Open AccessDEVOLUTION STRATEGIES IN HEALTHCARE PROVISION AND QUALITY OF SERVICES IN HOSPITALS: THE CASE OF MBAGATHI HOSPITAL, NAIROBI COUNTY
Author(s) -
Aviha Odari Sylvia,
Mary Ragui
Publication year - 2018
Publication title -
journal of strategic management
Language(s) - English
Resource type - Journals
ISSN - 2520-0461
DOI - 10.47672/jsm.355
Subject(s) - devolution (biology) , health care , business , stratified sampling , government (linguistics) , quality (philosophy) , human resources , descriptive statistics , population , nursing , medicine , environmental health , management , political science , philosophy , statistics , mathematics , epistemology , pathology , bipedalism , law , anatomy , economics , linguistics
Purpose: The overall objective of the study was to investigate the influence of devolution strategies on the quality of healthcare services in Nairobi City County.Methodology: A descriptive survey research design was employed for this research. The target population was 460 staff of Mbagathi Hospital. Stratified random sampling was undertaken where a sample of 139 hospital staff was selected. The study used questionnaires to collect data from the hospital staff and observations in the hospital environment and infrastructure. The study made use of quantitative methods of data analysis by use of SPSS version 19.0 as well as descriptive and inferential analysis. Data presentation was in form of frequency tables and descriptions.Results: The study found that human resource management, financial management, leadership and management and health infrastructure management have a positive and a significant effect on quality of healthcare services in Nairobi City County. In addition, organization culture moderates the relationship between devolution strategies and quality of healthcare services in Nairobi City County.Unique contribution to theory, practice and policy: The study recommends that an organization should adopt devolution strategies in areas concerning human resource management, financial management, leadership and health infrastructure in order to enhance coordination and overall management of the health sector. It also recommends the government to be effective in the running of devolution strategies to ensure better health care at the county level.