Volume 18, No. 6, 2021
Effect Of System Capability On The Performance Of Level Four Public Hospitals In Kenya
Mwenda Geoffrey Justus , Jesse Maina Kinyua , & Samuel Nduati Kariuki
Abstract
In the world of competition, organizations and more specifically public hospitals are rethinking on strategic management capabilities in order to improve performance. For the government of Kenya to achieve the social pillar of Vision 2030, public health facilities should embrace strategic management capabilities. The research objective of the study was to determine the effect of system capability on the performance of level four public hospitals in Kenya and moderating effect of organizational commitment on the relationship between strategic management capabilities and performance. The study was anchored on dynamic capability theory and balanced scorecard model. Positivist paradigm and cross-sectional research design were adopted. The target population of this study was 257 level four public hospitals in Kenya. The sample size of 157 level four public hospitals in Kenya was determined using Israel formula. Systematic sampling technique was used to select the respondents of the study. Respondents of this study included doctors, clinical officers, and nurses. Primary data were collected using questionnaires while secondary data were collected from published records such as customer service delivery charters and human resource records. Data were analyzed using descriptive statistics such as mean scores, standard deviation, percentages, and frequency tables and inferential statistics such as correlation and regression. Graphs, tables, figures, histograms, pie charts were used to present the results. The results indicated that the coefficient for system capability was significant (.150, p<.05) implying that system capability significantly affect the performance of level four public hospitals in Kenya. The results suggested that organizational commitment has a statistically significant moderating influence on the relationship between strategic management capabilities and performance of level four public hospitals in Kenya (F= 21.85, p=0.000<0.05) explaining 45.3% variation in performance of level four public hospitals in Kenya up from 43.0 % before introducing organizational commitment as a moderator. Organizational commitment strengthens the relationship between strategic management capabilities and performance of level four public hospitals in Kenya. The study also recommends that a hospital should establish systems and ensure employees are capacitated to adopt the system. The hospitals should establish an active website and computerized systems for managing patient information.
Pages: 3362-3373
Keywords: System Capability, Performance, Level Four Public Hospitals, Kenya.