The management of health care organisations (HCOs) significantly determines the quality and efficiency of health care delivery in developing countries like Pakistan. HCO managers are needed to plan and execute expansion and corporatisation of private HCOs and to transform public sector charity hospitals to self-sustaining efficient organisations and private clinics into profitable ventures. The objective of this study was to assess the need for health care management training in Pakistan using semi-structured interviews of key informants in different cities. We asked experts about the existing HCO management training opportunities, demand for such skills and its impact on the future of health services delivery. Unanimous support for HCO management training emerged in the wake of dissatisfaction with limited opportunities for such training in the country. The participants agreed that trained HCO managers can help introduce modern management practices in health care service delivery, thereby making the HCOs more efficient and effective. We conclude that well-reputed management schools would be performing an important service to the improvement of the health sector in Pakistan if they can design and offer effective management training programmes for HCOs.
Abbasi, K. (1999). Focus on South Asia—II: India and Pakistan . BMJ, 318(7191), 1132–35 .
2.
Akhter, M.S. , M.W. Akhter and N.S. Akhter (2006). Quality assessment in medical education: Need for change . First International Conference on Assessing Quality in Higher Education. Asia-Pacific Quality Network. Available at http://www.pu.edu.pk/conference/iqtm_conference/. Accessed on 6 July 2009.
3.
Ali, S.H. and R. Keil (2006). Global cities and the spread of infectious disease: The case of severe acute respiratory syndrome (SARS) in Toronto, Canada . Urban Studies, 43(3), 491–509 .
4.
Ali, S.Z. (2000). Health for all in Pakistan: Achievements, strategies and challenges . Eastern Mediterranean Health Journal, 6(4), 832–7 . Available at http://www.emro.who.int/publications/emhj/0604/27.htm. Accessed on 7 March 2008.
5.
Altman, D. (1999). Globalization, political economy, and HIV/AIDS . Theory and Society, 28(4), 559–84 .
6.
Anderson, N. (1999). Accountability in health services . 9th International Anti-Corruption Conference, Durban, South Africa. Available at http://ww1.transparency.org/iacc/9th_iacc/papers/day4/ws7/dnld/d4ws7_nanderson.pdf. Accessed on 3 December 2009.
7.
Bazzoli, G.J. (2004). The corporatization of American hospitals . Journal of Health Politics, Policy and Law, 29(4–5), 885–905 .
8.
Eberstadt, N. (2002). The future of AIDS . Foreign Affairs, 81(6), 22–45 .
9.
Gould, R. (2005). Health care information and communications technology: Promises and challenges for government and health services . Journal of E-Government, 2(1), 99–111 .
10.
Government of Pakistan, Federal Bureau of Statistics (1998). 50 years of Pakistan. Karachi: Manager of Publications .
11.
Government of Pakistan, Ministry of Finance (2005). Economic Survey of Pakistan. Islamabad: Ministry of Finance .
12.
Guest, J.F. (1999). The annual cost of chronic obstructive pulmonary disease to the UK’s National Health Service . Disease Management & Health Outcomes, 5(2), 93–100 .
13.
Hakim, K.F. (1997). Role of health systems research in policy, planning, management and decision-making with reference to Pakistan . Eastern Mediterranean Health Journal, 3(3), 556–66 .
14.
Institute of International Medical Education (IIME) (2004). Pakistan. Available at http://www.iime.org/database/asia/pakistan.htm. Accessed on 27 September 2009.
15.
Islam, A. (2002). Health sector reforms in Pakistan: Future directions . Journal of Pakistan Medical Association, 52(4), 174–82 .
16.
Ludmerer, K.M. (2000). Time and medical education . Annals of Internal Medicine, 132, 25–8 .
17.
March, M. and F. Schroyen (2005). Can a mixed health care system be desirable on equity grounds?Scandinavian Journal of Economics, 107(1), 1–23 .
18.
Nishtar, S. (2007). Corruption and health . The NEWS International. 5 August.
19.
Paez, K.A. , L. Zhao and W. Hwang (2009). Rising out-of-pocket spending for chronic conditions: A ten-year trend . Health Affairs, 28(1), 15–25 .
20.
Pappas, G. , J.H. Glasser , M. Akhter and P.B. Nayanil (2008). Healing the schism: Medicine and public health in Pakistan . Education for Health, 21(1). Available at www.educationforhealth.net/publishedarticles/article_print_173.pdf. Accessed on 7 June 2009.
21.
President’s Information Technology Advisory Committee (2004). Revolutionizing healthcare through information technology: Report to the President. Arlington, VA: National Coordination Office for Information Technology Research and Development , June.
22.
Price, D. , A.M. Pollock and J. Shaoul (1999). How the World Trade Organisation is shaping domestic policies in health care . Lancet, 354(9193), 1889–92 .
23.
Propper, C. and K. Green (2001). A larger role for the private sector in financing UK health care: The arguments and the evidence . Journal of Social Policy, 30(4), 685–704 .
24.
Rogers, T. (1990). Population growth and movement in Pakistan: A case study . Asian Survey, 30(5), 446–60 .
25.
Schieber, G. and A. Maeda (1999). Health care financing and delivery in developing countries . Health Affairs, 18(3), 193–205 .
26.
Shafqat, S. and A.K.M. Zaidi (2007). Pakistani physicians and the repatriation equation . New England Journal of Medicine, 265(5), 442–3 .
27.
Talati, J.J. and G. Pappas (2006). Migration, medical education, and health care: A view from Pakistan . Academic Medicine, 81(12S), S55–S62 .
28.
United Nations Development Programme (2000). Human Development Report 2000: Human Rights and Human Development. New York: United Nations Development Programme .
29.
United Nations Development Programme (2005). Country Fact Sheet—Pakistan. Human Development Report 2005. Available at http://hdr.undp.org/statistics/data/country_fact_sheets/cty_fs_PAK.html. Accessed on 22 March 2007.
30.
United Nations Development Programme (2005). Human Development Report. 2005. International cooperation at a crossroads. Aid, trade and security in an unequal world. New York: United Nations Development Programme .
31.
World Bank Group. (1998). Raising a healthier population in Pakistan. Available at http://lnweb18.worldbank.org/sar/sa.nsf/Attachments/pakistan-health/$File/pakistan-health.pdf. Accessed on 29 April 2009.
32.
Yach, D. C. Hawkes , S.L. Gould and K.J. Hofman (2004). The global burden of chronic diseases: overcoming impediments to prevention and control . Journal of American Medical Association, 291, 2616–22 .
