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Perceived outcomes of medical teaching institute reforms: insights from management, faculty, and administration in Pakistani tertiary health care.
Qamar, Wajiha; Qayum, Mehran; Nisa, Waqar-Un; Ali, Asma.
Afiliación
  • Qamar W; Department of Oral Biology, Bacha Khan College of Dentistry, Mardan, Pakistan. wajihaqamar.ob@gmail.com.
  • Qayum M; Evidence for Health (E4H) Programme Khyber Pakhtunkhwa, Oxford Policy Management, Peshawar, Pakistan.
  • Nisa WU; Department of Oral Pathology, Bacha Khan College of Dentistry, Mardan, Pakistan.
  • Ali A; Department of Oral Biology, Bacha Khan College of Dentistry, Mardan, Pakistan.
BMC Health Serv Res ; 24(1): 1061, 2024 Sep 13.
Article en En | MEDLINE | ID: mdl-39272050
ABSTRACT

OBJECTIVE:

The study aims to explore the perceived outcomes of Medical Teaching Institution (MTI) reforms on autonomy and overall performance within tertiary healthcare institutions in Khyber Pakhtunkhwa (KP) province, Pakistan.

METHODOLOGY:

A cross-sectional study was carried out from September 2023 to March 2024, involving interviews with frontline staff, administrative personnel, and senior management within MTI-affiliated institutions. The methodology employed, using both qualitative and quantitative data analysis techniques.

RESULTS:

The study showed that institutional staff members' knowledge and understanding of the MTI changes differed. Some observed very minor adjustments, while others saw advances in hospital operations and service delivery. Administrative complexity, political meddling, and resource allocation problems were noted as challenges. Positive results were also observed, though, and they included improved infrastructure, possibilities for staff training, and decision-making procedures.

CONCLUSION:

Despite significant improved, there are still challenges, such as inconsistent staff comprehension, mixed impacts on service delivery, resource allocation issues, and political meddling. Addressing these issues necessitates improved communication, continuous evaluation, and coordinated efforts to improve administrative systems and obtain consistent funding.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Terciaria de Salud Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Terciaria de Salud Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Reino Unido