Integrated governance and provision of quality health care in government hospitals in Kenya
Governance has become an issue of global importance. The corporation has a vital role to play in promoting economic development and social progress. It is the engine of economic growth internationally and has become increasingly responsible for providing employment, public and private services, goods and infrastructure. The efficiency and accountability of the corporation is now a matter of both private and public interest, and governance has therefore come to the head of international agenda. The concept of 'integrated Governance 'refers jointly to the corporate governance and clinical governance duties of health care institutions. This study was concerned with studying integrated governance practices and provision of quality health care in government hospitals in Kenya. The research objectives of the study were to establish the governance practices in government hospitals in Kenya and also establish whether there is any link between integrated governance and provision of quality health care. . To facilitate and achieve the objectives of the study, a detailed questionnaire was used to gather information on the Hospital Management Boards (HMBs) and Clinical Governance in Government Hospitals in Kenya. Section A of the questionnaire which contained corporate governance issues was filled by the Health Administrative Officers while section B which contained clinical governance issues by the Medical Superintendents. The research findings showed that, the Government Hospitals in Kenya do not generally correlate well with the best practices of Corporate Governance. The results further showed that there is correlation between integrated governance and provision of quality health care. However, there lacked clear written guidelines and policies in clinical governance issues are addressed in an ad-hoc manner by different hospital clinical committees. It was also noted that other factors may contribute to the provision of quality health care which were not part of this study. This withstanding the, research objectives were met.