Research question/issue: Governments play a significant role in healthcare funding and regulation in all economically advanced nations. In some countries, healthcare delivery is the responsibility of the federal and state governments as they own and operate hospitals. Governance of public hospitals ought to fulfill the expectations of different stakeholders. This paper seeks to explore different perspectives or paradigms of governance, and submerge them to propose a multiperspective governance framework for public hospitals in a rapidly changing healthcare sector.Methodology: A literature search was conducted to find the articles and books that provided information related to public hospital governance.Research findings/insights: This paper reveals an emerging framework of public hospital governance based on modified traditional corporate governance, corporate social responsibility, principles of public enterprises governance, stakeholder theory of corporate governance, and nonprofit hospital governance.Theoretical/academic implications: This paper makes two important contributions. First, it suggests that traditional corporate governance may not be a good fit for public hospitals. Second, the paper outlines the components of a multiperspective public hospital governance framework.Practitioner/policy implications: This paper could potentially lead hospital managers and health policymakers to consider and adopt a new governance framework for public hospitals due to the fact that costs of and the demand for healthcare continue to rise while the fiscal resources are limited.

Public hospital

Project governance

10.1080/20479700.2017.1403761

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Citations (9)

Strategic management in hospitals – Theory and practice: Orthopedic and spine services

International Journal of Healthcare Management (2015)

Sunil K. Dixit

The healthcare sector in the United States has been constantly changing for the last two decades. Hospitals and physicians have to deliver a high quality of measurable care for competitve prices. The information in this article has been taken mainly from the public information of various hospitals to create a simulated real-life scenario by using the underpinnings of the industrial organisation (I/O), the resource-based view (RBV) and network theories of strategy. a comprehensive view of strategic managemnet of orthopedic and spine surgical services in hospitals has been presented. Hospitals may use the strategy mapping to attain a sustainable competitive advantage. Information and data have been modified to suit the overall strategy design.

10.1179/2047971915y.0000000004

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Citations (6)

Integration of importance-performance analysis into the strategy of hospitals

International Journal of Healthcare Management (2016)

Sunil K. Dixit

Research question/issue: Based on the work of Ellangovan et al.7 Ellangovan K, Sai LP, Kamalanabhan T. An importance performance analysis of performance dimensions in public hospitals. Int J Bus Innovation Res 2014;8(6):613–33. doi: 10.1504/IJBIR.2014.065488[Crossref] , [Google Scholar], this paper seeks to evaluate and explore the suitability of the importance-performance analysis (IPA) by using physicians’ perspectives regarding performance dimensions of hospitals and posits integration of the IPA tool into the strategy of hospitals.Research findings/insights: Physicians are service providers and/or managers responsible for delivery of healthcare services to the patients. The IPA has mostly been used to understand and interpret the perspectives of the users of services/products or patients in healthcare. The attributes used by the IPA tool should be synchronised or linked to the organisational strategy. A unique combination of business activities can be used to achieve sustainable competitive advantage. Appropriateness of the IPA should be explained and justified in each instance of its use.Theoretical/academic implications: Juxtaposition of business strategy and IPA attributes would advance the knowledge by integrating the underpinnings of one or more theories of strategic management. Enrichment of the existing IPA methodology could be explored by academic researchers by developing performance indicators based on hospital strategy.Practitioner/policy implications: Management practitioners can use the IPA tool to grasp the views of patients and/or service providers to improve the quality and cost of services by linking business strategy to attributes of the IPA tool in order to improve performance and bolster goal congruence.

10.1080/20479700.2016.1241036

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Citations (14)

A review of the Australian healthcare system: A policy perspective

SAGE Open Medicine (2018)

Sunil K. Dixit Murali Sambasivan

This article seeks to review the Australian healthcare system and compare it to similar systems in other countries to highlight the main issues and problems. A literature search for articles relating to the Australian and other developed countries’ healthcare systems was conducted by using Google and the library of Victoria University, Melbourne. Data from the websites of the Commonwealth of Australia, the Australian Institute of Health and Welfare, the Australian Productivity Commission, the Organisation for Economic Co-operation and Development and the World Bank have also been used. Although care within the Australian healthcare system is among the best in the world, there is a need to change the paradigm currently being used to measure the outcomes and allocate resources. The Australian healthcare system is potentially dealing with two main problems: (a) resource allocation, and (b) performance and patient outcomes improvements. An interdisciplinary research approach in the areas of performance measurement, quality and patient outcomes improvement could be adopted to discover new insights, by using the policy implementation error/efficiency and bureaucratic capacity. Hospital managers, executives and healthcare management practitioners could use an interdisciplinary approach to design new performance measurement models, in which financial performance, quality, healthcare and patient outcomes are blended in, for resource allocation and performance improvement. This article recommends that public policy implementation error and the bureaucratic capacity models be applied to healthcare to optimise the outcomes for the healthcare system in Australia. In addition, it highlights the need for evaluation of the current reimbursement method, freedom of choice to patients and a regular scrutiny of the appropriateness of care.

Reimbursement

Commonwealth

Bureaucracy

10.1177/2050312118769211

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Citations (174)

Multiperspective Public Healthcare Services Organization

Springer eBooks (2022)

Sunil K. Dixit Murali Sambasivan Sardar M. N. Islam

Public healthcare

10.1007/978-3-030-66252-3_3839

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