Christ
our Hope
in healthcare
Improving
Quality of Care

Purpose
 Problems
 Predisposing factors
 Plans
Problems re Quality of Care
Absenteeism (sick staff)
Administrative issues
Agency staff (not familiar,
Spiritual care (of staff & patients)
inexperienced)
Apathy amongst healthcare-workers
Appointments inappropriate
Attitude towards work/ patients
wrong
Attitudes: inter-personal relations
Batho Pele lacking
Brain-drain: loss of experienced staff,
nurses and doctors (to overseas)
Burn-out (due to staff-shortage &
neglected
Staff support lacking
Lack of support from support
Lack of training
Laziness
Loss in ethics
Loss of calling
Materials
Medical Aid problems
Medicines not enough
Migration
Motives for being in healthcare are
moonlighting)
Commitment lacking (in healthcareworkers & authorities): towards
responsibilities; specific
promises
Communication poor
Community abusive to healthworkers
Compliance lacking (patients)
Corruption
Costliness of private services
Crime at clinics
Customer care declining
Demanding patients
Deterioration of services dramatic
Discipline lacking
Equipment faulty
Equipment: lack
Fatigue (moonlighting)
wrong
No medicines available
NO purpose (identity)
Overcrowding (OPD & in-patients)
Patients more knowledgeable about
diseases
Perverse incentives
Politics
Politics – interference
Poor salaries
Poor vision & calling
Private Training School standards
low
Racism
Resources lacking: human & material
Role models lacking
Short staffed (nurses & doctors)
Shortage of staff
Superficial care
80 Problems
mentioned
Predisposing factors re Problems in Quality of Care
 Spiritual factors
 Management factors
 Political factors
 Social factors
 Money factors
 Training (education) factors
 Leadership factors
 Staffing factors
Absenteeism
Appointment process long
Auditing & feedback lacking
Backsliding - national
Batho pele on paper only
Brain-drain
Christ is sidelined
Christian healthcare-workers are
withdrawing (not standing up/out)
Commitment lacking
Communication lacking (both ways)
Competition unhealthy
Conditions of service (salary,
working hours...)
Controls –lack of (medicines,
vehicles, finance, equipment)
Corruption
Culture of entitlement
Discipline lacking
Economy
Fear of God sadly lacking
Financial factors
HCF is dwindling (?)
Illegal immigration
Image of health profession low now
Inter-professional competition
Lack of visionary leadership
(management)
Leadership vacuum (national & prov)
Management poor
Materialism (money-hunger)
Misinterpretation of democracy
Morale poor...
Retention strategy poor
Self-centredness / selfishness
Social factors
Spiritual factors
Staff shortages
Training lacking
Training centres closed
Tsotsi element
Ubuntu missing
Underpaying
Unions
Working environment...
Spiritual factors
Management factors
Political factors
Social factors
Money factors
Training (education) factors
Leadership factors
Staffing factors
What-to-do?!
What does the LORD want
us to do... NOW?
Plans
Listed Prioritized Plans re Improving Quality of Care
- as listed as it was mentioned by participant discussion groups (combined here)
Personal and health institution
prayer, repentance, revival &
reformation... Individual impact/role
Be salt & light
Dedicated & diligent
Love people
Prayerful & full of Word of God
Prayer calendar
Bring Christ back into us Christians
Prayer; Evangelism (active/ effective)
Discipleship
Promote personal devotional life
Repentance & boldness
Promote Personal Devotional Life
Start where you are – influence others –
they also influence others and link
strategically with others – slowly
transforming hospital... Yeast principle
Get involved in health politics and
management Political involvement
Lobby politicians
Pray for politicians
Representation on legislation
Regular prayer for government
Get involved in health care politics
Identify, support, feedback, lobby
with Christians in management
& policy-making
Attend Union meetings & speak
boldly
Your life must reflect Christ
Be involved at government level and
Training, development & discipleship
Train trainers & Christian students
Train health care workers
Biblical studies in schools again
Seminars / workshops for health-workers
on skills development and relevant needs
(e.g. peer pressure, persecution,
evangelism, spiritual care, etc.)... HCF
modules
Christian Education of health
professionals – involve, revive, reform.
Christian organizations involved in
developing curriculums
National Christian Health-professions
Educators’ Conference...
Networking
Individual
Churches
Make “Linking with Churches and
Students”-ministry one of the
10 HCF Action Team Ministries
Establish Christian Health-workers’
Networking (Ambassadors’)
Group
Development of Christ-centered
Clinical Care (methods/policies)
A conceptual framework by one group
about the “HOW”:
1) Identify & quantify our human
resources
2) Identify & quantify organizational
resources
5 Key areas
emerged
5 Key Areas/ Action steps to
Improve Quality of Care
1. Personal revival
2. Network now...
3. Christian Education
of health
professionals
4. Training, development and
discipleship
5. Health politics & management
Personally pray, repent,
be revived & changed
to be the loving light and salt and yeast at home
and in the workplace... with the Lord Jesus
Christ as the Origin and Center and Goal of all...
while maintaining a strong, healthy personal
devotional life,
...and maintaining a strong, loving, humble, holy,
active, “on fire”, enthusiastic, bold, wise,
evangelistic, dedicated, diligent, responsible,
professional Christ-filled life...
This ... to extend to the institutions as well!!
Only Whole Persons
can practice Whole Person Care
...Christ-centered Care
Network now...
Form Christian Health-workers’
Networking Group today
Establish the 10th HCF Action
Team Ministry: “Linking with
Churches and Students”
Each organization network with....
Each participant....
Christian Education
of Health Professionals
Occupy as many as possible
educator positions
Arrange a National Christian
Health-professions Educators’
Conference
The heart
of education is
the education of
the heart”
Training, Development &
Discipleship
NEW nursing students & medical
students...
Revitalize the regular presentation of
relevant, inspiring, life-changing
seminars
Resuscitate the optimal functioning &
GROWTH of local HCFs and Action
Teams and branches of CMF, etc....
HCF
Prayer
Evangelism
Ministries
Discipleship
Development
Media
Camps, Conferences, Seminars
Finance
Children’s ministry
Healthcare trends: HIV/AIDS,
ethics, abortion, etc
10. Linking with Churches/Students
1.
2.
3.
4.
5.
6.
7.
8.
9.
Health politics and
management
Attend
Pray
Reach out to management
Christian Health-workers’ Networking
Group
Support
Be involved...
No fear
In Christ – BOLD (humbly)
What
is our
GOAL?
Our Goal is God!
“The devil does not care how many
hospitals we build, …if only he can
pull our ideals down, and sidetrack
us on to anything of any sort except
the living of holy, loving, humble
lives, and the bringing of men,
women, and children to know our
Lord Jesus Christ not only as Savior
but as Sovereign Lord.”
Amy Carmichael
“The devil does not care how many
hospitals we build, …if only he can
pull our ideals down, and sidetrack
us on to anything of any sort except
the living of holy, loving, humble
lives, and the bringing of men,
women, and children to know our
Lord Jesus Christ not only as Savior
but as Sovereign Lord.”
Amy Carmichael
Let’s do it
with God’s help
and to His glory!
Come apart...
Rest...
Re-fire...
Christ-Centered
Clinical
Clinical
Person
of
Doctor
Person
of
Christ
Person
of
Patient
Context
(Family &
Work)
Context
(Family &
Work)
Doctor
Doctor
Patient
Disease-Centered
Person
of
Doctor
Person
of
Patient
Clinical
Clinical
Disease
Context
(Family &
Work)
Context
(Family &
Work)
Doctor
Doctor
Patient
Doctor-Centered
Person
of
Patient
Clinical
Person
of
Doctor
Clinical
Context
(Family &
Work)
Context
(Family &
Work)
Doctor
Doctor
Patient
Patient-Centered
Clinical
Clinical
Person
of
Doctor
Person
of
Patient
Context
(Family &
Work)
Context
(Family &
Work)
Doctor
Doctor
Patient