Accountability in Healthcare Organizations; A Survey-Based Study among Patients in Government Hospital, Makkah

Waad Alhothaly^1, and Mohamed Alhanawi²

¹Nursing Quality department, King Abdullah Medical City, Makkah, Saudi Arabia

²Faculty of Economics and Administration, King Abdul-Aziz University, Jeddah - Saudi Arabia

Cite this paper

Waad Alhothaly and Mohamed Alhanawi. Accountability in Healthcare Organizations; A Survey-Based Study among Patients in Government Hospital, Makkah. American Journal of Public Health Research. 2022; 10(1):3-10. doi: 10.12691/AJPHR-10-1-2

Abstract

Background: In recent years, accountability has become a key component of public service reform. Improving accountability has been cited as a factor in improving the health system's efficiency. In health care sector we need to identify the factors influencing accountability in health care organizations those that should be improved. Objective: The goal of this research is to identify the accountability in health care organization from patients’ perceptions. Subjects and Methods: The type of study was a Descriptive “Cross-Sectional Design”. Taken from a special hospital, Makkah, Saudi Arabia. A sample was collected from the 440 patients who was visited in King Abdullah Medical City (KAMC) outpatient department by using online self-made survey questionnaires. Results: Considering the patients’ perceptions on health care organization's accountability, most of the participants agree each statement in all dimensions. When proving the hypothesis, the finding shows that there is significant relationship between accountability in healthcare and dimensions such as professionals in healthcare, Government actions, legal and ethical concerns, and administration and management actions. The correlation matrix and regression analysis show that all the four dimensions have strong correlation with accountability in healthcare settings. Conclusion and Recommendations: Health care leaders will be able to implement the findings of this study to new strategic plan to improve accountability of the patients in healthcare settings in Saudi Arabia. In order to institutionalize improvement of patient’s accountability, Policies, organizations, and procedures must be aligned and integrated. The study findings have important in policy makers to maximize their accountability by focusing on quality, processes, information, involvement, and communication to patients This study strongly recommending to for further multicenter comparative study level, which can include government hospitals and private hospitals.

Keywords

accountability, healthcare, organizations

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Accountability-framework.pdf. (2015). Available at: https://www.who.int/about/who_reform/managerial/accountability-framework.pdf.
[2]	Brugha R. and Zwi A. (1998). ‘Improving the quality of private sector delivery of public health services: challenges and strategies’, Health Policy and Planning, 13(2), pp. 107-120.
[3]	Brinkerhoff, D. W. (2004). ‘Accountability and health systems: toward conceptual clarity and policy relevance’, Health Policy and Planning, 19(6), pp. 371-379.
[4]	Kennedy, D. M., Caselli, R. J. and Berry, L. L. (2011). ‘A roadmap for improving healthcare service quality’, Journal of Healthcare Management / American College of Healthcare Executives, 56(6), pp. 385-400; discussion 400-402.
[5]	Creating a Culture of Accountability in Healthcare’. (2018). PowerDMS, 1 March. Available at: https://www.powerdms.com/blog/creating-culture-accountability-healthcare/
[6]	O’Hagan, J. and Persaud, D. (2009). ‘Creating a culture of accountability in health care’, The Health Care Manager, 28(2), pp. 124-133.
[7]	Cornwall, A., Lucas, H. and Pasteur, K. (2000). ‘Introduction: Accountability through Participation: Developing Workable Partnership Models in the Health Sector’.
[8]	Kennedy, D. M., Didehban, R. and Fasolino, J. P. (2014). ‘Creating and sustaining a culture of accountability for patient experience’, Patient Experience Journal, 1(2), pp. 46-52.
[9]	Gelfand, M. J., Lim, B.-C. and Raver, J. L. (2004). ‘Culture and accountability in organizations: Variations in forms of social control across cultures’, Human Resource Management Review, 14(1), pp. 135-160.
[10]	Zeithaml, V.A., Berry, L.L. and Parasuraman, A. (1993). “The nature and determinants of customer expectations of service”, Journal of the Academy of Marketing Science, Vol. 21 No. 1, pp. 1-12.
[11]	Nurunnabi, M. and Kamrul Islam, S. (2012). ‘Accountability in the Bangladeshi privatized healthcare sector’, International Journal of Health Care Quality Assurance, 25(7), pp. 625-644.
[12]	Emanuel, E. J. and Emanuel, L. L. (1996). ‘What is accountability in health care?’, Annals of Internal Medicine, 124(2), pp. 229-239.
[13]	Hye, H.K.M.A. (2003). Health Regulation Review, World Bank Report, Dhaka, Bangladesh.
[14]	Collier, D., Goldstein, S. and Wilson, D. (2002). “Building a model of organization performance grounded in the Baldrige Award criteria”, Quality Progress, Vol. 35 No. 10, pp. 97-104.
[15]	Bakalikwira, L. et al. (2017). ‘Accountability in the public health care systems: A developing economy perspective’, Cogent Business & Management. Edited by C. G. Ntim, 4(1), p. 1334995.
[16]	Sobhan, F. and Werner, W. (2003). A Comparative Analysis of Corporate Governance in South Asia: Charting a Roadmap for Bangladesh, Bangladesh Enterprise Institute, Dhaka, Bangladesh.
[17]	Denis, J.-L. (2014). ‘Accountability in Healthcare Organizations and Systems’, Healthcare Policy, 10(SP), pp. 8-9.
[18]	Maynard A. 2013. “Health Care Rationing: Doing It Better in Public and Private Health Care Systems.” Journal of Health Politics, Policy and Law 38(6): 1103-27.