Background/Aims There has been a growing interest and need for formal competency-based profession... more Background/Aims There has been a growing interest and need for formal competency-based professional education for enhancing both individual and organisational performance in hospital management in Nigeria. This study investigated the relationship between formal managerial education and measurable competencies among hospital managers. Methods A cross-sectional survey was carried out with 104 managers from 25 purposively selected hospitals. The survey assessed managerial competencies, with a score of ≥123 indicating overall managerial competence. The collected data were analysed using both descriptive (percentages, means and standard deviations) and inferential (Mann-Whitney U test) statistics, comparing participants who had received formal healthcare management training and those who had not. P<0.05 indicated a statistically significant difference between scores. Results There were no significant differences between the groups in terms of developed abilities (P=0.072), planning sk...
Directorate for Publications,College of Medicine ,University of Nigeria, 2013
Objetive : To understand Patients’ perception of the seriousness of TB and who may be at risk of ... more Objetive : To understand Patients’ perception of the seriousness of TB and who may be at risk of contracting the disease in Enugu metropolis, Nigeria. Materials and Methods : This is a cross-sectional study and involved the use of the questionnaire in information collection from the respondents on their perception of the seriousness of TB and who may be at risk of contracting the disease in Enugu metropolis. The systematic sampling method was used in patient selection for the study at the University of Nigeria Teaching Hospital (UNTH) DOTS centre (old site). Results : A total of one hundred and twenty five respondents were interviewed. Those below (<30) thirty years of age constituted the majority of the respondents 54(43.2%). The result also shows that a high percentage, 114(91.2%) of the respondents perceive TB scourge as being severe in Enugu metropolis and a greater number of the respondents 113(90.4) equally understands who may be at risk of contracting the disease. Even though not significant, the result shows that the higher the educational level of the respondents, the more serious they take the TB scourge(x2 =7.069, p=0.070). Again, the respondents with paid employment 57(98.3%) perceived TB scourge to be very serious (Fishers exact =0.010f). Though, still not significant, the educational level of the respondents was a factor that influenced the perception (X 2 6.973, P=0.073) of who may be at risk of contracting TB, while employment status and marital status did not. Conclusion: Improving on the perception of the seriousness of any disease and the knowledge of who may be at risk remains a viable option in any disease sensitization and control programme. Information dissemination on TB control and management must accommodate the differences in patient socio-demographic variables. Key words : Tuberculosis, Patient perception, seriousness, risk factors, Enugu.
Patients ’ reaction to the ethical conduct of radiographers and staff services as predictors of r... more Patients ’ reaction to the ethical conduct of radiographers and staff services as predictors of radiological experience satisfaction: a cross-sectional study
International Journal of Medicine and Health Development, 2016
Background: Managerial competencies and organizational skills remain important tools to successfu... more Background: Managerial competencies and organizational skills remain important tools to successful and prudent hospital management. Things that influence the acquisition of these skills by the management cadre are explored because they enable excellence in all indices of hospital operations. Aim: To assess the contributors to hospital managers' competencies and organizational skills and using the results in policy directives to encourage such acquisition. Subjects and Methods: Data for this study came from a cross-sectional survey using self-administered questionnaire distributed among management staff in twenty five (25) hospitals in the Federal Capital Territory (FCT) Abuja. One hundred and twenty (125) questionnaires were distributed, out of which one hundred and four (104) were answered and returned giving a response rate of 83.2%. Results: The result indicates that more than 50% of the respondents reported having good skill on measurement of organizational performance, exce...
The purpose of this study was to assess the challenges posed by service delivery, health workforc... more The purpose of this study was to assess the challenges posed by service delivery, health workforce and infrastructure for the delivery of antiretroviral drugs for HIV- infected persons in southeast Nigeria. Four focus group discussions (FGDs) were conducted in four randomly selected health facilities with HIV-infected adults who were receiving ART. In-depth interviews were also carried out with support group coordinators of People Living with HIV (PLWH), nurses, and ART unit heads at the health facilities. Data were transcribed verbatim and analyzed using NVivo version 8. Service delivery was poor with a loss of confidentiality, which often resulted from paper folders containing HIV-infected persons' medical notes clearly identifying them as HIV-infected. The attitudes of some health workers were also hostile to the clients. Doctors and nurses working at the centres were in short supply. There were inadequate infrastructures, which gave rise to overcrowding at the treatment cent...
Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emergin... more Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emerging private sector. There is an ongoing perception that public hospitals are inefficient compared to their private counterparts. These differences are being fuelled by perceived inequalities in managerial competencies. This study was conducted to explore these differing perceptions. Methods: A cross-sectional survey was distributed among healthcare managers in 25 hospitals. The data were analysed using the Statistical Package for Social Sciences. Results: The results established dominance of skills and competency for public hospital managers over private hospital managers in strategic planning (P=0.015), programme planning (P=0.007), and vision creation (P=0.003). Conclusion: The self-reported higher skills knowledge of public hospital managers was reinforced by the developed workforce, as well as the enhanced budgetary allocations that public hospitals received compared to their private c...
Assessing patients’ perception of satisfaction, professionalism, competence and skill of health c... more Assessing patients’ perception of satisfaction, professionalism, competence and skill of health care providers helps health institutions and providers respond to the needs and expectations of the patients. Little work is known to have taken place to understand this phenomenon especially in radiological services in Nigerian hospitals. This study is therefore aimed at investigating the perception of patients’ satisfaction, professionalism, competence and skill of radiographers during routine radiological examination in two Nigerian hospitals. Materials and Methods: Three hundred patients were interviewed from two hospitals on their perception of satisfaction, professionalism, competence and skill of radiographers during routine radiological examination. The data was analyzed in terms of descriptive statistics using 95% confidence interval. ANOVA, Chi-Square and multivariate (intercept) statistical tools were applied. Results: The result of Test of Equality of Covariance Matrices givin...
International Journal of Medicine and Health Development, 2016
Background: Managerial competencies and organizational skills remain important tools to successfu... more Background: Managerial competencies and organizational skills remain important tools to successful and prudent hospital management. Things that influence the acquisition of these skills by the management cadre are explored because they enable excellence in all indices of hospital operations. Aim: To assess the contributors to hospital managers' competencies and organizational skills and using the results in policy directives to encourage such acquisition. Subjects and Methods: Data for this study came from a cross-sectional survey using self-administered questionnaire distributed among management staff in twenty five (25) hospitals in the Federal Capital Territory (FCT) Abuja. One hundred and twenty (125) questionnaires were distributed, out of which one hundred and four (104) were answered and returned giving a response rate of 83.2%. Results: The result indicates that more than 50% of the respondents reported having good skill on measurement of organizational performance, exce...
Background Although, current treatment services for Tuberculosis (TB) in Nigeria are provided fre... more Background Although, current treatment services for Tuberculosis (TB) in Nigeria are provided free of charge in public facilities, the benefits (value) that patients attach to such service is not known. In addition, the prices that could be charged for treatment in case government and its partners withdraw from the provision of free services or inclusion of the services in health insurance plans are not known. Hence, there is a need to elicit the maximum amounts that patients are willing to pay for TB treatment services, both for themselves and for the very poor patients that may not be able to pay if some user fees are introduced (altruistic willingness to pay). Methods A pretested interviewer-administered questionnaire was used to elicit the maximum willingness to pay (WTP) for TB treatment services from TB patients in a tertiary hospital in southeast Nigeria. WTP was elicited using the bidding game question format after a scenario was presented to the respondents. Data was analys...
Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emergin... more Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emerging private sector. There is an ongoing perception that public hospitals are inefficient compared to their private counterparts. These differences are being fuelled by perceived inequalities in managerial competencies. This study was conducted to explore these differing perceptions. Methods: A cross-sectional survey was distributed among healthcare managers in 25 hospitals. The data were analysed using the Statistical Package for Social Sciences. Results: The results established dominance of skills and competency for public hospital managers over private hospital managers in strategic planning (P=0.015), programme planning (P=0.007), and vision creation (P=0.003). Conclusion: The self-reported higher skills knowledge of public hospital managers was reinforced by the developed workforce, as well as the enhanced budgetary allocations that public hospitals received compared to their private c...
Background/Aims There has been a growing interest and need for formal competency-based profession... more Background/Aims There has been a growing interest and need for formal competency-based professional education for enhancing both individual and organisational performance in hospital management in Nigeria. This study investigated the relationship between formal managerial education and measurable competencies among hospital managers. Methods A cross-sectional survey was carried out with 104 managers from 25 purposively selected hospitals. The survey assessed managerial competencies, with a score of ≥123 indicating overall managerial competence. The collected data were analysed using both descriptive (percentages, means and standard deviations) and inferential (Mann-Whitney U test) statistics, comparing participants who had received formal healthcare management training and those who had not. P<0.05 indicated a statistically significant difference between scores. Results There were no significant differences between the groups in terms of developed abilities (P=0.072), planning sk...
Directorate for Publications,College of Medicine ,University of Nigeria, 2013
Objetive : To understand Patients’ perception of the seriousness of TB and who may be at risk of ... more Objetive : To understand Patients’ perception of the seriousness of TB and who may be at risk of contracting the disease in Enugu metropolis, Nigeria. Materials and Methods : This is a cross-sectional study and involved the use of the questionnaire in information collection from the respondents on their perception of the seriousness of TB and who may be at risk of contracting the disease in Enugu metropolis. The systematic sampling method was used in patient selection for the study at the University of Nigeria Teaching Hospital (UNTH) DOTS centre (old site). Results : A total of one hundred and twenty five respondents were interviewed. Those below (<30) thirty years of age constituted the majority of the respondents 54(43.2%). The result also shows that a high percentage, 114(91.2%) of the respondents perceive TB scourge as being severe in Enugu metropolis and a greater number of the respondents 113(90.4) equally understands who may be at risk of contracting the disease. Even though not significant, the result shows that the higher the educational level of the respondents, the more serious they take the TB scourge(x2 =7.069, p=0.070). Again, the respondents with paid employment 57(98.3%) perceived TB scourge to be very serious (Fishers exact =0.010f). Though, still not significant, the educational level of the respondents was a factor that influenced the perception (X 2 6.973, P=0.073) of who may be at risk of contracting TB, while employment status and marital status did not. Conclusion: Improving on the perception of the seriousness of any disease and the knowledge of who may be at risk remains a viable option in any disease sensitization and control programme. Information dissemination on TB control and management must accommodate the differences in patient socio-demographic variables. Key words : Tuberculosis, Patient perception, seriousness, risk factors, Enugu.
Patients ’ reaction to the ethical conduct of radiographers and staff services as predictors of r... more Patients ’ reaction to the ethical conduct of radiographers and staff services as predictors of radiological experience satisfaction: a cross-sectional study
International Journal of Medicine and Health Development, 2016
Background: Managerial competencies and organizational skills remain important tools to successfu... more Background: Managerial competencies and organizational skills remain important tools to successful and prudent hospital management. Things that influence the acquisition of these skills by the management cadre are explored because they enable excellence in all indices of hospital operations. Aim: To assess the contributors to hospital managers' competencies and organizational skills and using the results in policy directives to encourage such acquisition. Subjects and Methods: Data for this study came from a cross-sectional survey using self-administered questionnaire distributed among management staff in twenty five (25) hospitals in the Federal Capital Territory (FCT) Abuja. One hundred and twenty (125) questionnaires were distributed, out of which one hundred and four (104) were answered and returned giving a response rate of 83.2%. Results: The result indicates that more than 50% of the respondents reported having good skill on measurement of organizational performance, exce...
The purpose of this study was to assess the challenges posed by service delivery, health workforc... more The purpose of this study was to assess the challenges posed by service delivery, health workforce and infrastructure for the delivery of antiretroviral drugs for HIV- infected persons in southeast Nigeria. Four focus group discussions (FGDs) were conducted in four randomly selected health facilities with HIV-infected adults who were receiving ART. In-depth interviews were also carried out with support group coordinators of People Living with HIV (PLWH), nurses, and ART unit heads at the health facilities. Data were transcribed verbatim and analyzed using NVivo version 8. Service delivery was poor with a loss of confidentiality, which often resulted from paper folders containing HIV-infected persons' medical notes clearly identifying them as HIV-infected. The attitudes of some health workers were also hostile to the clients. Doctors and nurses working at the centres were in short supply. There were inadequate infrastructures, which gave rise to overcrowding at the treatment cent...
Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emergin... more Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emerging private sector. There is an ongoing perception that public hospitals are inefficient compared to their private counterparts. These differences are being fuelled by perceived inequalities in managerial competencies. This study was conducted to explore these differing perceptions. Methods: A cross-sectional survey was distributed among healthcare managers in 25 hospitals. The data were analysed using the Statistical Package for Social Sciences. Results: The results established dominance of skills and competency for public hospital managers over private hospital managers in strategic planning (P=0.015), programme planning (P=0.007), and vision creation (P=0.003). Conclusion: The self-reported higher skills knowledge of public hospital managers was reinforced by the developed workforce, as well as the enhanced budgetary allocations that public hospitals received compared to their private c...
Assessing patients’ perception of satisfaction, professionalism, competence and skill of health c... more Assessing patients’ perception of satisfaction, professionalism, competence and skill of health care providers helps health institutions and providers respond to the needs and expectations of the patients. Little work is known to have taken place to understand this phenomenon especially in radiological services in Nigerian hospitals. This study is therefore aimed at investigating the perception of patients’ satisfaction, professionalism, competence and skill of radiographers during routine radiological examination in two Nigerian hospitals. Materials and Methods: Three hundred patients were interviewed from two hospitals on their perception of satisfaction, professionalism, competence and skill of radiographers during routine radiological examination. The data was analyzed in terms of descriptive statistics using 95% confidence interval. ANOVA, Chi-Square and multivariate (intercept) statistical tools were applied. Results: The result of Test of Equality of Covariance Matrices givin...
International Journal of Medicine and Health Development, 2016
Background: Managerial competencies and organizational skills remain important tools to successfu... more Background: Managerial competencies and organizational skills remain important tools to successful and prudent hospital management. Things that influence the acquisition of these skills by the management cadre are explored because they enable excellence in all indices of hospital operations. Aim: To assess the contributors to hospital managers' competencies and organizational skills and using the results in policy directives to encourage such acquisition. Subjects and Methods: Data for this study came from a cross-sectional survey using self-administered questionnaire distributed among management staff in twenty five (25) hospitals in the Federal Capital Territory (FCT) Abuja. One hundred and twenty (125) questionnaires were distributed, out of which one hundred and four (104) were answered and returned giving a response rate of 83.2%. Results: The result indicates that more than 50% of the respondents reported having good skill on measurement of organizational performance, exce...
Background Although, current treatment services for Tuberculosis (TB) in Nigeria are provided fre... more Background Although, current treatment services for Tuberculosis (TB) in Nigeria are provided free of charge in public facilities, the benefits (value) that patients attach to such service is not known. In addition, the prices that could be charged for treatment in case government and its partners withdraw from the provision of free services or inclusion of the services in health insurance plans are not known. Hence, there is a need to elicit the maximum amounts that patients are willing to pay for TB treatment services, both for themselves and for the very poor patients that may not be able to pay if some user fees are introduced (altruistic willingness to pay). Methods A pretested interviewer-administered questionnaire was used to elicit the maximum willingness to pay (WTP) for TB treatment services from TB patients in a tertiary hospital in southeast Nigeria. WTP was elicited using the bidding game question format after a scenario was presented to the respondents. Data was analys...
Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emergin... more Introduction: The hospital system in Nigeria has a dominant public sector coupled with an emerging private sector. There is an ongoing perception that public hospitals are inefficient compared to their private counterparts. These differences are being fuelled by perceived inequalities in managerial competencies. This study was conducted to explore these differing perceptions. Methods: A cross-sectional survey was distributed among healthcare managers in 25 hospitals. The data were analysed using the Statistical Package for Social Sciences. Results: The results established dominance of skills and competency for public hospital managers over private hospital managers in strategic planning (P=0.015), programme planning (P=0.007), and vision creation (P=0.003). Conclusion: The self-reported higher skills knowledge of public hospital managers was reinforced by the developed workforce, as well as the enhanced budgetary allocations that public hospitals received compared to their private c...
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