Leadership from ‘below’?: clinical staff and public hospitals in South Africa

In earlier posts I’ve referred to two relatively lengthy reports on clinical leadership – one a literature review and the other reporting findings from interviews with clinical leaders in South African district hospitals.

The main findings from these reports are now summarised in a policy note that is applicable to practitioners from other sectors.

 

 

Health Systems Knowledge Network report

It’s come to my attention that the final report of the Health Systems Knowledge Network of WHO’s Commission on the Social Determinants Health is not readily available online.

Here is the full final report:  HSKN Full report

Here is the condensed version of the final report (an extended executive summary):  HSKN Condensed Report Cover A3; HSKN Condensed report

Here is the policy brief:  HSKN A5 Leaflet

Decentralised financial management capabilities for pilot hospital sites in South Africa

I have finally uploaded scanned copies of the last few annexures from the 1996 Hospital Strategy Project’s analysis of decentralised financial management issues.

Annexure F is very relevant to the current debate on readying public hospitals for National Health Insurance as it presents recommendations for decentralised financial management capabilities in pilot hospitals. 

Look on one of my ealier posts, entitled Decentralised Financial Management of Hospitals, for the uploaded files.

Guidelines for measuring the critical areas for financial management

I have just uploaded a scanned copy of another annexure (Annexure B contd.) from the 1996 Hospital Strategy Project’s analysis of decentralised financial management issues.

This annexure presents useful guidelines for measuring the critical areas for financial management.

Look on one of my ealier posts, entitled Decentralised Financial Management of Hospitals, for the uploaded files.  You can find it under ‘Categories’ to the right of the screen – under ‘Financing,’ ‘Hospitals’ or ‘Management and leadership.’

More information on financial management in public hospitals

I have just uploaded scanned copies of the conclusion of the 1996 Hospital Strategy Project’s analysis of decentralised financial management issues, as well as Annexures A and B.

Look on one of my ealier posts, entitled Decentralised Financial Management of Hospitals (and available under the Hospitals category to the right of the screen), for the uploaded files.

Creating effective decentralised financial management

I have just uploaded a scanned copy of another chapter from the 1996 Hospital Strategy Project’s analysis of decentralised financial management issues.

This chapter outlines the way forward for creating effective decentralised financial management.

Look on one of my ealier posts, entitled Decentralised Financial Management of Hospitals, for the uploaded files.

The context of decentralised financial management in South African hospitals

I have just uploaded a scanned copy of another chapter from the 1996 Hospital Strategy Project’s analysis of decentralised financial management issues.

This chapter examines the regulatory and policy environment that governed options for decentralised financial management in South African hospitals in the 1990s.  Some of these factors remain pertinent today although other aspects may be somewhat out of date.

Look on one of my ealier posts, entitled Decentralised Financial Management of Hospitals, for the uploaded file.