The effects of organisational restructuring on performance of public sector organisations: the case of Komfo Anokye Teaching Hospital (KATH)

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Organizational restructuring describes a change in the structure of an organisation. Since 1980s restructuring as been viewed as a positive and constructive exercise, in terms of iding organizations with opportunities to make structural changes to increase their efficiency. It is argued that a good organization structure does not by itself produce good performance; but a poor organizational structure makes good performance impossible, no matter how good the individual managers may be. In 2001, management of KATH undertook internal reorganization of the hospital aimed improving efficiency and effectiveness in service delivery. After every aspect of the organization has been completed, evidence linking enhanced performance to the restructuring is non-existent. This study sought to bring to bear empirical evidence linking improved performance, based on identified criteria, to the reorganization of the hospital. A semi-structured questionnaire was used to obtain primary data for the study. Participants were selected using a combination of stratified and purposive sampling methods. SPSS software was used to generate descriptive statistical data for analysis, whilst MS Excel was employed to generate graphical charts of the results. The study reveals that the hospital was reorganised to create decentralized structures and that drastically reduced bureaucracy in the hospital. The findings however suggest low level of involvement of staff in decisions leading to the change. On the whole, restructuring the hospital improved staff development and involvement in decision 
A Dissertation Submitted to the Business School of the Kwame Nkrumah University of Science and Technology in Kwame Nkrumah University Of Science And Technology, Kumasi in partial fulfilment of a Master of Business Administration, 2008.