Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center
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Abstract
The performance of hospital institutions largely depends on effective governance. The absence of a qualified healthcare institution administrator-manager can cause major organizational dysfunctions, affecting both service quality and financial stability. This study explores the impact of such an absence at Mont-Amba Hospital Center. A descriptive and analytical approach was used. Data were collected through semi-structured interviews with staff members (n=10) and document analysis (financial reports, organizational charts, and internal audits over a 3-year period). Findings highlight poor interdepartmental coordination, mismanagement of human and material resources, and chronic financial imbalance. The absence of an administrator-manager led to reduced performance, staff demotivation, and increased hospital debt. These results reinforce the critical role of the administrator-manager as a central actor in hospital governance. Their absence weakens planning, oversight, and effective resource allocation. It is urgent to institutionalize this role in public healthcare structures in the DRC.
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References
Berwick, D. M. (2016). Era 3 for medicine and health care. JAMA, 315(13), 1329–1330.
Dopson, S., & Fitzgerald, L. (2005). Knowledge to Action? Evidence-Based Health Care in Context. Oxford University Press.
Fallon, L. F., & Zgodzinski, E. J. (2011). Essentials of Public Health Management. Jones & Bartlett Publishers
Fottler, M. D., Savage, G. T., & Blair, J. D. (2010). Strategic Management of Health Care Organizations. Wiley.
Hernandez, S. R., & Bernet, P. M. (2019). Organizational models for health care delivery.Health Care Management Review, 44(4), 254–262. https://doi.org/10.1097/HMR.0000000000000207
Kakisingi, M., Mukadi, J., & Tshibanda, P. (2021). Gouvernance hospitalière et gestion des ressources en République Démocratique du Congo : état des lieux et perspectives. Revue Congolaise de Santé Publique, 12(2), 115-125.
Leggat, S. G. (2007). Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Services Research, 7(1), 17
Mintzberg, H. (1997). Structure et dynamique des organisations. Les Éditions d’Organisation.
Mintzberg, H. (2011). Managing the Myths of Health Care: Bridging the Separations between Care, Cure, Control, and Community. Berrett-Koehler Publishers.
Mintzberg, H. (2017). Managing the Myths of Health Care: Bridging the Separations between Care, Cure, Control, and Community. Berrett-Koehler Publishers.
Minvielle, E. (2012). Management hospitalier : vers une gouvernance renouvelée. Revue Hospitalière de France
Mukengeshayi, K., & Kabamba, J. (2019). Les défis de la gouvernance hospitalière en RDC : le rôle des administrateurs gestionnaires. Bulletin de la Santé en RDC, 9(1), 42-51.
OECD. (2020). Health at a glance: Europe 2020 – State of health in the EU cycle. OECD Publishing. https://doi.org/10.1787/82129230-en
Organisation mondiale de la santé. (2020). Strengthening hospital management: a key to health systems strengthening. OMS.
OMS Afrique. (2022). Amélioration de la gouvernance hospitalière en Afrique: rapport de situation. Bureau régional de l’OMS pour l’Afrique.
Pink, G. H., & Song, P. H. (2011). Financial performance of rural hospitals: a national comparison. The Journal of Rural Health, 27(1), 13–21
Programme National de Développement Sanitaire (PNDS). (2022). Rapport d’évaluation de la gouvernance hospitalière en RDC. Ministère de la Santé Publique, Hygiène et Prévention.
Tchouaket, E., Kameli, Y., & Noubissie, E. (2020). Gouvernance hospitalière et performance des hôpitaux en Afrique : revue de littérature. Journal Africain de Management en Santé, 8(1), 45-60.