An evaluation of the management practices in the healthcare delivery system of Ghana: a case study of Dunkwa Municipal Hospital, Dunkwa-On-Offin

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July, 2014
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Many healthcare delivery issues are managerial rather than policies. There is therefore the call for effective management practices in healthcare facilities.However, there is no specific management training system for doctors and others who become chief executive officers of these facilities. This study thus evaluates the management practices of healthcare delivery in Dunkwa Municipal Hospital and how it relates with quality of healthcare delivery. The study was a case study. The population of this study was 200 health staff and 50 patients. A sample size of 112 health staff; included 22 management and senior staff, 90 junior staff and 27 patients who visited the hospital were used. The purposive sampling method was used to select the management and senior staff of Dunkwa Municipal Hospital. The simple random sampling technique was used in this study to select the junior staff and patients. The instruments used for the study were questionnaires and interviews. The data was organized into frequency tables, pie-charts, bar charts and line graphs using MS-Excel 2007 and SPSS (version 16.0). Pearson’ Correlation Coefficient was used to test for significant relationship between healthcare management practices and healthcare delivery systems. The hospital had amenities and facilities were functional. Doctors, nurses, midwives, pharmacists, physician assistants, laboratory technicians, labourers, orderlies and security personnel were not sufficient. Healthcare management practices and healthcare delivery were positively and significantly related. Self-medication, superstition, cost of health care, attitude of the medical staff affected health care delivery in the hospital were challenges to efficacy healthcare management practices. The study recommends that the management should continue to improve management practices in hospital. Ghana Health Service should to post dieticians, physiotherapist and more doctors, nurses, midwives, pharmacists, physician assistants, laboratory technicians, labourers, orderlies and security personnel to the hospital. The management of the hospital should undertake outreach programmes in the communities to sensitize the people on the bad effects of self-medication and superstition among the people, and use strategic planning in the management of health care delivery in the hospital.
A thesis submitted to the Department of Marketing and Corporate Strategy, Kwame Nkrumah University of Science and Technology in partial fulfillment of the requirements for the degree of Master of Business Administration (Strategic Management and Consulting)