Non adherence to standards and procedures through out public and private sector institutions

· Inadequate mechanisms for licensing of health institutions

· Absence of Ethics Committee in medical institutions

· Non-functional Boards at health institutions on the Island

 

 

Develop a clear vision for the health service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Strengthen the legislative and regulatory frame work of the health sector

Some measures to alleviate these problems include;

- Strategic Planning for health services

- Formulating mission statement for institutions

- Building new Polyclinics to absorb secondary services

 

 

- Increasing community

participation in the decision

making process of health

institutions

 

 

 

 

Some measure to strengthen the regulatory environment would encompass the formation of Statutory Bodies ie.

· Standards Committee in health institutions

· Ministry of Health centered Quality Assurance, Licensing Committee and Ethics Committee.

In order to provide comprehensive quality care to the public, there must be the immediate activation of management authority for Health Boards at the main hospitals on the Island eg. Victoria Hospital

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