Title: An importance performance analysis of performance dimensions in public hospitals

Authors: K. Ellangovan; L. Prakash Sai; T.J. Kamalanabhan

Addresses: Department of Management Studies, Indian Institute of Management, Madras, Chennai, 600036, India ' Department of Management Studies, Indian Institute of Management, Madras, Chennai, 600036, India ' Department of Management Studies, Indian Institute of Management, Madras, Chennai, 600036, India

Abstract: The purpose of this paper is to understand physicians' perspectives on performance dimensions in public hospitals in the state of Kerala and to identify critical areas of concern. A survey was conducted in 23 district hospitals using an instrument developed on Likert's scale. Responses were obtained on the perceived 'importance' and actual 'performance' of the identified dimensions. Importance performance analysis (IPA) conducted on the data brought into focus, several areas of functioning of public hospitals wherein, both managerial and policy interventions are required. Functioning of the intensive care unit (ICU), casualty, adequate beds, autonomy, uninterrupted supply chain and availability of funds were some of the governance issues that needed urgent remedial action. Redressing these issues will increase the motivation of physicians leading to better clinical outcomes. The findings argue well for major administrative and policy interventions. Further, this would strengthen the argument for more funds for health sector within the government.

Keywords: importance performance analysis; IPA; performance measurement; public hospitals; performance dimensions; public health sector; physicians perspectives; India; perceived performance; actual performance; management interventions; policy interventions; ICUs; intensive care units; casualty; hospital beds; autonomy; funding; uninterrupted supply chains; physicians motivation; administrative interventions; healthcare performance.

DOI: 10.1504/IJBIR.2014.065488

International Journal of Business Innovation and Research, 2014 Vol.8 No.6, pp.613 - 633

Received: 08 May 2021
Accepted: 12 May 2021

Published online: 28 Oct 2014 *

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