Managerial competence of health care managers in hospital obstetric structures

Abstract

Health care management in hospital obstetric and gynecological structures is carried out by managers who have organizational and communication qualities specific to the health sector, trained to perform managerial and administrative functions. Managers with their knowledge and skills of planning, organizing, directing and controlling financial, human and material resources largely determine the quality of medical care in a medical institution. Solving problems related to defining the duties, activities, rights and responsibilities of primary and senior midwives is an important condition for improving and developing the quality of medical care. It is important for practice to manage time, activity, motivation, and development by changing not only the work model, but also the approaches, activities, and thinking style of health managers at different hierarchical levels. This means a new development of flexible management competence. Management is inextricably linked to efficiency. It requires constant monitoring of the ratio of „benefits“ of results“ of each activity in different structures and hospitals, as a macronutrient. An effective manager is not just a good employee who is preferred by his subordinates. This is a person who is able to increase the usefulness of medical services with relatively limited resources. the new approach, new style and new way of thinking require managers at different levels of management in hospitals not only to understand hospital management, but also to have the qualities for successful leadership. The purpose of this work is to study the possibility of applying a methodological model of obstetric health care management and its importance for improving their quality and effectiveness. The object of the study is the management of obstetric and gynecological health care in 16 hospitals. The study is based on the use of a direct individual survey and covers 68 primary and senior midwives. Signs related to the organization of work in the ward, the role and place of the midwife in the treatment process were studied. the analysis of the survey data was aimed at characterizing obstetric care in a hospital setting and the applicability of a single health management model with the corresponding information product to the hospital information system.