Health Institutions Administrator-Manager: A Key Pillar for Hospital Performance – Case of the Kenya General Referral Hospital in Lubumbashi (Upper Katanga, Democratic Republic of the Congo
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Abstract
The Health Institutions Administrator-Manager (AGIS) is increasingly seen as crucial to hospital performance. This study examines its impact at the General Reference Hospital of Kenya in Lubumbashi, exploring how AGIS influences organizational performance and what dysfunctions arise in its absence. A mixed-methods approach was used, involving surveys of healthcare professionals to compare hospital performance with and without an AGIS. Data collection focused on perceived roles, effectiveness, and organizational consequences of the AGIS function. 50% of respondents see AGIS as primarily responsible for service planning and organization. 30% highlight its role in financial management, while 20% associate it with human resource coordination. 70% believe that AGIS improves hospital performance, although 20% see no impact. Overall, 80% of respondents find the AGIS's performance satisfactory or highly satisfactory.
The AGIS is perceived as a vital strategic and operational pillar in healthcare institutions. Its absence leads to significant dysfunctions. Better integration and recognition of this role are essential for enhancing hospital governance and efficiency.
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References
Agyepong, I. A., Kodua, A., Adjei, S., & Adam, T. (2017). When ‘solutions of yesterday’ become problems of today: Crisis-ridden decision making in a complex adaptive health system. Health Policy and Planning, 32(suppl_3), iii20–iii31. https://doi.org/10.1093/heapol/czx098
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. https://doi.org/10.1177/014920639101700108
Donabedian, A. (1980). Explorations in quality assessment and monitoring. Volume I: The definition of quality and approaches to its assessment. Health Administration Press.
Dussault, G., & Dubois, C.-A. (2003). Human resources for health policies: A critical component in health policies. Human Resources for Health, 1(1), 1–16. https://doi.org/10.1186/1478-4491-1-1
Gage, A., Carnahan, E., & Bekele, Y. (2017) . Health information systems in lowincome settings: Evaluation of the National Health Information System in the DRC. Global Health: Science and Practice, 5(1), 108-117. https://doi.org/10.9745/GHSP-D16-00288
Ilunga, J. K. (2022). Analyse comparative de l'applicabilité du système de gestion budgétaire dans les institutions sanitaires publiques et privées à Kinshasa.[Mémoire publié, Université de Kinshasa].
Kabemba, P. M. (2019). Soutien du niveau intermédiaire du système de santé aux équipes cadres des districts sanitaires : Cas de la ville de Lubumbashi. Université de Lubumbashi.
Kitenge, J., Mvumbi, F., & Malamba, L. (2021). Gouvernance hospitalière et qualité des soins en République Démocratique du Congo : enjeux et perspectives. Revue Congolaise de Santé Publique, 12(2), 55–66.
Kouadio, K., & Touré, A. (2019). Le rôle de l’administrateur gestionnaire dans la gouvernance hospitalière en Afrique de l’Ouest : défis et perspectives. Revue Africaine de Santé Publique, 6(1), 45–52.
Lega, F., Prenestini, A., & Spurgeon, P. (2013). Is management essential to improving the performance and sustainability of health care systems and organizations?.Health Policy, 110(2-3), 249–262. https://doi.org/10.1016/j.healthpol.2013.02.009
Ministère de la Santé RDC. (2020). Plan national de développement sanitaire 20202025. Kinshasa : Ministère de la Santé.
Ministère de la Santé, France. (2021). Les directeurs d'hôpital : missions et formation. https://solidarites-sante.gouv.fr
Mintzberg, H. (1990). The professional bureaucracy. In H. Mintzberg (Ed.). Mintzberg on management: Inside our strange world of organizations (pp. 157–172). Free Press.
Mukwege, D., Wodon, Q., & Luboya, N. (2015). Gouvernance hospitalière adaptative en contexte changeant : étude des hôpitaux de Bunia, Logo et Katana en RDC. Université Catholique de Bukavu.
Observatoire de la Fonction Publique Sanitaire (OFPS). (2021). Rapport sur la gouvernance hospitalière en RDC. Kinshasa : OFPS.
Tshiamala, T. J. (2021). Gestion des ressources humaines dans les institutions sanitaires de la RDC. Éditions Universitaires Européennes
World Health Organization. (2022). Health system governance and leadership: A policy brief. WHO Press. https://www.who.int/publications/i/item/health-system-governancebrief-2022
World Health Organization. (2022). Health system governance and leadership: A policy brief. WHO Press. https://www.who.int/publications/i/item/health-system-governancebrief-2022.