Clinical Governance and Organizational Effectiveness: A Comparative Study of Public and Private Hospitals in Ghana

Abstract

Clinical governance is required to ensure the effectiveness of healthcare institutions in every economy. We sought to examine empirically the extent to which clinical governance relate to organizational effectiveness in healthcare institutions in Ghana as well as investigate difference in clinical governance and organizational effectiveness between public and private sector hospitals. Cross-sectional survey design was utilized in which data were collected from 143 respondents from public and private hospitals within the Greater Accra Metropolis of Ghana via reliable questionnaire. The hypotheses were tested using inferential statistical tests such as Pearson Product-Moment correlation and Independent t-test. It was revealed that clinical governance related significantly and positively to organizational effectiveness. It was also found that private hospitals were more effective than public hospitals. However, there was no significant difference in clinical governance between public and private hospitals in Ghana. The findings were consistent with clinical governance theories. The implications for the development of an effective clinical governance structure in healthcare institutions have been discussed.