The experiences of dentists in the management planning of oral health services in Lesotho, Africa.
Identifieur interne : 000349 ( Main/Exploration ); précédent : 000348; suivant : 000350The experiences of dentists in the management planning of oral health services in Lesotho, Africa.
Auteurs : Anthony O. Umunna ; Valencia S. James ; Esmeralda J. RicksSource :
- Rural and remote health [ 1445-6354 ]
Descripteurs français
- KwdFr :
- Dentistes (MeSH), Efficacité fonctionnement (MeSH), Femelle (MeSH), Humains (MeSH), Lesotho (MeSH), Mâle (MeSH), Planification en santé (organisation et administration), Services de santé buccodentaire (organisation et administration), Services de santé communautaires (organisation et administration).
- MESH :
- organisation et administration : Planification en santé, Services de santé buccodentaire, Services de santé communautaires.
- Dentistes, Efficacité fonctionnement, Femelle, Humains, Lesotho, Mâle.
- Wicri :
- geographic : Lesotho.
English descriptors
- KwdEn :
- MESH :
- geographic : Lesotho.
- organization & administration : Community Health Services, Dental Health Services, Health Planning.
- Dentists, Efficiency, Organizational, Female, Humans, Male.
Abstract
INTRODUCTION
Health sector reforms motivated by the need for efficiency, effectiveness and equity in the delivery of services have interested authorities in the planning competencies of managers, because planning sets the stage for the effective management of health systems. The huge public and private cost of oral health makes planning an important dimension for health authorities when considering the allocation of funds. Productivity in the oral health service sector is not often reported on, despite the cost involved in rendering oral health services. This study explores and describes the management planning experiences of oral health managers in the public sector in Lesotho, Africa, which consists of clinics in 10 districts serving hundreds of rural and remote mountainous communities.
METHODS
The study used a qualitative research design. Of the purposive sample of 14 public sector dentists then available, seven dentists (2 female and 5 male) met the criteria for participation (> or = 1 year of experience in district oral health planning), and consented to and were available for participation. Data were collected by in-depth, one-on-one interviews with 6 participants, and textual data were collected from the seventh. Interviews were audiotaped and transcribed verbatim. Data were organised and analysed using the Tesch method, with themed topics coded and categorised by a researcher and an independent coder for analysis.
RESULTS
One major theme emerged (the management planning of oral health services were experienced as inefficient) and four sub-themes: (1) the need to plan carefully to provide efficient clinical services; (2) constraints to promoting expansion of community based dental services; (3) a breakdown in communication hampered service delivery; and (4) internal and external stakeholder issues impacted strongly on management planning.
CONCLUSION
The inefficiency (failure of the community to derive maximum curative, preventive and rehabilitative benefits from public expenditure on oral health in Lesotho), as described by participants, arose from factors that impair careful planning; constrained the expansion of community based oral health services; caused a breakdown in communication between dentists and their authorities leading to poor services delivery; and was impacted strongly by internal and external stakeholder issues.
PubMed: 19860533
Affiliations:
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Ricks</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009 Oct-Dec</date><idno type="RBID">pubmed:19860533</idno><idno type="pmid">19860533</idno><idno type="wicri:Area/Main/Corpus">000355</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000355</idno><idno type="wicri:Area/Main/Curation">000355</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000355</idno><idno type="wicri:Area/Main/Exploration">000355</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The experiences of dentists in the management planning of oral health services in Lesotho, Africa.</title><author><name sortKey="Umunna, Anthony O" sort="Umunna, Anthony O" uniqKey="Umunna A" first="Anthony O" last="Umunna">Anthony O. Umunna</name><affiliation><nlm:affiliation>Government Hospital Botha-Bothe, Botha-Bothe, Lesotho, Africa. drtpalanchio@gmail.com</nlm:affiliation><wicri:noCountry code="subField">Africa</wicri:noCountry></affiliation></author><author><name sortKey="James, Valencia S" sort="James, Valencia S" uniqKey="James V" first="Valencia S" last="James">Valencia S. James</name></author><author><name sortKey="Ricks, Esmeralda J" sort="Ricks, Esmeralda J" uniqKey="Ricks E" first="Esmeralda J" last="Ricks">Esmeralda J. Ricks</name></author></analytic><series><title level="j">Rural and remote health</title><idno type="eISSN">1445-6354</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Community Health Services (organization & administration)</term><term>Dental Health Services (organization & administration)</term><term>Dentists (MeSH)</term><term>Efficiency, Organizational (MeSH)</term><term>Female (MeSH)</term><term>Health Planning (organization & administration)</term><term>Humans (MeSH)</term><term>Lesotho (MeSH)</term><term>Male (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Dentistes (MeSH)</term><term>Efficacité fonctionnement (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Lesotho (MeSH)</term><term>Mâle (MeSH)</term><term>Planification en santé (organisation et administration)</term><term>Services de santé buccodentaire (organisation et administration)</term><term>Services de santé communautaires (organisation et administration)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Lesotho</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Planification en santé</term><term>Services de santé buccodentaire</term><term>Services de santé communautaires</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Community Health Services</term><term>Dental Health Services</term><term>Health Planning</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dentists</term><term>Efficiency, Organizational</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Dentistes</term><term>Efficacité fonctionnement</term><term>Femelle</term><term>Humains</term><term>Lesotho</term><term>Mâle</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Lesotho</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Health sector reforms motivated by the need for efficiency, effectiveness and equity in the delivery of services have interested authorities in the planning competencies of managers, because planning sets the stage for the effective management of health systems. The huge public and private cost of oral health makes planning an important dimension for health authorities when considering the allocation of funds. Productivity in the oral health service sector is not often reported on, despite the cost involved in rendering oral health services. This study explores and describes the management planning experiences of oral health managers in the public sector in Lesotho, Africa, which consists of clinics in 10 districts serving hundreds of rural and remote mountainous communities.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The study used a qualitative research design. Of the purposive sample of 14 public sector dentists then available, seven dentists (2 female and 5 male) met the criteria for participation (> or = 1 year of experience in district oral health planning), and consented to and were available for participation. Data were collected by in-depth, one-on-one interviews with 6 participants, and textual data were collected from the seventh. Interviews were audiotaped and transcribed verbatim. Data were organised and analysed using the Tesch method, with themed topics coded and categorised by a researcher and an independent coder for analysis.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>One major theme emerged (the management planning of oral health services were experienced as inefficient) and four sub-themes: (1) the need to plan carefully to provide efficient clinical services; (2) constraints to promoting expansion of community based dental services; (3) a breakdown in communication hampered service delivery; and (4) internal and external stakeholder issues impacted strongly on management planning.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The inefficiency (failure of the community to derive maximum curative, preventive and rehabilitative benefits from public expenditure on oral health in Lesotho), as described by participants, arose from factors that impair careful planning; constrained the expansion of community based oral health services; caused a breakdown in communication between dentists and their authorities leading to poor services delivery; and was impacted strongly by internal and external stakeholder issues.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19860533</PMID><DateCompleted><Year>2010</Year><Month>01</Month><Day>11</Day></DateCompleted><DateRevised><Year>2009</Year><Month>10</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1445-6354</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>4</Issue><PubDate><MedlineDate>2009 Oct-Dec</MedlineDate></PubDate></JournalIssue><Title>Rural and remote health</Title><ISOAbbreviation>Rural Remote Health</ISOAbbreviation></Journal><ArticleTitle>The experiences of dentists in the management planning of oral health services in Lesotho, Africa.</ArticleTitle><Pagination><MedlinePgn>1213</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Health sector reforms motivated by the need for efficiency, effectiveness and equity in the delivery of services have interested authorities in the planning competencies of managers, because planning sets the stage for the effective management of health systems. The huge public and private cost of oral health makes planning an important dimension for health authorities when considering the allocation of funds. Productivity in the oral health service sector is not often reported on, despite the cost involved in rendering oral health services. This study explores and describes the management planning experiences of oral health managers in the public sector in Lesotho, Africa, which consists of clinics in 10 districts serving hundreds of rural and remote mountainous communities.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The study used a qualitative research design. Of the purposive sample of 14 public sector dentists then available, seven dentists (2 female and 5 male) met the criteria for participation (> or = 1 year of experience in district oral health planning), and consented to and were available for participation. Data were collected by in-depth, one-on-one interviews with 6 participants, and textual data were collected from the seventh. Interviews were audiotaped and transcribed verbatim. Data were organised and analysed using the Tesch method, with themed topics coded and categorised by a researcher and an independent coder for analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One major theme emerged (the management planning of oral health services were experienced as inefficient) and four sub-themes: (1) the need to plan carefully to provide efficient clinical services; (2) constraints to promoting expansion of community based dental services; (3) a breakdown in communication hampered service delivery; and (4) internal and external stakeholder issues impacted strongly on management planning.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The inefficiency (failure of the community to derive maximum curative, preventive and rehabilitative benefits from public expenditure on oral health in Lesotho), as described by participants, arose from factors that impair careful planning; constrained the expansion of community based oral health services; caused a breakdown in communication between dentists and their authorities leading to poor services delivery; and was impacted strongly by internal and external stakeholder issues.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Umunna</LastName><ForeName>Anthony O</ForeName><Initials>AO</Initials><AffiliationInfo><Affiliation>Government Hospital Botha-Bothe, Botha-Bothe, Lesotho, Africa. drtpalanchio@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>James</LastName><ForeName>Valencia S</ForeName><Initials>VS</Initials></Author><Author ValidYN="Y"><LastName>Ricks</LastName><ForeName>Esmeralda J</ForeName><Initials>EJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>10</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Rural Remote Health</MedlineTA><NlmUniqueID>101174860</NlmUniqueID><ISSNLinking>1445-6354</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003153" MajorTopicYN="N">Community Health Services</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003752" MajorTopicYN="N">Dental Health Services</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003815" MajorTopicYN="Y">Dentists</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017598" MajorTopicYN="N">Efficiency, Organizational</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006285" MajorTopicYN="N">Health Planning</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007927" MajorTopicYN="N" Type="Geographic">Lesotho</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19860533</ArticleId><ArticleId IdType="pii">1213</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="James, Valencia S" sort="James, Valencia S" uniqKey="James V" first="Valencia S" last="James">Valencia S. James</name><name sortKey="Ricks, Esmeralda J" sort="Ricks, Esmeralda J" uniqKey="Ricks E" first="Esmeralda J" last="Ricks">Esmeralda J. Ricks</name><name sortKey="Umunna, Anthony O" sort="Umunna, Anthony O" uniqKey="Umunna A" first="Anthony O" last="Umunna">Anthony O. Umunna</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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