Organizational performance in health services in Mali: Theoretical approach and prospects for improvement

Abstract

For several years, the concept of organizational performance in health services has been the subject of much debate in its definition as well as in the determination of measurement indicators. In Mali, the concept of performance in health services is very cumbersome because users complain about the quality of technical platforms, reception methods and the behavior of health personnel. A few studies have been conducted to measure hospital performance in biomedical research in the Malian health sector. However, very little research has shown an interest in hospital performance in management science research.

Thus, the purpose of this research is to review the literature on hospital performance in Mali and to propose prospects for improvement using tools from public hospital management. We found at the end of this research that the problem in hospital management comes from health development and that performance is inadequately measured in Mali. Thus, we explored theoretical models of performance, and we found that the Malian health sector is deficient in unidimensional and multidimensional approaches. We then proposed a review of measurement indicators and the integration of Community Health Centers and Reference Health Centers into formal processes for evaluating the performance of health services. We have also found that it is relevant to integrate staff into decision-making processes because they are marginalized in hospital management.

JEL Classification : I18

Paper type: Theoretical Research.