RESUMO
Hospital services remain poorly managed in African countries and in particular in Benin. Effective management must promote strategic planning and implementation of resources to achieve desired goals. The purpose of this article is to describe elements contributing to the poor performance of health care facilities in Benin and more particularly the response of hospital management within the framework of ongoing reforms. Analysis also focuses on strategic priorities and the central role of the human factor in any action to organize management. Implementation of participative management in the Beninese hospitals still requires great improvement in numerous areas including integration of health facilities into an open system, reinforcement of continuous education programs for personnel, recruitment of qualified technical personnel, and creation of training modules in hospital management.
Assuntos
Administração Hospitalar , Benin , Humanos , Gestão de Recursos Humanos , Qualidade da Assistência à SaúdeRESUMO
La gestion des services hospitaliers reste un probleme dans les etats africains et plus particulierement au Benin. Elle doit etre un instrument d'aide a la definition des orientations strategiques et des dispositions a mettre en oeuvre pour les realiser. Cet article presente des elements de dysfonctionnement des etablissements de soins au Benin et plus particulierement la gestion hospitaliere au regard des reformes en cours. L'analyse aborde aussi les strategies prioritaires et l'importance du role central de l'element humain dans toute action d'organisation manageriale. Cette organisation de management participatif demande encore beaucoup d'efforts pour son application dans les hopitaux beninois; dont entre autres : la prise en compte de l'environnement des structures de sante dans un systeme ouvert; le renforcement de la formation continue des personnels; la dotation de personnel technique competent; la creation de modules de formation en gestion hospitaliere
