Abstract
Globalization trends have made patients worldwide more aware of
quality healthcare. As everyone has equal rights to the same quality of health
care, several countries have attempted to provide and finance universal health
coverage. There is a need for re-structuring and re-engineering of health care
system in Pakistan to enjoy strategic competitiveness at global level. In
healthcare system, a strategic framework of leadership enforce an attempt to
systematize and structure a robust and accessible healthcare services. In the
light of the fact the need to determine the problems/gaps reaching the minimum
acceptable efficiency of healthcare system, the study made specific
investigations. It identifies the importance of various domains of the strategic
leadership framework for healthcare services, suggested by the world health
organization (WHO). The study focuses on the top level management of public
hospitals in Peshawar examined the prevailing practices and approaches of
strategic leadership in managing health care services. The population for the
study purposely confined to respondents from public sector hospitals of Pakistan
located in Peshawar, Khyber Pakhtunkhwa. From the selected hospitals, the top
level management is randomly selected, sample size (N=150), both male and
female, age groups range (1=28-35 years, 2=36-43 years, 3=44-51 years, and
4= 52+ years), having designation of Directors, Chairmen, Medical
Superintendents(MS),Deputy Superintendents (DMS), Chief Executives etc. The
investigation is made using a modified leadership framework prescribed by
WHO for the top level managers of the Hospitals in Peshawar. The Cronbach
Alpha for the reliability of the instrument is calculated (α= 0.891) indicates
strong internal consistency, hence an overall reliable scale. The results show
that domains of strategic leadership have significant influence on the
performance of managers providing quality healthcare services. The
unidirectional analysis using regression is made to check the role of related
domains of leadership on one major domain called Managing Services.
Creating vision is proved as highly influencing domain followed by ability of
working with others means that if top management got the competencies of
creating effective vision and involving others as team, the hospital services can
be managed effectively and efficiently leading to enhanced quality. The study
recommend strategic leaders of the hospitals to effectively frame, develop,
implement and implant the strategy that place patient care as the core services
that helps them to align the strategy with healthcare system requirements.
Aqsa Siddiq, Gohar Zaman. (2016) Leadership Competitiveness in Public Sector Hospitals of Pakistan, Abasyn Journal of Social Sciences, Volume-09, Issue-1.
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