Governance structures and practices in for‐profit and not‐for profit hospitals in Egypt

Abstract

Background Governance is a system that ensures and promotes accountability and responsibility toward stakeholders. The present study aims to compare the governance structures and practices in for‐profit and non‐for profit hospitals in Alexandria, Egypt. Methods The study is a descriptive cross sectional study in which Chief Executive officers (CEOs) in all hospitals in Alexandria Governorate were interviewed. A predesigned questionnaire was used in the interview that is composed of four section. The first section explored characteristics of study hospitals. The second section assessed the composition and the characteristics of boards. The third section assessed the functions of the board and the fourth section assessed boards' training and evaluation. Results A centralized board existed in the Health Insurance, Ministry of Health and Population and University hospitals. As for private hospitals, board existed in only 72 hospitals (82.75 %). Almost all boards have CEO duality. Board members were as few as two members in some boards and up to twenty members in others. Some hospital boards did not have an orientation manual or program. Conclusion A proportion of study hospitals does not have a governing board. For the hospitals with governing boards, there were wide variation in governance structures and practices.

Hospital governance accountability structure: a scoping review

“…This Board can be called the Board of Trustees, the Governing Board, or the Board of Directors [ 42 – 48 ]. This structure can have medical staff members or a counterpart structure called the council of medical staff [ 26 , 44 , 45 , 48 , 50 , 51 , 55 – 57 ]. f [ 49 , 50 , 55 , 59 , 60 ].…”

“…However, implementing external accountability is complex and may not be accurate [ 72 ]. In contrast, the hospital may have a structure that goes beyond the administrative bureaucracies of government organizations to monitor its performance and take necessary measures [ 52 , 57 , 68 , 69 ]. The hospital should be able to be accountable to its governance structure (board, council of medical staff) for all performances, including financial, clinical, sociopolitical, strategies, and operations [ 26 , 36 , 46 , 52 ].…”

“… Alhothaly [ 86 ] KSA 2021 identify the accountability in health care organization from patients King Abdullah Medical City (KAMC) Peer review article/Cross-Sectional Design there is significant relationship between accountability in healthcare and dimensions such as professionals in healthcare, Government actions, legal and ethical concerns, and administration and management actions. The correlation matrix and regression analysis show that all the four dimensions have strong correlation with accountability in healthcare settings Fayed [ 57 ] Egypt 2021 compare the governance structures and practices in for profit and nonnon-for-profit hospitals in Alexandria, Egypt. For-profit and nonnon-for profit hospitals Peer review article/e/ descriptive cross-sectional study As for private hospitals, Board existed in only 72 hospitals (82.75%5 %).…”