title: Hospital management training for the Eastern Mediterranean Region: time for a change?
abstract: OBJECTIVE
  The WHO Eastern Mediterranean Regional Office has emphasized health system strengthening among the top five strategic priorities. One of the integral elements of health systems are the hospitals. The purpose of this paper is to review the need for formalized training in hospital management to improve the quality of care.
  
  
  METHODS
  Literature review and hands on experience of conducting a regional training in hospital management for Eastern Mediterranean Region (EMR) countries.
  
  
  RESULTS
  Majority of patients in EMR bypass Primary Health Care facilities due to inadequate quality of services and prefer seeking specialized care at a tertiary level. There is mounting evidence of mediocre to poor patient satisfaction due to inefficient health care practices in hospitals of EMR. Strengthening the management capacity of the hospitals through a formal training programme is therefore necessary for improving the performance of health care delivery and the overall health system. Hospital management encompasses hospital planning and operational activities including development and implementation of organizational strategies to ensure adequate numbers and quality of trained human resources and effective financial management, disaster management, health management information system utilization, support services, biomedical engineering, transport and waste management. Such training will prepare health care professionals with leadership skills to deliver quality hospital services.
  
  
  CONCLUSIONS
  This is one of the first papers emphasizing the need for a formal structured regional training in hospital management for the countries of EMR. A modular incremental training approach developing an EMR Credit Transfer and Accumulation system is proposed.
authors.affiliation: Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
authors.forename: Fauziah
authors.initials: F
authors.lastname: Rabbani
authors.forename: Farah Naz
authors.initials: FN
authors.lastname: Hashmani
authors.forename: Aftab A Ali
authors.initials: AA
authors.lastname: Mukhi
authors.forename: Xaher
authors.initials: X
authors.lastname: Gul
authors.forename: Nousheen
authors.initials: N
authors.lastname: Pradhan
authors.forename: Peter
authors.initials: P
authors.lastname: Hatcher
authors.forename: Mounir
authors.initials: M
authors.lastname: Farag
authors.forename: Farhat
authors.initials: F
authors.lastname: Abbas
mesh_terms: D006740:Hospital Administrators / Q000193:education*; D006801:Humans; D019083:Mediterranean Region; D020380:Needs Assessment; D011361:Professional Competence; D013192:Staff Development
keywords: EMR countries; Formalized training; Health systems; Hospital management; Hospital managers; WHO