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 |
