From administrative hospital management to performancebased management: Paradigm shift at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Cameroon
| Autor: | Fru Angwafo III, Andreas Chiabi, Assumpta Bella, Evelyn M. Mah, Julius S. Dohbit, Willy Tafen, Immaculate Bih Geh, Samuel Lele, Charles N. Mba, François-Xavier Mbopi-Kéou |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of Public Health in Africa, Vol 11, Iss 1 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2038-9922 2038-9930 |
| DOI: | 10.4081/jphia.2020.1214 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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