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Cited by 52Innovations in Medical EducationOrganizational Leadership and Management StrategiesCompetency Development and Evaluation

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Training hospital managers for strategic planning and management: a prospective study

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Terzic-Supic, Zorica, Bjegovic-Mikanovic, Vesna, Vukovic, Dejana, Santric-Milicevic, Milena, Marinkovic, Jelena, Vasic, Vladimir, Laaser, Ulrich·2015·BMC Medical Education
DOI 10.1186/s12909-015-0310-9PMC PMC4355452
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Abstract

BACKGROUND: Training is the systematic acquisition of skills, rules, concepts, or attitudes and is one of the most important components in any organization's strategy. There is increasing demand for formal and informal training programs especially for physicians in leadership positions. This study determined the learning outcomes after a specific training program for hospital management teams. METHODS: The study was conducted during 2006 and 2007 at the Centre School of Public Health and Management, Faculty of Medicine, University of Belgrade and included 107 participants involved in the management in 20 Serbian general hospitals. The management teams were multidisciplinary, consisting of five members on average: the director of the general hospital, the deputy directors, the head nurse, and the chiefs of support services. The managers attended a training program, which comprised four modules addressing specific topics. Three reviewers independently evaluated the level of management skills at the beginning and 12 months after the training program. Principal component analysis and subsequent stepwise multiple linear regression analysis were performed to determine predictors of learning outcomes. RESULTS: The quality of the SWOT (strengths, weaknesses, opportunities and threats) analyses performed by the trainees improved with differences between 0.35 and 0.49 on a Likert scale (p < 0.001). Principal component analysis explained 81% of the variance affecting their quality of strategic planning. Following the training program, the external environment, strategic positioning, and quality of care were predictors of learning outcomes. The four regression models used showed that the training program had positive effects (p < 0.001) on the ability to formulate a Strategic Plan comprising the hospital mission, vision, strategic objectives, and action plan. CONCLUSION: This study provided evidence that training for strategic planning and management enhanced the strategic decision-making of hospital management teams, which is a requirement for hospitals in an increasingly competitive, complex and challenging context. For the first time, half of state general hospitals involved in team training have formulated the development of an official strategic plan. The positive effects of the formal training program justify additional investment in future education and training.

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Research works printed but not linked: 45

  1. David F. Strategic Management. Columbus: Merrill Publishing Company; 1989.
  2. Liu CF, Rubenstein LV, Kirchner JE, Rortney JC, Parkins MW, Ober SK, et al. Organizational Cost of Quality Improvement for Depression Care. Health Serv Res. 2009;44:225–44. · DOI
  3. Pettersen IJ, Nyland K. Management and control of public hospitals-the use of performance measures in Norwegian hospitals, a case-study. Int J Health Plann Manage. 2006;21:133–49. · DOI
  4. Garcia CM, de Val PI. Strategies and performance in hospitals. Health Policy. 2004;67:1–13. · DOI
  5. McKee M, Helay J. Hospitals in a changing Europe. Buckingham: Open University Press; 2002.
  6. Kim TH, Thompson JM. Organizational and market factors associated with leadership development programs in hospitals, a national study. J Healthc Manag. 2012;57:113–31. · DOI
  7. Byars LL, Rue LW, Zahra SA. Strategic Management: Formulation and Implementation. Chicago: Irwin; 1996.
  8. Lingham T, Richley B, Rezania D. An evaluation system for training programs, a case study using a four-phase approach. Career Dev Int. 2006;11:334–51. · DOI
  9. Davies S. Health services management education: why and what? J Health Organ Manag. 2006;20:325–34. · DOI
  10. Gregory D, Baigelman W, Wilson IB. Hospital economics of the hospitalist. Health Serv Res. 2003;38:905–18. · DOI
  11. Hanlon NT. Sense of place, organizational context and the strategic management of publicly funded hospitals. Health Policy. 2001;58:151–73. · DOI
  12. Goldstein IL, Ford JK. Training in organizations. Belmont CA: Wadsworth; 2002.
  13. Pappas JM, Flaherty KE, Wooldridge B. Tapping into hospital champions – strategic middle managers. Health Care Manage Rev. 2004;29:8–6. · DOI
  14. Geertshuis S, Holmes M, Geertshuis H, Clancy D, Bristol A. Evaluation of workplace learning. J Workplace Learn. 2002;14:11–8. · DOI
  15. Collins BD. Performance-level evaluation methods used in management development studies from 1986 to 2000. Hum Resource Dev Rev. 2002;1:91–110. · DOI
  16. Kirkpatrick D. Revisiting Kirkpatrick’s four – level model. Alexandria VA: American Society for Training and Development; 1996.
  17. Mann S, Robertson IT. What should training evaluations evaluate? JEIT. 1996;20:14–20. · DOI
  18. Rummler GA, Branche A. Improving Performance: How to Manage the White Space on the Organization Chart. San Francisco: Jossey Bass; 1995.
  19. Wang GG, Wilcox D. Training evaluation, knowing more than is practiced. ADHR. 2006;8:528–39.
  20. Kim CY, Cho SH. Institutionalization of quality improvement programs in Korean hospitals. Int J Qual Health Care. 2000;12:419–23. · DOI
  21. Moller L, Mallin P. Evaluation Practices of instructional designers and organizational supports and barriers. PIQ. 1996;9:82–92.
  22. Collins BD. Organizational performance: the future focuses of leadership development. J Leader Stud. 2000;7:43–54. · DOI
  23. Philips PP, Philips JJ. Symposium on the evaluation of training. Int J Train Dev. 2001;5:240–7. · DOI
  24. Unger JP, Marchal B, Green A. Quality standards for health care delivery and management in publicly oriented health services. Int J Health Plann Manage. 2003;18:s79–S88. · DOI
  25. McCarthy M. Serbia rebuilds and reforms its health-care system. Lancet. 2007;369:360. · DOI
  26. Markovic R, Vasic M, Segar C, Deljanin Z, Rancic N, Marjanovic S. Need for systematic education and training in health care management in the Republic of Serbia. Ata Fac Med Naiss. 2009;26:143–9.
  27. O’Rourke M, Lukic N, Jones M, McCarley N. Management training and education to strengthen the nursing profession in Serbia. Manag Health. 2011;15:20–4.
  28. Matovic Miljanovic S, Jankovic S. The international community and the reconstruction of health care in South Eastern Europe. J Public Health. 2006;14:246–56. · DOI
  29. Nelson BD, Dierberg K, Scepanovic M, Mitrovic M, Vuksanovic M, Milic L, et al. Integrating quantitative and qualitative methodologies for the assessment of health care systems, emergency medicine in post-conflict Serbia. Health Serv Res. 2005;5:1–11. · DOI
  30. Lammintakanen J, Kivinen T, Kinnunen J. Managers’ perspectives on recruitment and human resource development practices in primary health care. Int J Circumpolar Health. 2010;69:462–9. · DOI
  31. McHugh M, Johnston K, McClelland D. HRM and the management of clinicians within the NHS. Int J Public Sector Man. 2007;20:314–24. · DOI
  32. Terzic Supic Z, Bjegovic V, Marinkovic J, Santric Milicevic M, Vasic V. Hospital management training and improvement in managerial skills, Serbian experience. Health Policy. 2010;96:80–9. · DOI
  33. Weihrich H. The TOWS matrix–a tool for situation analysis. Long Range Plann. 1982;15:54–66. · DOI · Paper page
  34. Vankova D, de Leeuw E. Public health human capacity building in Bulgaria – theory and application of SWOT analysis. I-JPHE. 2001;3:B 18–48.
  35. van Wijngaarden JDH, Scholten GRM, van Wijk KP. Strategic analysis for health care organizations, the suitability of the SWOT-analysis. Int J Health Plann Manage. 2012;27:34–49. · DOI
  36. Bernroider E. Factors in SWOT analysis applied to micro, small–to–medium, and large software enterprise: an Austrian study. Emerg Med J. 2002;20:562–73.
  37. Klijn PH, van Stel HF, Quittner AL, van der Net HJ, Doeleman W, van der Schans CP, et al. Validation of the Dutch cystic fibrosis questionnaire (CFQ) in adolescents and adults. J Cyst Fibros. 2004;3:29–36. · DOI
  38. Yuksel I, Dagdeviren M. Using the analytic network process (ANP) in a SWOT analysis – a case study for a textile firm. Inform Sci. 2007;177:3364–82. · DOI
  39. Expert Advisory Group. Principles of an evaluative approach to quality assurance. Auckland: New Zealand Qualifications Authority; 2007.
  40. Mennicken R, Kuntz L, Schwierz C. The trade-off between efficiency and quality in hospital departments. J Health Organ Manag. 2011;25:564–77. · DOI
  41. Zuckerman AM. Advancing the state of the art in healthcare strategic planning. Front Health Serv Manage. 2006;23:3–1. · DOI
  42. Adams J. Successful strategic planning: creating clarity. J Healthc Inf Manag. 2005;19:24–31.
  43. Bart CK, Hupfer M. Mission statements in Canadian hospitals. J Health Organ Manag. 2004;18:92–110. · DOI
  44. Forbes DJ, Seena S. The value of a mission statement in an association of not-for-profit hospitals. Int J Health Care Qual Assur Inc Leadership Health Serv. 2006;19:409–19. · DOI
  45. Flessa S. Hospitals development plans: a new tool to break ground for strategic thinking in Tanzanian hospitals. Eur J Health Econ. 2005;6:s322–33. · DOI

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Metadata

Authors
Terzic-Supic, Z., Bjegovic-Mikanovic, V., Vukovic, D., Santric-Milicevic, M., Marinkovic, J., Vasic, V., & Laaser, U.
Affiliations
  • University of Belgrade (RS)
  • Bielefeld University (DE)
ORCID
Venue
BMC Medical Education
Publisher
Springer Science and Business Media LLC
Published
2015-02-26
Volume
15
Issue
1
Pages
25-25
ISSN
1472-6920 (ISSN-L)
DOI
10.1186/s12909-015-0310-9
PMC
PMC4355452
OpenAlex
W2060495379
Cited by
52
References
0
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 3 · 2020: 9 · 2019: 4 · 2018: 6 · 2017: 1 · 2016: 3 · 2015: 1
FWCI
3.93
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medical Education (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Durham University
  • Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja (175042, 175087, 41004)
Topics
  • Social Sciences › Education › Innovations in Medical Education
  • Social Sciences › Business, Management and Accounting › Strategy and Management › Organizational Leadership and Management Strategies
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Competency Development and Evaluation
Keywords
hospital management training, strategic planning, strategic management, learning outcomes, SWOT analysis, strategic decision-making, management teams, general hospitals
MeSH terms
Adult, Female, Hospital Administration, Hospital Administrators, Humans, Institutional Management Teams, Leadership, Male, Middle Aged, Planning Techniques, Policy Making, Prospective Studies

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