Evaluation of the managerial role of service supervisors in the continuous improvement of the quality of care in four university hospitals in Bamako

Abstract

By analyzing the quality-of-care evaluation reports from the National Hospital Evaluation Agency in Mali from 2005 to 2018, we note that the quality of care constitutes a real public health problem. Due to the important place occupied by department supervisors in hospital management, the evaluation of the role of supervisors is essential in the continuous improvement of the quality of care. For this study, we asked ourselves the following research question: what is the managerial role of service supervisors in the continuous improvement of the quality of care in four University Hospital Centers in Bamako? We set the general objective of studying the managerial role of service supervisors in the continuous improvement of the quality of care in the four University Hospital Centers of Bamako. The research methodology adopted consisted of carrying out a non-experimental quantitative analytical study with a cross-sectional aim. We opted for the probability sampling method and the stratified technique. Our study population consisted of all supervisors from CHU-CNOS, GT, IOTA and Point “G” in Bamako. Information was collected from respondents using a questionnaire and a document processing grid. EPI Info software was used for data entry, then it was exported to Excel and SPSS for analyses. Anonymity and confidentiality were required during data collection. The results of our study reveal that in total, 84 service supervisors were included in this study with an average age of approximately 51 years and a male predominance of 57.14%. The managerial role of service supervisors is known to be played at 54.76%; the existing link between the managerial role and ACQ is estimated at only 32.28%. The contribution of supervisors in ACQ which consists of regular monitoring/evaluation of activities, having the availability and skills required for good coordination and identifying inadequacies and providing continuing training is estimated at 60.71%. The main bottleneck in the implementation of their functions is above all the lack of training, from which 98.18% of supervisors do not benefit and 98.36% work in unfavorable conditions. From the explanatory analysis, it appears that several roles are statistically significant in relation to ACQ at the 5% threshold, the p-value test = 0.147. Ultimately, we can therefore affirm that service supervisors know their managerial role in ACQ and are essential key players in ACQ in health establishments. Keywords: evaluation, managerial role, service supervisors, CQI, UHC, Bamako.

Classification JEL : O24, MO21

Paper type : Empirical Research