Assessment of Career Development on Employee Performance in Private Health Sector in Isiolo County

Author(s):  
Adan Hatari Hallo ◽  
Robert Obuba

Developing employees for future positions enables organizations to develop and place employees in positions compatible with their career interests, needs, and goals. However, most previous studies on career development did not focus on the private sector. It is against these that the study sought to assess the influence of career development on employee performance in the private sector in Isiolo County, Kenya. The study was anchored under social exchange theory: job embeddedness theory and burnout theory of engagement. The study adopted a descriptive survey design that targeted 397 private medical practitioners in Isiolo County. Stratified and basic random sampling methods were used to choose the population sample of 199 respondents. A standard questionnaire was used as a tool for data collection. The validity and reliability of the questionnaire were calculated using test-retest methods on a sample pilot of 20 medical practitioners chosen from private hospitals in Isiolo County. They were not included in the main study and computed using the alpha coefficient of Cronbach and supervisor guidance. The study established an alpha coefficient of 0.831.  A mixed-method approach was used to collect both Qualitative and quantitative data Frequencies, means, and standard deviations were given by descriptive analysis. Multiple linear regression analyses were used to base inferential statistics. ANOVA was used as inferential tools to evaluate the relationship between the study variables with the help of IBM Statistical Package for Social Sciences (IBM SPSS) version 24. Descriptive results indicated a majority of the employees strongly agreed that there are coaching and mentorship programs for career development (M=4.50, SD=1.229). However, there were mixed reactions to the existence of a well-established career path planning aligned with personal goals and interests in the organization where most of the employees remained neutral (M = 3.36, SD = 1.215). With a regression analysis established an R squared of 62.1%, the study suggested another study to establish the other factors that contribute 37.9% to employee performance in the private health sector in Isiolo County.

2020 ◽  
Vol 31 (4) ◽  
pp. 437-449
Author(s):  
Mina Fanea-Ivanovici ◽  
Marius-Cristian Pană ◽  
Mihail Dumitru Sacală ◽  
Cristina Voicu

The aim of the paper is to provide an analysis of the dynamics of the public and private health sectors in Romania. Using descriptive statistics, it first investigates whether the public health sector follows the reformation trends suggested by official strategies and reports, and to what extent the private health sector is a viable alternative to the public one, by analysing the demand for private inpatient services. We look into the reduction in the occupancy degree in public hospitals as a means to increase the efficiency of public health expenditures, which represents one way to reform the public health sector. We also find that the increase in the occupancy degree in private hospitals is negatively correlated with the quality of services provided by public hospitals, but positively correlated with population wealth. Increase in the occupancy degree in private hospitals is an indicator of poor quality of services in public hospitals. It can also be explained by increasing expectations and requirements of beneficiaries as a reflection of increase in wealth and of their will to preserve their health capital. Using regression models, the paper then proposes the Wealth-Health Index, a composite indicator to explore the connection between wealth and health and the dynamics of the private health sector. Investment in physical infrastructure and the size of medical staff in the private sector is positively correlated with wealth increase.


Author(s):  
Naveen Choudary Gorantla ◽  
Sree Nagamani Penupothu

Background: The aim was to study the prescribing patterns of clinicians working in two different settings i.e. Teaching clinicians (clinicians working in teaching hospital) and Non-teaching clinicians (clinicians involved only in private practice).Methods: A comparative cross sectional study was carried out for a period of 6 months in two settings. The study is confined to teaching clinicians comprising of qualified medical practitioners in ACSR Government Medical College (ACSR GMC) and Non-teaching clinicians of qualified medical practitioners in private health sector (PMPs). 450 prescriptions were collected from clinicians belonging to various departments of ACSR GMC and 450 prescriptions from private practitioners of Nellore city. Data was coded and entered in MS Excel. Data was analyzed on EPI INFO version 3.5.4.Results: In this study it was found that teaching clinicians prescribed 146 (12.85%) drugs by generic name, whereas non-teaching clinicians prescribed 112 (8.75%) drugs by generic name.Conclusions: The findings of the present study indicate that the drugs prescribed by the generic names were remarkably less in both teaching and non teaching clinicians. This indicates a need for improving the generic prescribing patterns in both the settings.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055600
Author(s):  
Samantha R Lattof ◽  
Blerta Maliqi ◽  
Nuhu Yaqub ◽  
Anne-Sophie Jung

IntroductionRecent studies have pointed to the substantial role of private health sector delivery of maternal and newborn health (MNH) care in low-/middle-income countries (LMICs). While this role has been partly documented, an evidence synthesis is missing. To analyse opportunities and challenges of private sector delivery of MNH care as they pertain to the new World Health Organization (WHO) strategy on engaging the private health service delivery sector through governance in mixed health systems, a more granular understanding of the private health sector’s role and extent in MNH delivery is imperative. We developed a scoping review protocol to map and conceptualise interventions that were explicitly designed and implemented by formal private health sector providers to deliver MNH care in mixed health systems.Methods and analysisThis protocol details our intended methodological and analytical approach following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Seven databases (Cumulative Index to Nursing and Allied Health, Excerpta Medica Database, International Bibliography of the Social Sciences, PubMed, ScienceDirect, Web of Science, WHO Institutional Repository for Information Sharing) and two websites will be searched for studies published between 1 January 2002 and 1 June 2021. For inclusion, quantitative and/or qualitative studies in LMICs must report at least one of the following outcomes: maternal morbidity or mortality; newborn morbidity or mortality; experience of care; use of formal private sector care during pregnancy, childbirth, and postpartum; and stillbirth. Analyses will synthesise the evidence base and gaps on private sector MNH service delivery interventions for each of the six governance behaviours.Ethics and disseminationEthical approval is not required. Findings will be used to develop a menu of private sector interventions for MNH care by governance behaviour. This study will be disseminated through a peer-reviewed publication, working groups, webinars and partners.


2020 ◽  
Author(s):  
Samira Davalbhakta ◽  
Supriya Sharma ◽  
Shefali Gupta ◽  
Vishwesh Agarwal ◽  
Gaurav Pandey ◽  
...  

AbstractBackgroundThe private medical sector is a resource that must be estimated for efficient inclusion into public healthcare during pandemics.MethodsA survey was conducted among private healthcare workers to ascertain their views on the potential resources that can be accessed from the private sector and methods to do the same.ResultsThere were 213 respondents, 80% of them being doctors. Nearly half (47.4%) felt that the contribution from the private medical sector has been suboptimal. Areas suggested for improved contributions by the private sector related to patient care (71.8%) and provision of equipment (62.4%), with fewer expectations (39.9%) on the research front. Another area of deemed support was maintaining continuity of care for non-COVID patients using virtual consultation services (77.4%), tele-consultation being the preferred option (60%). 58.2% felt that the Government had not involved the private sector adequately; and 45.1% felt they should be part of policy-making.ConclusionA streamlined pathway to facilitate the private sector to join hands with the public sector for a national cause is the need of the hour. Through our study, we have identified gaps in the current contribution by the private sector and identified areas in which they could contribute, by their own admission.


2011 ◽  
Vol 58 (4) ◽  
pp. 216-228 ◽  
Author(s):  
Milena Gajic-Stevanovic ◽  
Snezana Dimitrijevic ◽  
Nevenka Teodorovic ◽  
Slavoljub Zivkovic

Introduction. Collecting data about the structure and function of private health care sector in Serbia and its inclusion in joint health care system is one of the most important issues for making decisions in health care and getting more accurate picture about the possibilities of health care system in Serbia. The aim of this analysis was to compare health institutions, personnel, visits, number of hospital days and morbidity by ICD-10 classification of diseases in public and private health sector in South Backa, Nisava, Toplica and Belgrade district in 2009. Material and Methods. A retrospective comparative analysis was performed using data about private providers of health services obtained from the Institute of Public Health Novi Sad, the Institute of Public Health Nis and the City Institute of Public Health Belgrade. Data about personnel and morbidity in public health sector in Serbia for 2009 was obtained from the Center for Information Technology of the Institute for Public Health of Serbia. Data about public health facilities in South Backa, Nisava, Toplica and Belgrade district in 2009 was obtained from Serbian Chamber of medical institutions. Results. The results showed that health care was provided in Belgrade district in 2009 by total of 1,051 employees in private sector and 31,404 in public sector. We found that public sector had a far wider range of health facilities than private sector, which was mainly due to the number of clinics. In South Backa district private sector had 323 practices, the district of Belgrade 655 and Nisava and Toplica district 173. Seventeen times more visits to households (4,650,423 vs. 267,356) and 111 times greater number of hospital days was provided in public health sector as compared to private health sector (781,083 vs. 7,023) in South Backa district. Conclusion. The conclusion of this analysis was that public health sector has remained the foundation of health care system in Serbia. Private health sector is expanding, but its structure and scope of services is still undervalued as compared to public sector.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Alemayehu Reta ◽  
Addis Simachew

Background. Tuberculosis has been declared to be a global epidemic. Despite all the effort, only less than half the annual estimated cases are reported by health authorities to the WHO. This could be due to poor reporting from the private sector. In Ethiopia, tuberculosis has also been a major public health problem. The aim of this study was to assess the role of the private health sector in tuberculosis control in Debre Markos. Methods. An institution based cross-sectional descriptive study was carried out in private health facilities. A total of 260 tuberculosis suspects attending the private clinics were interviewed. Focus group discussion, checklist, and structured questionnaire were used. Results. Majority of the private clinics were less equipped, poorly regulated, and owned by health workers who were self-employed on a part-time basis. Provider delay of 4 and more months was significantly associated higher likelihood of turning to a private provider (OR = 2.70, 95% CI = (1.20, 6.08)). Conclusions and Recommendations. There is significant delay among tuberculosis patients. Moreover, there is poor regulation of the private health sector by public health authorities. The involvement of the private sector in tuberculosis control should be limited to identification and refer to tuberculosis cases and suspects.


Author(s):  
Ram Gopal Nautiyal ◽  
Rajesh Kumar Singh

Background: As private sector is dominant tuberculosis (TB) care provider in India, to realize the vision of TB free India, it is crucial that public and private sector follow uniform standard of TB care. This can be achieved when private health sector adopts TB management methodology of Revised National Tuberculosis Control Programme (RNTCP) of India. The present study was conducted to estimate whether or not TB management practices of allopathic private practitioners (PPs) conform to RNTCP guidelines by assessment of their knowledge and practice about new pulmonary TB (PTB).Methods: A cross-sectional study conducted using a semi-structured questionnaire among PPs practicing in urban areas of five of the six districts of Kumaon Division of Uttarakhand State of India between October 2013 to November 2014.Results: Of 71 PPs included in the study, almost 66% did not suspect pulmonary TB unless cough was associated with other symptoms. For diagnosis and follow up, sputum AFB microscopy alone was used by only 10% and 8.4% PPs respectively. Of the 71 PPs, 67 PPs who prescribed treatment for new PTB, used 20 diverse anti-TB regimens, and 10.5% of them included levofloxacin in the regimen.Conclusions: Majority PPs didn’t follow the RNTCP’s TB management guidelines for new PTB. 


MBIA ◽  
2019 ◽  
Vol 17 (3) ◽  
pp. 17-24
Author(s):  
Cut Ermiati ◽  
Dita Amanah ◽  
Dedy Ansari Harahap ◽  
Fitriani Tanjung

This study aims to determine the effect of career development and work placement on employee work performance at PDAM Tirtanadi, North Sumatra Province. The population in this study were all employees per division, amounting to 182 employees. From the total population can be determined the number of samples in this study amounted to 65 people. The data analysis technique used is the t-test, f-test, multiple linear regression and determinant coefficient test using SPSS 22. From the calculation results using SPSS shows that there is an influence of career development on employee work performance, there is the influence of work placement on employee performance and there is the influence of career development and work placement on employee performance.


Author(s):  
Jeff Barnes ◽  
Barbar O'Hanlon ◽  
Frank Feeley ◽  
McKeon Kimberly ◽  
Gitonga Nelson ◽  
...  

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