Accountability in the public health care systems: A developing economy perspective
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Cogent Business & Management
Abstract
The purpose of this paper is to report the results of the study carried out
to examine the effects of hospital board governance and managerial competencies
on accountability in the health care systems in Uganda. This study is cross–sectional
and correlational. This study utilizes multiple regression models based on a sample
of 52 government hospitals. The study’s unit of inquiry is hospital directors and accountants.
The correlation results indicate a significant positive relationship between
managerial competencies and accountability. The study further finds that board governance
is not significantly correlated with accountability of government hospitals.
In terms of hospital governance dimensions; board composition is positively and
significantly
related with accountability unlike board structure and board independence.
The measurements used in all the predictor variables may not perfectly represent
all the dimensions although they have been defined as precisely as possible
by drawing upon relevant literature. Therefore, further research on other factors
that explain the variance in accountability in the health sector is needed. Whereas hitherto, corporate governance and managerial competencies had been viewed as
possible explanations of accountability in the public healthcare systems, this study
only confirms managerial competencies to be a significant predictor of accountability
in the public healthcare systems unlike board governance.
Description
Keywords
Accountability, Uganda, Public sector, Hospitals, Board governance, Managerial competencies
Citation
Lasuli Bakalikwira, Juma Bananuka, Twaha Kaawaase Kigongo, Doreen Musimenta & Veronica Mukyala | (2017) Accountability in the public health care systems: A developing economy perspective, Cogent Business & Management, 4:1, 1334995, DOI: 10.1080/23311975.2017.1334995