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Chapter 25 - Strengthening Hospital Governance and Management to Become High-Performing Organizations

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

By
Ann-Lise Guisset  and
Eric de Roodenbeke
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
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Summary

Performance of hospitals is central to health system strengthening efforts, yet hospitals often fail to meet the needs of the communities they serve. Globally, 40% countries have fewer than 18 hospital beds for every 10,000 people, the estimated minimum number needed to achieve Sustainable Development Goal 3. Beyond insufficient numbers, priority should be given to improving internal operations of hospitals and their contribution to health systems. Implementing a national vision of the role of hospitals and their contribution to Universal Health Coverage requires a set of policy and operational levers that focus on system design, autonomy, accountability, regulation and people’s participation; efficient provider payment methods with monitoring and feedback mechanisms to reward hospitals that perform better; and ensure availability of adequate resources. The Chapters proposes three strategic approaches for improving hospital performance: (i) ensuring that hospital managers have the required competencies; (ii) having governance and operational frameworks; and (iii) monitoring and rewarding individual and collective practices.

Keywords

Hospital managementHospital PerformanceLeadership and Management CompetenciesHospital GovernanceProfessionalization of managersProduction process optimizationRewarding practicesL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 385 - 400
Publisher: Cambridge University Press
Print publication year: 2022

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