| Autor: |
Angwafo III, Fru F., Chiabi, Andreas, Bella, Assumpta, Mah, Evelyn M., Dohbit, Julius S., Tafen, Willy, Geh, Immaculate Bih, Lele, Samuel, Mba, Charles Nsom, Mbopi-Kéou, François-Xavier |
| Předmět: |
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| Zdroj: |
Journal of Public Health in Africa; 2020, Vol. 11 Issue 1, p43-48, 6p |
| Abstrakt: |
The Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH) faced challenges of high debts and sub-optimal care delivery. Performance-Based-Management (PBM) provides an environment of checks and balances, increased transparency, competition and autonomy, thereby improving clinical as well as financial indicators. We describe the transition from resource-based to PBM at the YGOPH over a seven-year period. There was an increase of 4.5% in OB/GYN and 8.1% in prenatal consultations, 8.4% in C-sections, 6.1% of children vaccinated, and 30.5% of women seen for family planning, 51.1% of people living with the Human Immunodeficiency Virus on treatment and 29.4% of indigent patients. These results occurred in spite of a 14% reduction in staff. Annual revenue increased by 5.75%. The share of hospital income from care on overall hospital revenue increased from 55.11% to 60.00%. With this self-financing PBM model, the hospital remains a social, humane and financially viable structure delivering improved quality care. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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