Pengaruh Kepemimpinan Tansformasional Dan Komitmen Organisasi Terhadap Prestasi Kerja Karyawan Pada Pt.bank Sulut (Kantor Pusat)

Empowerment of human resources in the company right will result in an increase thecompany's ability to obtain and retain the best people in the field. Utilization of human resourcesmanagement right can also motivate each individual to perform the work in accordance with companyobjectives. No matter how modern technology is used, or how much money it is prepared, but without ahuman resources professional it all becomes meaningless.This study aims to determine whether Transformational Leadership and OrganizationalCommitment to Achievement employees working at PT Bank Sulawesi (Central Office). This study used aquantitative approach. The main variable in this study is Transformational Leadership OrganizationalCommitment and Employee Job Performance.In this study population of 252 respondents PT. Bank of North Sulawesi with a sample of 45employees. From the results of the data obtained through questionnaires and calculated with SPSS 19using the multiple correlation analysis and multiple regression has obtained significant data. Afteranalyzing the correlation and regression methods were then tested with hypothesis testing, in this case thehypothesis testing using t-test testing. In testing the t test assumed in transformational leadershipvariable count T T able and accept H 1 when T count T table = 5.925> 1.682.The results of calculation between Transformational Leadership and Organizational CommitmentAgainst Employee Job Performance with regression analysis showed that the TransformationalLeadership and Organizational Commitment influential Against Employee Job Performance In NorthSulawesi PT Bank (Central Office)

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Research capacity building integrated into PHIT projects: leveraging research and research funding to build national capacity

Background: Inadequate research capacity impedes the development of evidence-based health programming in sub-Saharan Africa. However, funding for research capacity building (RCB) is often insufficient and restricted, limiting institutions’ ability to address current RCB needs. The Doris Duke Charitable Foundation’s African Health Initiative (AHI) funded Population Health Implementation and Training (PHIT) partnership projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania and Zambia) to implement health systems strengthening initiatives inclusive of RCB. Methods: Using Cooke’s framework for RCB, RCB activity leaders from each country reported on RCB priorities, activities, program metrics, ongoing challenges and solutions. These were synthesized by the authorship team, identifying common challenges and lessons learned. Results: For most countries, each of the RCB domains from Cooke’s framework was a high priority. In about half of the countries, domain specific activities happened prior to PHIT. During PHIT, specific RCB activities varied across countries. However, all five countries used AHI funding to improve research administrative support and infrastructure, implement research trainings and support mentorship activities and research dissemination. While outcomes data were not systematically collected, countries reported holding 54 research trainings, forming 56 mentor-mentee relationships, training 201 individuals and awarding 22 PhD and Masters-level scholarships. Over the 5 years, 116 manuscripts were developed. Of the 59 manuscripts published in peer-reviewed journals, 29 had national first authors and 18 had national senior authors. Trainees participated in 99 conferences and projects held 37 forums with policy makers to facilitate research translation into policy. Conclusion: All five PHIT projects strongly reported an increase in RCB activities and commended the Doris Duke Charitable Foundation for prioritizing RCB, funding RCB at adequate levels and time frames and for allowing flexibility in funding so that each project could implement activities according to their trainees’ needs. As a result, many common challenges for RCB, such as adequate resources and local and international institutional support, were not identified as major challenges for these projects. Overall recommendations are for funders to provide adequate and flexible funding for RCB activities and for institutions to offer a spectrum of RCB activities to enable continued growth, provide adequate mentorship for trainees and systematically monitor RCB activities. Electronic supplementary material The online version of this article (10.1186/s12913-017-2657-6) contains supplementary material, which is available to authorized users

Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia

Well-functioning health systems need to utilize data at all levels, from the provider, to local and national-level decision makers, in order to make evidence-based and needed adjustments to improve the quality of care provided. Over the last 7 years, the Doris Duke Charitable Foundation’s African Health Initiative funded health systems strengthening projects at the facility, district, and/or provincial level to improve population health. Increasing data-driven decision making was a common strategy in Mozambique, Rwanda and Zambia. This paper describes the similar and divergent approaches to increase data-driven quality of care improvements (QI) and implementation challenge and opportunities encountered in these three countries

Research capacity building integrated into PHIT projects: leveraging research and research funding to build national capacity

Background: Inadequate research capacity impedes the development of evidence-based health programming in sub-Saharan Africa. However, funding for research capacity building (RCB) is often insufficient and restricted, limiting institutions’ ability to address current RCB needs. The Doris Duke Charitable Foundation’s African Health Initiative (AHI) funded Population Health Implementation and Training (PHIT) partnership projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania and Zambia) to implement health systems strengthening initiatives inclusive of RCB. Methods: Using Cooke’s framework for RCB, RCB activity leaders from each country reported on RCB priorities, activities, program metrics, ongoing challenges and solutions. These were synthesized by the authorship team, identifying common challenges and lessons learned. Results: For most countries, each of the RCB domains from Cooke’s framework was a high priority. In about half of the countries, domain specific activities happened prior to PHIT. During PHIT, specific RCB activities varied across countries. However, all five countries used AHI funding to improve research administrative support and infrastructure, implement research trainings and support mentorship activities and research dissemination. While outcomes data were not systematically collected, countries reported holding 54 research trainings, forming 56 mentor-mentee relationships, training 201 individuals and awarding 22 PhD and Masters-level scholarships. Over the 5 years, 116 manuscripts were developed. Of the 59 manuscripts published in peer-reviewed journals, 29 had national first authors and 18 had national senior authors. Trainees participated in 99 conferences and projects held 37 forums with policy makers to facilitate research translation into policy. Conclusion: All five PHIT projects strongly reported an increase in RCB activities and commended the Doris Duke Charitable Foundation for prioritizing RCB, funding RCB at adequate levels and time frames and for allowing flexibility in funding so that each project could implement activities according to their trainees’ needs. As a result, many common challenges for RCB, such as adequate resources and local and international institutional support, were not identified as major challenges for these projects. Overall recommendations are for funders to provide adequate and flexible funding for RCB activities and for institutions to offer a spectrum of RCB activities to enable continued growth, provide adequate mentorship for trainees and systematically monitor RCB activities. Electronic supplementary material The online version of this article (10.1186/s12913-017-2657-6) contains supplementary material, which is available to authorized users

Pengaruh Komunikasi, Stres dan Lingkungan Kerja Terhadap Kinerja Karyawan di PT. Danamas Insan Kreasi Andalan Medan

Penelitian ini bertujuan (1) untuk mengetahui pengaruh komunikasi terhadap kinerja karyawan di PT. Danamas Insan Kreasi Andalan Medan, (2) untuk mengetahui pengaruh stress terhadap kinerja karyawan di PT. Danamas Kreasi Andalan Medan, (3) untuk mengetahui pengaruh lingkungan kerja terhadap kinerja karyawan di PT. Danamas Insan Kreasi Andalan Medan, (4) untuk mengetahui pengaruh komunikasi, stres dan lingkungan kerja terhadap kinerja karyawan di PT. Danamas Insan Kreasi Andalan. Penelitian ini menggunakan tehnik pengumpulan data berupa angket dengan menyebarkan kuesioner. Penelitian ini memiliki 60 responden sebagai sampel yang merupakan karyawan di PT. Danamas Insan Kreasi Andalan Medan. Hasil dari penelitian ini menunjukkan bahwa komunikasi tidak berpengaruh signifikan terhadap kinerja karyawan, namun stress dan lingkungan kerja mempunyai perngaruh yang signifikan terhadap kinerja karyawan di PT. Danamas Insan Kreasi Andalan Medan. Di dalam pengujian secara simultan menunjukkan seluruh variabel memiliki pengaruh signifikan terhadap variabel y, kinerja karyawan di PT. Danamas Insan Krasi Andalan Medan. Kata Kunci : Komunikasi, Stres, Lingkungan Kerja, Kinerja Karyawa

A standard set of value-based patient-centered outcomes and measures of overall health in adults

Data de publicació electrònica: 01-11-2021Background: The definition of population-specific outcomes is an essential precondition for the implementation of value-based health care. We developed a minimum standard outcome set for overall adult health (OAH) to facilitate the implementation of value-based health care in tracking, comparing, and improving overall health care outcomes of adults across multiple conditions, which would be of particular relevance for primary care and public health populations. Methods: The International Consortium for Health Outcomes Measurement (ICHOM) convened an international panel (patients, clinicians, and topic experts). Following the development of a conceptual framework, a modified Delphi method (supported by public consultations) was implemented to identify, in sequence, the relevant domains, the best instruments for measuring them, the timing of measurement, and the relevant adjustment variables. Findings: Outcomes were identified in relation to overall health status and the domains of physical, mental, and social health. Three instruments covering these domains were identified: PROMIS Scale v1.2-Global Health (10 items), WHO Wellbeing Index (5 items), and the WHO Disability Assessment Schedule 2.0 (12 items). Case-mix variables included a range of sociodemographic and biometric measures. Yearly measurement was proposed for all outcomes and most case-mix variables. Interpretation: The ICHOM OAH Standard Set has been developed through consensus-based methods based on predefined criteria following high standards for the identification and selection of high-quality measures The involvements of a wide range of stakeholders supports the acceptability of the set, which is readily available for use and feasibility testing in clinical settings

A Standard Set of Value-Based Patient-Centered Outcomes and Measures of Overall Health in Adults

10.1007/s40271-021-00554-8PATIENT-PATIENT CENTERED OUTCOMES RESEARCH153341-35

A Standard Set of Value-Based Patient-Centered Outcomes and Measures of Overall Health in Adults

10.1007/s40271-021-00554-8PATIENT-PATIENT CENTERED OUTCOMES RESEARCH153341-35

Health system strengthening: a qualitative evaluation of implementation experience and lessons learned across five African countries

Background: Achieving the United Nations Sustainable Development Goals in sub-Saharan Africa will require substantial improvements in the coverage and performance of primary health care delivery systems. Projects supported by the Doris Duke Charitable Foundation’s (DDCF) African Health Initiative (AHI) created public-private-academic and community partnerships in five African countries to implement and evaluate district-level health system strengthening interventions. In this study, we captured common implementation experiences and lessons learned to understand core elements of successful health systems interventions. Methods: We used qualitative data from key informant interviews and annual progress reports from the five Population Health Implementation and Training (PHIT) partnership projects funded through AHI in Ghana, Mozambique, Rwanda, Tanzania, and Zambia. Results: Four major overarching lessons were highlighted. First, variety and inclusiveness of concerned key players (public, academic and private) are necessary to address complex health system issues at all levels. Second, a learning culture that promotes evidence creation and ability to efficiently adapt were key in order to meet changing contextual needs. Third, inclusion of strong implementation science tools and strategies allowed informed and measured learning processes and efficient dissemination of best practices. Fourth, five to seven years was the minimum time frame necessary to effectively implement complex health system strengthening interventions and generate the evidence base needed to advocate for sustainable change for the PHIT partnership projects. Conclusion: The AHI experience has raised remaining, if not overlooked, challenges and potential solutions to address complex health systems strengthening intervention designs and implementation issues, while aiming to measurably accomplish sustainable positive change in dynamic, learning, and varied contexts