David (2006) stated that the following are the
factors responsible for maladministration in health care services which must be
addressed to ensure effective administration in health care services:
factors responsible for maladministration in health care services which must be
addressed to ensure effective administration in health care services:
1) Lack of Organizational Adaptation
This refers to the inability of the health care
system to adapt itself to the external world and carry on an effective
interchange with that world at all times. In order to reduce maladministration
of health care services, the health care system must be able to respond
successfully to relevant changes in its environment, to obtain resources and personnel,
maintain advantageous relationship with its community and generally to
influence its environment in the ways to benefit the system and its members.
system to adapt itself to the external world and carry on an effective
interchange with that world at all times. In order to reduce maladministration
of health care services, the health care system must be able to respond
successfully to relevant changes in its environment, to obtain resources and personnel,
maintain advantageous relationship with its community and generally to
influence its environment in the ways to benefit the system and its members.
2) Poor Organizational Allocation
This problem deals with the inability of the health
care system to deploy, allocate and utilize the available resources which
include facilities, fund and personnel in the most appropriate manner. To
handle related problems of access to an information among the participants,
also to ensure participation among the concerned in decision making process and
question of allocation of tasks and functions among departments, groups and
members.
care system to deploy, allocate and utilize the available resources which
include facilities, fund and personnel in the most appropriate manner. To
handle related problems of access to an information among the participants,
also to ensure participation among the concerned in decision making process and
question of allocation of tasks and functions among departments, groups and
members.
3) Problem of Co-ordination
Lack of proper coordination of health care service
system to articulate, interrelate and regulate the activities of various participants
has resulted to maladministration of health care services. To continually
coordinate in time and space in many diverse and interrelated activities of the
different members. How the health care administrators do coordinates the
activities of the doctors, nurses, accountant, laundry etc. to contribute to the
health care, if the health care administrators fail to do this, it fails to
function as an organization.
system to articulate, interrelate and regulate the activities of various participants
has resulted to maladministration of health care services. To continually
coordinate in time and space in many diverse and interrelated activities of the
different members. How the health care administrators do coordinates the
activities of the doctors, nurses, accountant, laundry etc. to contribute to the
health care, if the health care administrators fail to do this, it fails to
function as an organization.
4) Lack of Organizational Integration
Lack of organisational integration poses problems
to the health care system and deprived it of the ability to integrate itself
(unite itself). This will include all necessary functions associated with the
problem of integrating the individual members into the organization and
securing the cooperation. It also includes integrating all parts. Also,
development of common organizational values and shared norms, attitudes and mutual
understanding must be integrated. Each members need to be socialized into the
life of the organization.
to the health care system and deprived it of the ability to integrate itself
(unite itself). This will include all necessary functions associated with the
problem of integrating the individual members into the organization and
securing the cooperation. It also includes integrating all parts. Also,
development of common organizational values and shared norms, attitudes and mutual
understanding must be integrated. Each members need to be socialized into the
life of the organization.
5) Organizational Strain
The presence of organisational strain and inability
to resolve or minimize and manage the tensions and conflicts which may arise
within the organization which must be addressed by the health care system lead
to maladministration in the health care service. If it must be effective
particularly free from frictions and confrontations among the key groups. The
key groups that are always having frictions are doctors and nurses and others.
The health care administrators must also look at the strain among highly
interdependent groups and members and among unequal status participants (nurses
and cleaners, professional and non-professionals) the health care
administrators must try to manage stress and strain throughout the system, the
health care administrators can set up grievance committees.
to resolve or minimize and manage the tensions and conflicts which may arise
within the organization which must be addressed by the health care system lead
to maladministration in the health care service. If it must be effective
particularly free from frictions and confrontations among the key groups. The
key groups that are always having frictions are doctors and nurses and others.
The health care administrators must also look at the strain among highly
interdependent groups and members and among unequal status participants (nurses
and cleaners, professional and non-professionals) the health care
administrators must try to manage stress and strain throughout the system, the
health care administrators can set up grievance committees.
6) Poor Organizational
Output
Output
The health care service must possess the ability to
reach and maintain high levels of output if it is going to be an effective
organization in terms of quality, quantity, acceptability and cost. The health
care system deals with patient-care and provision of health services to the
community, in order to attain the high level of quality, quantity, acceptability
and cost, there must be qualified staff, enough staff, needs of the community
must be met and at affordable cost. The problem of output will also involve the
ability to maximize the efficient and reliable performance by all department,
groups and members. This assumes that a system of personal goal achievement and
job satisfaction on the part of the members is entrenched.
reach and maintain high levels of output if it is going to be an effective
organization in terms of quality, quantity, acceptability and cost. The health
care system deals with patient-care and provision of health services to the
community, in order to attain the high level of quality, quantity, acceptability
and cost, there must be qualified staff, enough staff, needs of the community
must be met and at affordable cost. The problem of output will also involve the
ability to maximize the efficient and reliable performance by all department,
groups and members. This assumes that a system of personal goal achievement and
job satisfaction on the part of the members is entrenched.
7) Poor Organizational Maintenance
This is the inability of the health care system to
preserve its identity and integrity as a distinct and unified problem – solving
system or to maintain itself and its basic character and viability in the face
of changes which are constantly occurring in its environment. The health care
system must look for a way of maintaining itself to ensure efficiency.
preserve its identity and integrity as a distinct and unified problem – solving
system or to maintain itself and its basic character and viability in the face
of changes which are constantly occurring in its environment. The health care
system must look for a way of maintaining itself to ensure efficiency.
