Numéro actuel

Volume:4 Issue:4 Apr' 2025

Absence d’un administrateur gestionnaire des Institutions de Santé : facteur de dysfonctionnement organisationnel et de crise financière au Centre Hospitalier de Mont-Amba (Kinshasa, République Démocratique du Congo)

Abstract

The performance of hospital institutions largely depends on effective governance. The absence of a qualified healthcare institution administrator-manager can cause major organizational dysfunctions, affecting both service quality and financial stability. This study explores the impact of such an absence at Mont-Amba Hospital Center. A descriptive and analytical approach was used. Data were collected through semi-structured interviews with staff members (n=10) and document analysis (financial reports, organizational charts, and internal audits over a 3-year period). Findings highlight poor interdepartmental coordination, mismanagement of human and material resources, and chronic financial imbalance. The absence of an administrator-manager led to reduced performance, staff demotivation, and increased hospital debt. These results reinforce the critical role of the administrator-manager as a central actor in hospital governance. Their absence weakens planning, oversight, and effective resource allocation. It is urgent to institutionalize this role in public healthcare structures in the DRC. Key words: Hospital governance, Administrator-manager, Dysfunction, Financial crisis.hospital administrator-manager to improving both dimensions at Saint Luc Hospital in Kisantu. A cross-sectional quantitative study was conducted with 50 patients and 10 healthcare staff members. Data were collected using Likert scales. Pearson correlation and simple linear regression were used to analyze the relationships between variables. A strong and statistically significant positive correlation was found between perceived quality of care and patient satisfaction (r = 0.72; p < 0.001). The regression model shows that each additional point in perceived quality leads to a 70% increase in satisfaction, explaining 52% of its variance. The findings confirm that perceived quality of care significantly influences patient satisfaction. Staff members acknowledge that the administrator-manager plays a key role in enhancing service quality. Effective health management is thus a strategic driver of both care quality and user satisfaction.

Evaluation des pratiques d’encadrement pédagogique durant les stages cliniques : diagnostic des méthodes actuelles et identification des axes d’amélioration à l’Institut Supérieur des Techniques Médicales de Kikwit

Abstract

Clinical training is a fundamental pillar in the development of professional competencies among students in health sciences. In the Democratic Republic of Congo (DRC), where the healthcare system faces a shortage of qualified personnel and inconsistent quality of care, improving clinical supervision has become a strategic priority. This dissertation aims to evaluate pedagogical supervision practices during clinical placements at the Institut Supérieur des Techniques Médicales (ISTM) of Kikwit, in order to identify existing shortcomings and propose avenues for improvement to enhance the acquisition of professional skills. A quantitative, descriptive, and analytical study was conducted with a sample of 120 students and 25 supervisors selected from various clinical placement sites. Data were collected using self-administered questionnaires and observation checklists. The variables examined included supervisor availability, the quality of explanations provided, the teaching methods used, and the evaluation practices during placements. Findings show that only 33.3% of students received regular follow-up from their supervisors. Furthermore, 37.5% reported limited access to their supervisors, and 20.8% considered the explanations received to be insufficient. Despite these challenges, 91.7% of students acknowledged that clinical placements strengthened their self-confidence and contributed to their professional development. The study highlights significant gaps in clinical supervision that may hinder the effectiveness of training. It recommends the implementation of continuous training programs for supervisors, increased on-site presence, and the standardization of pedagogical practices to sustainably improve the quality of clinical education in the DRC.

Sr No.	Article Information
1	Absence d’un administrateur gestionnaire des Institutions de Santé : facteur de dysfonctionnement organisationnel et de crise financière au Centre Hospitalier de Mont-Amba (Kinshasa, République Démocratique du Congo) Author(s): Amisi Imani Aide-Stéphane, Tohemo Lukamba Alexis, Tabibi Mangombo Beaudras, Koyelongo Jean pierre, Bobazodisa Dikumueni Anderson, Ngwisani Matoba Norbert Mathieu, Kalau Kaumb Gabin, Mitano Mide Edmond. View Abstract Page No : 586-596 DOI: 10.59228/rcst.025.v4.i4.185 Download pdf
2	L’influence iatrogène du numérique dans la production des déviances sociales. Cas de la commune de N’sele Author(s): Tekila Matondo Déogratia, BofandoBasekawike Heurdis, Lunsongadio Doloka Jennifer , Tadi Tana Samy. View Abstract Page No : 597-610 DOI: 10.59228/rcst.025.v4.i4.186 Download pdf
3	Apport de l’Administrateur Gestionnaire des Institutions de Santé sur la qualité des soins et la satisfaction des patients, Cas de l’hôpital Saint Luc de Kisantu (Kongo Central) la République démocratique du Congo Author(s): Koyelongo Kitenge Jean Pierre, Tohemo Lukamba Alexis, Deka Lundu Jean Claude, Ndongala Félicien, Mbolo Fabienne Irène, Ngwisani Matoba Norbert Mathieu, Amisi Imani Aide-Stéphane, Kalau Kaumb Gabin, Bobazodisa Dikumueni Anderson. View Abstract Page No : 611-618 DOI: 10.59228/rcst.025.v4.i4.187 Download pdf
4	Mortalité périnatale dans la Zone de Santé de Ngaba, Kinshasa, République Démocratique du Congo : Prévalence et facteurs de risque Author(s): Kiomba Mbo Alex, Mukuna Nyembo Bertin, Tshimungu Kandolo Félicien. View Abstract Page No : 619-625 DOI: 10.59228/rcst.025.v4.i4.188 Download pdf
5	Evaluation des pratiques d’encadrement pédagogique durant les stages cliniques : diagnostic des méthodes actuelles et identification des axes d’amélioration à l’Institut Supérieur des Techniques Médicales de Kikwit Author(s): Masewula Bosold François, Tshitadi Makangu Augustin, Mukandu Basua Babintu Leyka. View Abstract Page No : 626-633 DOI: 10.59228/rcst.025.v4.i4.189 Download pdf
6	Prévalence et facteurs de risque du paludisme dans la commune de Wembo-Nyama à Lumumbaville en RD Congo, de 2023 à 2024 Author(s): Onahyuka Lushima Raymond, Ntoto Kunzi Bernard, Eloko Eya Matangelo Gérard, Vele Lushima Alexis, Dikete Okendembo, Onoya Wedi Josué, Katshinga Keshiweni Vinie, Kafinga Luzolo Emery. View Abstract Page No : 634-641 DOI: 10.59228/rcst.025.v4.i4.190
7	Attentes et besoins socio-culturels des adolescentes victimes de fistules obstétricales avant et après la réparation chirurgicale au Sankuru, RD Congo Author(s): Omba Tawedi Pascal, Ashema Mboyo Christine, Lowolo Koyi Jules, Olenga Kabale Jean, Mbungu Mwimba Roger, Mukandu Basua Babintu Leyka. View Abstract Page No : 642-653 DOI: 10.59228/rcst.025.v4.i4.191 Download pdf

Numéro actuel

Volume:4 Issue:4 Apr' 2025

Absence d’un administrateur gestionnaire des Institutions de Santé : facteur de dysfonctionnement organisationnel et de crise financière au Centre Hospitalier de Mont-Amba (Kinshasa, République Démocratique du Congo)

Abstract

L’influence iatrogène du numérique dans la production des déviances sociales. Cas de la commune de N’sele

Abstract

Apport de l’Administrateur Gestionnaire des Institutions de Santé sur la qualité des soins et la satisfaction des patients, Cas de l’hôpital Saint Luc de Kisantu (Kongo Central) la République démocratique du Congo

Abstract

Mortalité périnatale dans la Zone de Santé de Ngaba, Kinshasa, République Démocratique du Congo : Prévalence et facteurs de risque

Abstract

Evaluation des pratiques d’encadrement pédagogique durant les stages cliniques : diagnostic des méthodes actuelles et identification des axes d’amélioration à l’Institut Supérieur des Techniques Médicales de Kikwit

Abstract

Prévalence et facteurs de risque du paludisme dans la commune de Wembo-Nyama à Lumumbaville en RD Congo, de 2023 à 2024

Abstract

Attentes et besoins socio-culturels des adolescentes victimes de fistules obstétricales avant et après la réparation chirurgicale au Sankuru, RD Congo

Abstract