Exploring decision space: a case study of two South African central hospitals

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dc.contributor.advisorMcIntyre, Dien_ZA
dc.contributor.advisorCleary, Susanen_ZA
dc.contributor.advisorShung King, Mayleneen_ZA
dc.contributor.authorRoman, Tamlyn Eslieen_ZA
dc.date.accessioned2018-04-24T13:58:40Z
dc.date.available2018-04-24T13:58:40Z
dc.date.issued2018en_ZA
dc.description.abstractBackground: The objective of this study is to explore the determinants of decision space and to investigate how it functions within a central hospital in South Africa, where policy proposals regarding the decentralization of management authority are being considered in the context of concerns about poor hospital management, and in terms of planned implementation of the National Health Insurance policy. Methods: Using a mixed methods qualitative approach, the case study methodology involved the purposive selection of two central hospitals as case study sites in the South African province of Gauteng. Nested case studies that focused on the human resources and supply chain management departments involved exploratory and explanatory phases that included document review, work shadow with non-participant observation, and in-depth interviews. Thematic analysis was used to analyse the data and generate findings. Results: Emergent outcomes of the interactions between authority, organisational capacity and accountability were identified and contributed to the development of an analytical decision space framework. The framework outlines the way in which decision space influences the allocation of responsibilities, the responsiveness of decision-making and the use of resources within the organisation or system. Recommendations: In the context of national policy changes regarding the decentralisation of hospital management authorities, this framework can be used to understand how decision space functions in other settings, and to guide implementation of interventions for improved management.en_ZA
dc.identifier.apacitationRoman, T. E. (2018). <i>Exploring decision space: a case study of two South African central hospitals</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/27843en_ZA
dc.identifier.chicagocitationRoman, Tamlyn Eslie. <i>"Exploring decision space: a case study of two South African central hospitals."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2018. http://hdl.handle.net/11427/27843en_ZA
dc.identifier.citationRoman, T. 2018. Exploring decision space: a case study of two South African central hospitals. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Roman, Tamlyn Eslie AB - Background: The objective of this study is to explore the determinants of decision space and to investigate how it functions within a central hospital in South Africa, where policy proposals regarding the decentralization of management authority are being considered in the context of concerns about poor hospital management, and in terms of planned implementation of the National Health Insurance policy. Methods: Using a mixed methods qualitative approach, the case study methodology involved the purposive selection of two central hospitals as case study sites in the South African province of Gauteng. Nested case studies that focused on the human resources and supply chain management departments involved exploratory and explanatory phases that included document review, work shadow with non-participant observation, and in-depth interviews. Thematic analysis was used to analyse the data and generate findings. Results: Emergent outcomes of the interactions between authority, organisational capacity and accountability were identified and contributed to the development of an analytical decision space framework. The framework outlines the way in which decision space influences the allocation of responsibilities, the responsiveness of decision-making and the use of resources within the organisation or system. Recommendations: In the context of national policy changes regarding the decentralisation of hospital management authorities, this framework can be used to understand how decision space functions in other settings, and to guide implementation of interventions for improved management. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Exploring decision space: a case study of two South African central hospitals TI - Exploring decision space: a case study of two South African central hospitals UR - http://hdl.handle.net/11427/27843 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/27843
dc.identifier.vancouvercitationRoman TE. Exploring decision space: a case study of two South African central hospitals. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27843en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Healthen_ZA
dc.titleExploring decision space: a case study of two South African central hospitalsen_ZA
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationnamePhDen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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