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Accountability in the public health care systems: A developing economy perspective

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  • Lasuli Bakalikwira
  • Juma Bananuka
  • Twaha Kaawaase Kigongo
  • Doreen Musimenta
  • Veronica Mukyala

Abstract

The purpose of this paper is to report the results of the study carried out to examine the effects of hospital board governance and managerial competencies on accountability in the health care systems in Uganda. This study is cross–sectional and correlational. This study utilizes multiple regression models based on a sample of 52 government hospitals. The study’s unit of inquiry is hospital directors and accountants. The correlation results indicate a significant positive relationship between managerial competencies and accountability. The study further finds that board governance is not significantly correlated with accountability of government hospitals. In terms of hospital governance dimensions; board composition is positively and significantly related with accountability unlike board structure and board independence. The measurements used in all the predictor variables may not perfectly represent all the dimensions although they have been defined as precisely as possible by drawing upon relevant literature. Therefore, further research on other factors that explain the variance in accountability in the health sector is needed. Whereas hitherto, corporate governance and managerial competencies had been viewed as possible explanations of accountability in the public healthcare systems, this study only confirms managerial competencies to be a significant predictor of accountability in the public healthcare systems unlike board governance.

Suggested Citation

  • Lasuli Bakalikwira & Juma Bananuka & Twaha Kaawaase Kigongo & Doreen Musimenta & Veronica Mukyala, 2017. "Accountability in the public health care systems: A developing economy perspective," Cogent Business & Management, Taylor & Francis Journals, vol. 4(1), pages 1334995-133, January.
    • Handle: RePEc:taf:oabmxx:v:4:y:2017:i:1:p:1334995
    DOI: 10.1080/23311975.2017.1334995
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    1. Johnny Jermias, 2007. "The Effects of Corporate Governance on the Relationship between Innovative Efforts and Performance," European Accounting Review, Taylor & Francis Journals, vol. 16(4), pages 827-854.
    2. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    3. Niamh M. Brennan & Jill Solomon, 2008. "Corporate governance, accountability and mechanisms of accountability: an overview," Accounting, Auditing & Accountability Journal, Emerald Group Publishing Limited, vol. 21(7), pages 885-906, September.
    4. Jensen, Michael C. & Meckling, William H., 1976. "Theory of the firm: Managerial behavior, agency costs and ownership structure," Journal of Financial Economics, Elsevier, vol. 3(4), pages 305-360, October.
    5. Venancio Tauringana & Musa Mangena, 2014. "Board structure and supplementary commentary on the primary financial statements," Journal of Applied Accounting Research, Emerald Group Publishing Limited, vol. 15(3), pages 273-290, November.
    6. Robert M. Bushman & Abbie Smith, 2003. "Transparency, financial accounting information, and corporate governance," Economic Policy Review, Federal Reserve Bank of New York, vol. 9(Apr), pages 65-87.
    7. Enrico Bracci, 2014. "Accountability and governance in social care: the impact of personalisation," Qualitative Research in Accounting & Management, Emerald Group Publishing Limited, vol. 11(2), pages 111-128, June.
    8. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
    9. Venancio Tauringana & Musa Mangena, 2014. "Board structure and supplementary commentary on the primary financial statements," Journal of Applied Accounting Research, Emerald Group Publishing, vol. 15(3), pages 273-290.
    10. Theresa Dunne, 2013. "Governance and performance reporting in Scottish charities," Journal of Financial Reporting and Accounting, Emerald Group Publishing Limited, vol. 11(2), pages 112-130, October.
    11. Sueyoshi, Toshiyuki & Goto, Mika & Omi, Yusuke, 2010. "Corporate governance and firm performance: Evidence from Japanese manufacturing industries after the lost decade," European Journal of Operational Research, Elsevier, vol. 203(3), pages 724-736, June.
    12. Stephen Korutaro Nkundabanyanga, 2016. "Board governance, intellectual capital and firm performance," Journal of Economic and Administrative Sciences, Emerald Group Publishing Limited, vol. 32(1), pages 20-45, May.
    13. Xiaohui Wu & Hui Li, 2015. "Board independence and the quality of board monitoring: evidence from China," International Journal of Managerial Finance, Emerald Group Publishing Limited, vol. 11(3), pages 308-328, June.
    14. Rob Gray & Jan Bebbington & David Collison, 2006. "NGOs, civil society and accountability: making the people accountable to capital," Accounting, Auditing & Accountability Journal, Emerald Group Publishing, vol. 19(3), pages 319-348, April.
    15. Dena Ringold & Alaka Holla & Margaret Koziol & Santhosh Srinivasan, 2012. "Citizens and Service Delivery : Assessing the Use of Social Accountability Approaches in the Human Development Sectors," World Bank Publications - Books, The World Bank Group, number 2377.
    16. Allan D. Barton, 2006. "Public sector accountability and commercial-in-confidence outsourcing contracts," Accounting, Auditing & Accountability Journal, Emerald Group Publishing, vol. 19(2), pages 256-271, February.
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