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The effects of healthcare governance and ownership structure on the performance of hospitals in Ghana

Patience Aseweh Abor (School of Management, University of Southampton, Southampton, UK and Department of Public Administration AND Health Services Management, University of Ghana, Legon, Ghana)

International Journal of Law and Management

ISSN: 1754-243X

Article publication date: 9 March 2015

Abstract

Purpose

The purpose of this study is to examine the effects of health-care governance and ownership structure on the performance of hospitals in Ghana.

Design/methodology/approach

The study uses multiple regression models based on a sample of 132 hospitals in Ghana.

Findings

The results of the study indicate that hospitals with a governing board perform better than those without a governing board. The results of this study also suggest that board characteristics and ownership structure are important in explaining the performance of hospitals in Ghana. The results further indicate that mission-based and private hospitals with effective board governance structures exhibit better performance than public hospitals.

Originality/value

This study makes a number of new and meaningful contributions to the extant literature and the findings support managerialism, stakeholder and resource dependency theories. The findings also have important implications for the effective governance of hospitals.

Keywords

Acknowledgements

The author is grateful for the financial support from University of Ghana Business School. The author also thanks the reviewers for the useful comments in improving the paper.

Citation

Abor, P.A. (2015), "The effects of healthcare governance and ownership structure on the performance of hospitals in Ghana", International Journal of Law and Management, Vol. 57 No. 2, pp. 107-140. https://doi.org/10.1108/IJLMA-04-2014-0031

Publisher

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Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited