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Title Comparative Analysis of Public and Private Health System Governance at Secondary Level: A Case Study of Azad Jammu and Kashmir

Author(s) Iqra Manzoor Kiyani

Abstract Health system governance refers to the actions and measures adopted by any public or private sector health providers to elevate the standard of the health support facilities of its inhabitants. The health system governance is complex and dynamic, and it experiences problems peculiar to its unique characteristics. Such problems include internal pressures arising from increased demands for transparency, responsiveness and accountability. Moreover, effective leadership and socio-economic factors have been recognized as essential in shaping organizational culture and driving the implementation of reforms in health system governance. In Pakistan health system governance has been challenged with problems of transparency, inadequate accountability and responsiveness especially in AJ&K. So, the objective of this study is to compare the health governance delivered by the public and private hospitals in AJ&K. For this purpose, effective health governance is measured by three dimensions namely accountability, transparency and responsiveness. The independent variables are leadership which is measured by knowledge, skills and ability and socio-economic factors and instrument used to measure are social connectedness, income inequality and collective efficacy. Due to the nature of this study only those respondents were included in the study having perceptions about both the hospitals. Therefore, 450 questionnaires were selected for this study. Results showed that private hospitals are showing better health governance as compared to public hospitals.

Type Thesis/Dissertation MS

Faculty Management Sciences

Department Governance and Public Policy

Language English

Publication Date 2021-11-16

Subject Governance

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