THE IMPACT OF ORGANIZATIONAL STRUCTURE AND ADMINISTRATIVE POLICES OF HOSPITALS ON DELIVERING QUALITY OF SERVICE FOR PATIENTS SATISFACTION
Abstract
Background: A well-organized hospital will determine the kind of service it will render to its patients. This diverse mix of objectives determine the nature of the hospital, its organizational hierarchy, the scope and volume of activities, the number and size of departments, staffing patterns, etc.
Objective: The study seeks to examine the health workers and in-patient’s relationship building and to identify the importance of organizational structure in delivering quality services to in-patients.
Method: The researchers considered a total of 35 management, and 70 in-patients together in all 105 as the sample size. These consisting of both males and females working in the various functional areas, and operations in the Hospital. This sample size was chosen because it formed a fair representation of the population. Simple random sampling was the sampling technique used for the study.
Result: This output also shows that Patients satisfaction have a high positive relationship with Environment & physical ambience, Payment process & Discharge process ,Information flow to family about patient condition & treatment, Janitorial (daily cleaning), and Doctors information about treatment & concerns (administrative polices).
Conclusion: It was also recommended that; Management should reduce the number of health workers working under a superior and should also reduce the number of superiors’ management reports to. It was further recommended that, management should, improvement the clarity of communication and information giving to patients’ relatives on patients’ condition and Management should also paste the vision and mission statement of the hospital on walls and vantage points for reminder.
References
Bloisi, W., Cook, C.W., & Hunsaker, P.L. (2007). Management & organizational Behavior. (2nd ed). McGraw-Hill.
Burton, R.M. (1998). Strategic Organizational Diagnosis and Design. Developing Theory for Application. (2nd ed). Kluwer Academic Publishers.
Daft, R.L. (1999). Organization Theory and Design. (3rd ed.) West publishing co.
Deloitte. (2014). Global Health Care Outlook Shared Challenges, Shared Opportunities pp. 25.
Drucker, P.F. (1988). The coming of the new organization. Harvard Business Review, 66 (1), 45-53.
Duncan, R. (1979). What is the right organization structure? Decision tree analyses provides the answer. Organizational dynamics. Winter.
Fatima, T., Malik, S.A. and Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty : An investigation in context of private - healthcare systems. International Journal of Quality & Reliability Management, 35 (6), 1195- 1214.
https://doi.org/10.1108/IJQRM-02-2017-0031
Fiorio, C.V., Gorli, M. & Verzillo, S. (2018). Evaluating organizational change in health care: the patient-centered hospital model. BMC Health Serv Res, 18 (95), 102-112. https://doi.org/10.1186/s12913-018-2877-4
Francis, C.M. & Souza C de Mario. (2000). Hospital Administration. 3rd ed. Jaypee Brothers’ Medical publishers (P) LTD, 76-81.
Galbraith, J.R., (1972). Approche opérationnelle des problèmes de structure. Document de travail Institut Européen des Recherches et d’études supérieures en management. 72-39.
Galbraith, J.R., (1973). Designing complex organizations. Addison-Wesley Publishing Company.
Ghiselli, E.E., & Siegel, J.P. (1972). Leadership and Managerial Success in Tall and Flat Organization Structures. Personnel Psychology, 25 (4), 617-624.
Jonas, S. (1998). An introduction to the US Health care system. (4th ed.). Springer Publishing Company.
Koné Péfoyo, A. J., & Wodchis, W. P. (2013). Organizational performance impacting patient satisfaction in Ontario hospitals: a multilevel analysis. BMC research, 6 (10), 509. https://doi.org/10.1186/1756-0500-6-509
Leana A, Bachtiar A. (2017). An Analysis of The Hospital Bylaws Policies to Protect Healthcare Workers Against Indictments of Adverse Events. Journal Of Indonesian Health Policy And Administration, 2 (1), 12 – 17.
Miles, R.E., Snow, C.C., Meyer, A.D., & Coleman, H.J.JR. (1978). Organizational Strategy, Structure, and Process. Academy of Management Review, 3 (3), 546-562.
Nur Faezah Mohd Shukria, Aliza Ramlia. (2015). Organizational Structure and Performances of Responsible Malaysian Healthcare Providers: A Balanced Scorecard Perspective. Procedia Economics and Finance,28, 202 – 212. doi: 10.1016/S2212-5671(15)01101-6.
Wulan I.R. Sari. (2017). The role of regulations on administrative and practices in improving quality of services in public organizations. Cogent Business & Management, 4 (1). doi: 10.1080/23311975.2017.1396952
