Performance Of Private Hospitals Research Articles

Structural Equation Modeling for the Business Performance of Private Hospitals in Thailand: Management Perspective

This research aimed to study the causal factors affecting the business performance of private hospitals in Thailand from a management perspective. The sample consisted of 411 executives from private hospitals in Thailand, selected through purposive sampling. Data were collected via questionnaire, with SEM being used for analysis. The results indicated that the development of an enterprise resource system, including the competency and capability of entrepreneurs, positively influenced the focus on competitive differentiation. In turn, this focus had a positive effect on customer relationship management. Customer relationship manage­ment positively impacted brand loyalty, which subsequently enhanced business performance. In contrast, the competency and capability of entrepreneurs did not have an effect on business performance. The findings suggest that the growth and sustainability of business performance in private hospitals depends on various supportive factors. These range from policy formulation and the development of technological systems in services to strategies for building customer relationships, all contributing to competitive advantages, service loyalty, and success in achieving set goals.

A Study on The Internal Determinants of Financial Sustainability Performance in Private Hospitals

Financial sustainability has been a significant goal across all sectors recently. It is also imperative to set financial sustainability as an objective to sustain operations in private hospitals that are pivotal within Türkiye’s health system. Literature highlights that the hospitals deliver services amidst significant financial challenges. The purpose of this study is to explore the internal factors related to financial sustainability performance in private hospitals, analyze the relationships between them, and develop recommendations based on the analysis. A quantitative, cross-sectional approach was employed in the research, utilizing a questionnaire to collect data. Seventy participants working in the administrative and financial departments of private hospitals from different cities were included. The data were analyzed by structural equation modeling. The study identified cost management practices, logistic performance, and marketing efforts as variables potentially related to financial sustainability performance. Correlation analysis indicated a significant, positive relationship between the variables and financial sustainability performance. Path analysis revealed that marketing efforts had the most significant impact on financial sustainability performance followed by cost management. Logistic performance had no significant influence within the model. The number of studies on healthcare sector considering financial sustainability and its’ possible determinants is highly limited. This study provides practical implications by examining this phenomenon with its’ potential internal determinants.

The Influence of Service Quality, Customer Relationship Management (CRM), and Image on Patient Satisfaction and Service Marketing Performance at A Type B Private Hospital in Makassar

Purpose: The overarching purpose of this research encompasses a multifaceted examination aimed at understanding various factors influencing patient satisfaction and service marketing performance in private hospitals in Makassar. Specifically, the objectives are to explore the impact of service quality, customer relationship management (CRM), and image on patient satisfaction, as well as to analyze their influence on service marketing performance. Methods: Primary data for this study were collected through a survey conducted among 160 inpatients across four Type B private hospitals in Makassar. The survey was administered between April and June 2022. Data analysis was conducted using Structural Equation Modeling (SEM), a statistical technique utilized to examine complex relationships among variables. Results and Discussion: The findings of the research revealed several significant insights: (1) Service quality, CRM, and image each had a direct impact on patient satisfaction at private hospitals in Makassar. (2) Furthermore, patient satisfaction was found to significantly influence service marketing performance. (3) Additionally, the study identified indirect effects, such as the influence of service quality, CRM, and image on service marketing performance mediated through patient satisfaction. Implications of the Research: These findings hold important implications for private hospitals in Makassar. Understanding and enhancing service quality, CRM practices, and image perception can directly contribute to improving patient satisfaction, which in turn positively impacts service marketing performance. By recognizing and addressing these factors, hospitals can better align their strategies to meet patient needs and enhance overall performance. Originality/Value: This research contributes to the existing literature by providing comprehensive insights into the dynamics between service quality, CRM, image, patient satisfaction, and service marketing performance in the context of private hospitals in Makassar. The study's findings offer valuable guidance for hospital management in devising effective strategies to optimize patient satisfaction and enhance service marketing outcomes, ultimately improving overall organizational performance.

The influence between work goal setting and employee performance in private hospitals in Uasin-Gishu County, Kenya

This study sought to examine the influence of work goal setting on employee performance in private hospitals in Uasin-Gishu County, Kenya. An Explanatory research design approach was adopted. The study population consisted of 2,298 employees of 31 private hospitals in Uasin-Gishu County, Kenya. The study utilised a sample of 317 employees. The data was gathered with the aid of a self-administered questionnaire. Data was analysed using inferential and descriptive statistics with the aid of SPSS software. The hypothesis was tested using the hierarchical regression analysis technique. The study's findings demonstrated a positive and significant effect between Work Goal Setting and Employee Performance (? = .548, ? = 0.000, ? < .05). Generally, these findings suggest embracing work goal setting in hospitals, specifically private hospitals in Uasin-Gishu County, which enhances employee performance. The findings of this study recommends that private hospitals consider work goal setting to enhance employee performance and overall organisation performance. Therefore, the absence of goal ambiguity and the presence of goal clarity will lead to multiple positive outcomes for an organisation that will improve employee performance and, thus, overall organisational performance. Hospitals should practice work goal setting and prioritisation as part of time management to enhance employee performance, specifically private Hospitals in Kenya.

The financial performance of private hospitals in Saudi Arabia: An investigation into the role of internal control and financial accountability.

The aim of this study was to examine the relationship between internal control, financial accountability, and financial performance in the private healthcare sector in the Kingdom of Saudi Arabia (KSA) through a questionnaire survey of 78 private hospitals. Drawing on agency theory, the study utilized structural equation modelling with partial least-squares technique to test multiple hypotheses. Results indicate a significant positive relationship between internal control and financial performance, with financial accountability acting as a mediator. Additionally, financial accountability was found to have a direct positive effect on financial performance. These findings provide new evidence for improving financial performance in private hospitals in the KSA through the implementation of internal control and financial accountability measures. Further research could examine additional factors that may impact financial performance in the healthcare sector.

The impact of emotional intelligence on job performance at private hospitals: The moderating role of organizational culture

Healthcare employees encounter work intimidation that influences their professional life. Emotional intelligence plays a significant role in employees’ success and performance. The organizational culture reflects the employees’ view of the company environment and relationships with others that are critical for attaining job performance. This study aims to investigate the impact of emotional intelligence on job performance in private hospitals and to test whether the organizational culture will moderate this relationship. To achieve this aim, the quantitative research approach is used. The sample consists of the big eight private hospitals in Amman. Using convenience sampling techniques, a structured questionnaire was used to collect data from hospital employees (nurses, physicians, and administrative workers). 700 questionnaires were distributed, and 554 were returned. 37 were incomplete, and 517 were used for further analysis. Descriptive data show that nurses enjoy higher emotional intelligence than physicians and administrative staff. The results of the main hypothesis (β = 0.805, t = 0.22.3, p < 0.00) indicate that emotional intelligence has a statistically significant effect on job performance. The testing of the four dimensions of emotional intelligence revealed a significant effect on job performance. The findings for self-emotional appraisal were β = 0.157, t = 0.14.41, p < 0.00; for others’ emotional appraisal – β = 0.238, t = 0.15.76, p < 0.00; regulation of emotions – β = 0.233, t = 0.16.19, p < 0.00; and for the use of emotions – β = 0.305, t = 0.17.30, p < 0.00.

Supplier Management Practices and Performance of Private Hospitals in Nairobi City County, Kenya

Supplier Management Practices and Performance of Private Hospitals in Nairobi City County, Kenya

Effect of work planning on employee performance in private hospitals in Uasin-Gishu County, Kenya

This study aimed at examining work planning’s effect on employee performance in Private Hospitals in Uasin-Gishu County, Kenya. An Explanatory research design approach was adopted. The study population consisted of all 2,298 employees of 31 private hospitals in Uasin-Gishu County, Kenya. A sample of 317 was utilised for the study. The data was collected with the aid of a self-administered questionnaire. Descriptive and inferential statistics did the data analysis with the aid of SPSS software. The hypothesis was tested through the entry regression analysis technique. Evidence obtained from the analysis confirmed work planning ((β = .483, ρ < 0.05) had a positive and significant effect on employee performance. Based on the findings, the study recommends that private hospitals consider work planning to enhance employee performance and overall organisation performance. The framework builds on the important themes of employee performance and shows their relevance in practice through work planning. Thus, the study partly contributes to the inconclusive debate on time management practices and employee performance nexus by arguing that work planning, a dimension of time management practices, has a direct effect on employee performance which is more important in enhancing organisational performance.

Effect of work scheduling on employee performance in private hospitals in Uasin-Gishu county, Kenya

The paper sought to examine the effect of work scheduling on employee performance in private hospitals in Uasin-Gishu County, Kenya. A survey research design approach was adopted. The study population consisted of all the licensed private hospitals in Uasin-Gishu County, Kenya. However, Out of the total 2,298 permanent employees of 31 private hospitals, a sample of 341 was selected based on Yamane (1967) procedure. A self-administered questionnaire was adopted for data collection. Data were then analysed through descriptive and inferential statistics. The hypotheses were tested through the entry regression analysis technique. Evidence obtained from the analysis confirmed a positive effect of a strong statistically significant positive relationship between work scheduling and employee performance in selected private hospitals in Uasin-Gishu County, Kenya (p = .001, b = 0.578, t = 22.416, p < .01). This study concludes that hospitals that practice work scheduling and prioritisation as part of time management practice enhance employee performance, specifically private Hospitals in Uasin-Gishu County, Kenya. The ministry of health should develop specific policies that incorporate time management practices to enhance employees’ performance in hospitals. Based on the findings, the study recommends that private hospitals consider work schedules to enhance employee and overall organisation performance. Thus, the study contributes to the inconclusive debate on time management practices as nexus as a strategic resource for employee performance.

Effect of Work Scheduling on Employee Performance in Private Hospitals in Uasin Gishu County, Kenya

The objective of this paper was to examine the effect of work scheduling on employee performance in Private Hospitals in Uasin-Gishu County, Kenya. A survey research design approach was adopted. The population of the study consisted of all the licensed private hospitals in Uasin-Gishu County, Kenya. However, Out of the total 2,298 permanent employees of 31 private hospitals, a sample of 341 was selected based on Yamane (1967) procedure. The data was collected with an aid of a self administered questionnaire. Data was analyzed through descriptive and inferential statistics. The hypotheses were tested through the entry regression analysis technique. Evidence obtained from the analysis confirmed a positive effect of strong statistically significant positive relationship between work scheduling and employee performance in selected private hospitals in Uasin-Gishu County,Kenya (p = .001, b = 0.578, t = 22.416, p < .01). This study had limitations; first, the study focused only on one aspect of time management practices “work scheduling” linking it to employee performance. Time management practice dimensions such as work planning, work organization and work goal setting may be studied in the future. Second, the study concentrated on a Kenyan economy, especially the private hospitals which is a developing country, thus the result may vary in other economies. Based on the findings, the study recommends that, private hospitals should consider work scheduling so as to enhance employee performance and overall organization performance. Thus, the study contributes to the inconclusive debate on time management practices as nexus as strategic resource for employee performance. Keywords: “Work Scheduling” “Employee Performance” “Time Management Practices” DOI: 10.7176/JRDM/87-03 Publication date: September 30 th 2022

Assessing the Performance of a Private Hospital in Nepal: Evidence from Pabon Lasso and Regression Models

There is limited empirical evidence on the relationship between management and performance of private hospitals in Nepal. We address this gap using de-identified inpatient data from a private hospital in Kathmandu between 2013 and 2017. We consider foreign-born and native-born patients separately, in addition to the full sample. Using a Pabon Lasso model, we assess relationship between hospital management and: (a) bed occupancy rate; (b) bed turnover rate; and (c) average length of stay. To complement the Pabon Lasso model, we use a regression analysis to assess the relationship between hospital management and length of stay in a multivariate framework. Our results indicate that separation between the chief executive officer (CEO) and board may promote better performance, versus CEO duality. However, there are important differences by performance indicator, patient type (i.e., native-born versus foreign-born) and analytical approach. These results comprise new evidence on the relationship between management and performance of private hospitals in a developing context.

Burnout Syndrome in COVID-19: an analysis of physicians from the public and private health system in the state of Sergipe

Objective: To compare the incidence of Burnout Syndrome (BS) among public and private physicians in Sergipe- Brazil, during the fight against COVID-19, investigating the relevance of the public and private work environment in the development of the disease. Methodology: Analytical study of a quantitative, cross-sectional nature, involving 86 doctors working directly with COVID-19 in Sergipe. An online, self-administered, objective and anonymous questionnaire was used, with questions composed by the Maslach Burnout Inventory. The positivity of the syndrome was compared among physicians from the public, private and both services, evaluating the prevalence of the three dimensions of BS in each one. Pearson chi-square, Shapiro-Wilks and Kruskal-Wallis tests were used. Results: 81.5% of those working in public service were positive for Burnout, compared to 33.3% in private sector. In the public sector, there was a predominance of high levels of emotional exhaustion (14.8%) and cynicism (14.8%). The lowest rates of emotional exhaustion (47.6%), cynicism (90.5%) and the highest rates of work effectiveness (85.7%) were in private service. In the analysis of odds ratio, exclusive performance in private hospitals decreased chances of BS, in relation to public hospitals. Conclusion: There was a predominance of BS in public service workers and exclusive performance in private hospitals decreased chances of BS, contributing to the hypothesis that public service is a determining factor in the development of the syndrome. To prevent and intervene in the illness of physicians, it is necessary to transform the current Brazilian public health reality and, thus, the work environment of these professionals.

Uticaj primene ISO standarda na finansijske performanse privatnih bolnica

Health care is a set of measures implemented with the aim of preventing the occurrence of diseases in the population, timely diagnosis, treatment and rehabilitation. Hospital health care is a part of a secondary level of health care. The paper examines the impact of the application of the International Organization for Standardization (ISO standards) on financial performance in private hospitals. The case study was made on the basis of a sample of the private hospitals in the city of Belgrade (the Republic of Serbia).

Strategy Implementation Practices and Performance of Private Hospitals in Nairobi City County

Purpose: Given the importance of effective strategy implementation, this study therefore sought to assess the influence of strategy implementation practices on performance of private hospitals in Nairobi County. This study was guided by the following specific objectives: to establish the effect of management commitment on performance of private hospitals in Nairobi County; to assess the effect of organizational culture on performance of private hospitals in Nairobi County.
 Methodology: The study was guided by Higgin’s 8S’framework and supported by dynamic capabilities theory. The study used a descriptive survey research design. The unit of analysis was private hospitals in Nairobi County. There are 55 private hospitals in Nairobi County. The unit of observation was top managers in each of the 55 private hospitals in Nairobi County. This study was a census of 55 private hospitals in Nairobi. The study collected primary data using semi-structured questionnaires. The questionnaires were self-administered to the respondents by the researcher. Collected data was analyzed using quantitative techniques. SPSS (version 22) was applied in analyzing quantitative data where descriptive statistics including means, frequencies, percentages and standard deviations were computed. The study also computed inferential data analysis by use of Pearson correlation coefficient and multiple regression analysis. Displaying of the information was done in table and figures.
 Findings: The study found that management commitment positively and significantly influences performance of private hospitals; organizational culture positively and significantly influences performance of private hospitals.
 Unique contribution to theory, policy, and practice: The study therefore recommends private hospitals to ensure that it is committed fully in all the activities/practices done by the organization. This can be achieved by ensuring it provides its employees with strategic direction and objectives. Also, it is important to ensure thee is effective communication at all levels and in all directions. The study recommends private hospitals to ensure they have a favourable culture that facilitates enhanced performance. They have to ensure the environment is supportive, it ensures there is knowledge sharing and that work ethics exist. Also, when implementing strategy, care should be taken to assess the strategy and ensure that culture link compatibility; this is because, if the planned strategy is in line with existing culture, strategy implementation becomes easier.

Examining the Effect of Organizational Culture on the Relationship between Supply Chain Quality Management Practices Adoption and Performance of Private Hospitals in Kenya

Health care institutions have complex global supply networks and organizations that have heterogenous cultural configurations. There are a number of studies that have directly linked supply chain quality management practices in the manufacturing sector and other service firms to organizational performance. However, minimal research has been done to examine the role of corporate culture in the relationship. Moreover, there is need to empirically confirm effect of corporate culture in private hospitals in Kenya where provision of quality and affordable health care remains a challenge. Corporate culture fit between organizations serves as a thread that ties firms together. The study was conducted in order examine the effect of organizational culture on the relationship between supply chain quality management practices adoption and performance of private hospitals in Kenya. Positivist research orientation and descriptive cross-sectional research design guided the research process. Raw data was collected from management staff tasked with supply chain decision making responsibility in the hospitals. A response rate of 70.51% was realized. Normality, collinearity, homoscedasticity and autocorrelation constituted model diagnosis. Hypothesis was tested using model fit indices and significance of path coefficient. The findings indicate that corporate culture has significant positive effect on the relationship. The study concluded that right corporate culture among supply chain partners both internally and externally serves as catalyst while implementing SCQM practices to bring about improved performance. It is therefore recommended that for private hospitals to benefit more from improved performance upon adopting SCQM practices, they must ensure homogeneity of cultural configurations internally and externally. In addition, the study provides future researchers with a useful conceptual and methodological reference that can be used in the pursuit of further studies particularly in the area of both supply chain and quality management with specific reference to the corporate culture as a moderating variable.

The Relationship between Job Characteristics and Transformational Leadership on Organization and Altruism Commitments and its Effects on Nurses’ Satisfaction and Performance in Private Hospitals of Samarinda City

The Relationship between Job Characteristics and Transformational Leadership on Organization and Altruism Commitments and its Effects on Nurses’ Satisfaction and Performance in Private Hospitals of Samarinda City

A Study of Employee Empowerment and its Impact on Employee’s Performance in Private Hospitals at Vellore, Vellore District

Employee empowerment is a new approach which is defined in many companies to make human resource development and to withhold employee from leaving their job by giving responsibility for decision making regarding their organizational tasks. The paper explains about the employee empowerment and its impact on employee’s experience in hospital service sectors excluding; nurses, doctor and lab technicians. The data are collected from primary and various secondary sources. It is took to a close that empowered employee is more being satisfied with their job and it increases the performance of the employee in work.

The impact of adopting an Activity-Based Cost System to maximize profitability (Applied Study in private hospitals in Basrah governorate)

The objective of this study is concerned with clarification of the impact of the adoption of the activity-based costing system in private hospitals in Basrah Governorate because the Activity-based costing system, if adopted, will contribute to reduce the cost of health services. It will also facilitate the measurement of the cost health services and the identification of obstacles that may arise and impede its application in these hospitals. For the purpose of the study, six private hospitals were chosen as study samples; they are (Al-Nour, Ibn Al-Bitar, Saadi, Rahma, Mowasat and Moussawi) for the period from April to July 2018. The researcher conducted a questionnaire survey in the aforesaid hospitals to collect data and information, adopting the descriptive approach in his study to fathom the impact of the adoption of the cost-based system of activity in maximizing profitability of private hospitals. He also used the inductive method to test the hypotheses of the study, distributing (96) forms of questionnaire and (16) regular forms among the study members, who responded to the questions in the questionnaire and the returned forms represented (100%) of distributed forms. He also used the statistical package program (SPSS) to analyze the results that the study reached at, where frequency, percentages, computations, standard deviations, simple regression testing and analysis of mono-variance were also used. The researcher concluded that reduction of expenses and costs of services would positively contribute to the maximization of profitability as considered one of the most important indicators of the measurement of success. The study also came out with the fact that senior management of the private hospitals in question did not believe in the feasibility of implementing the cost-based accounting system because it is very costing or because the management did not have the wish to apply it. However, all participants in the study agreed on the importance of an active cost accounting system in pricing of health services, which in turn leads to maximize profitability because the traditional cost system is unable to address the allocation of indirect costs of various activities in the performance of private hospitals, and to make proper decisions such as pricing decisions for health services.

Product Strategies Influencing Performance of Private Hospitals in Nyeri County, Kenya

Health sector is one of the critical sectors of any economy. In Kenya, the private health market has grown dramatically over the last two decades and is an important source of health care across various segments of the population. Private hospitals are established to fill the gap left by the government health facilities in provision of health care due to budgetary constraints. However the performance of some of these private hospitals has been declining. The study sought to investigate the effect of product Strategies on Performance of Private Hospitals in Nyeri County, Kenya. To achieve the objective of this study a descriptive research design was adopted. The target population was a census of 56 respondents composing of heads of department or their assistants in the five private hospitals in Nyeri County. Self-administered questionnaires were used to collect data from the private hospitals registered by Medical Practitioners and Dentists Board of Kenya in NyeriCounty. A pilot study was carried out in two private hospitals in Kirinyaga County. Cronbach Alpha coefficient with a value of 0.70 and above indicated that the instrument was reliable. Out of fifty six (56) questionnaires that were distributed, fifty one (51) responded representing a response rate of 91.1%. The analysis of the collected data was done by use of statistical package for social sciences (SPSS) to produce descriptive and inferential statistics. A bivariate linear regression was adopted at statistical confidence level of 95%. The study revealed that product strategies had positive and statistically significant effect on performance of private hospitals. In addition, the study revealed that majority of private hospital offers quality services and engages medical personnel who handle patients professionally. The study recommends that private hospitals should come up with health service delivery charter with a view to enhance the quality of service delivery and ultimately the performance. The study suggests that future research could focus on challenges private hospitals face when they focus on implementing product strategies.

The Effect of Organizational Structure on Employees' Job Performance in Private Hospitals of Ahvaz

The success of any organization depends on its performance. Any organization, office, section, group, system, or institute has a responsibility andeach organization can be said that has been created to conduct the particular task. Performance is also an activity, which is both conducted to do that task and also the result of the activity, in fact performance is pure result of person’s attempt, affected and changed by his abilities and characteristics as well as his perception of the responsibility and other factors.This study aims to determine the effect of organizational structure (structural aspects) on employees’ job performance of a private hospital in Ahvaz. This research is applied in terms of goal, and based on the manner of collecting data; it is descriptive of correlation-survey type. Statistical population includes all employees in the mentioned hospital in June, 2016 as 589 people, in which sample volume was calculated as 239 employees using Cochran formula. Research tool is the Stefan Robbins questionnaire of 24 questions to measure organizational structure and Patterson questionnaire of 15 questions to evaluate job performance. To check the reliability of questionnaires, Cronbach’s alpha coefficient test was used, the value of which for organizational structure was obtained as 0.86 and for job performance as 0.81. To determine the validity, content validity was used. To analyze data, Pearson correlation coefficient, multi-variable regression and single-sample T, given data normalization, were used. The results indicate that organizational structure (structural aspects) has a significant negative effect on job performance of employees in a private hospital of Ahvaz. That means, as regulations and complexity in the level (vertical, horizontal, geographical), formality and organizational concentration is more, employees’ job performance reduces.