Managerial factors associated with hospital performance in Vhembe District, Limpopo Province

Abstract

This study was aimed at gaining an in-depth understanding into the managerial factors that are associated with hospital performance. Out of all the contributing factors, managerial factors have the greatest impact on hospital performance. In South Africa, despite the availability of policies and guidelines and adequate funding, hospital performance is still poor. This study investigates the different aspects of managerial performance, looking specifically at organisational factors such as organisational culture, available resources, and performance monitoring methods; as well as personal factors of the managers; namely, their focus on quality, and personal leadership styles and skills. The study is a quantitative cross-sectional descriptive survey, utilising questionnaires distributed at the two largest district hospitals in Vhembe District. The study was aimed at a total population sample of managers, doctors and professional nurses in the two hospitals. The study highlighted areas of management in the two hospitals studied that were commendable, as well as those needing urgent attention. There was a statistically significant association between managerial factors associated with hospital performance, and better perceptions of hospital performance. In particular, leadership skills such as motivation and dedication, methodical and logical management styles, and a hands-on approach had a significant contribution to perceptions of hospital performance. The study also highlighted the importance of good communication between senior management and subordinates.