Influence of Strategic Alignment on Service Delivery Among Private Hospitals in Kisumu County, Kenya
Main Article Content
Keywords
Strategic alignment, private hospitals, service delivery
Abstract
This study assessed the influence of strategic alignment on service delivery among private hospitals in Kisumu County, Kenya. Resource based view Theory and Structural Contingency Theory served as the theoretical underpinnings for the study. Descriptive study design was employed in the study. The study targeted 96 respondents comprising of two hospital administrators (Chief Executive officers and General Managers) and one patient from each of the 32 level 4 and 5 private hospitals in Kisumu County registered and licensed by KMDPU by 2023. Census sampling was applied in selecting 64 hospital administrators while simple random sampling was applied in selecting one patient per hospital to respond to service delivery questions during data collection. Primary data was collected through structured questionnaires. Descriptive and inferential analysis was used to the quantitative data. Results show that the relationship between strategic alignment and service delivery among private hospitals in Kisumu County was found to be linear, positive and significant (β = 0.543, p < 0.05). The findings further indicated that the relationship between strategic alignment and service delivery was positive and significant (r=.610**, ρ<0.01). The study therefore concluded that strategic alignment significantly influences service delivery among private hospitals in Kisumu County in Kenya. To ensure effective service delivery, the study recommended that management of private hospitals in Kisumu County should continuously adapt to the evolving industry environment, adhere to regulatory standards, and engage with the community to address the unique healthcare challenges of the region.
References
Ahmed, S. A. S., Ajisola, M., Azeem, K., Bakibinga, P., Chen, Y. F., Choudhury, N. N., ... & Yusuf, R. (2020). Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements. BMJ global health, 5(8), e003042.
Anamanjia, S., & Maina, R. (2022). Strategic alignment and performance of Kenya Revenue Authority. International Academic Journal of Innovation, Leadership and Entrepreneurship, 2(2), 297-338.
Ansah, R. K., & Akipelu, G. A. (2021). Integrating the Supply Chain to Excel: The Moderating Role of Competitive Advantage. International Journal of Supply and Operations Management, 8(4), 401-415.
Barney, J. (1991). Competitive advantage. Journal of management, 17(1), 99-120.
Donaldson, L. (1987). Strategy and structural adjustment to regain fit and performance: in defence of contingency
theory. Journal of management studies, 24(1), 1-24.
Dzhumalieva, S., & Helfert, M. (2008). A conceptual framework for handling complex administrative processes in E-government. In Information Systems and e-Business Technologies: 2nd International United Information Systems
Conference UNISCON 2008 Klagenfurt, Austria, April 22–25, 2008 Proceedings 2 (pp. 417-428). Springer Berlin Heidelberg.
Evers, K. W. (2010). Business-IT alignment: A current-state evaluation of strategic alignment within the hospital organization. Capella University.
Figueroa, C. A., Harrison, R., Chauhan, A., & Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC health services research, 19(1), 1-11.
Fu, Q., Abdul Rahman, A. A., Jiang, H., Abbas, J., & Comite, U. (2022). Sustainable supply chain and business performance: The impact of strategy, network design, information systems, and organizational structure. Sustainability, 14(3), 1080.
Gachoka, M. N. (2015). Application of business process re-engineering as a strategic planning tool by the Kenya Judiciary (Doctoral dissertation, University of Nairobi).
Ghonim, M. A., Khashaba, N. M., Al-Najaar, H. M., & Khashan, M. A. (2022). Strategic alignment and its impact on decision effectiveness: a comprehensive model. International Journal of Emerging Markets, 17(1), 198-218.
Gorgi, H. A., Fattahi, H., Shokri, A., Manafi, F., Alirezaei, S., Ghaemmohamadi, M. S., ... & Maajani, K. (2019). Strategic alignment, meaningful work, and employee engagement among teaching hospital's workforce in 2017. Bali Medical Journal, 8(1), 138-143.
Hamel, G., & Prahalad, C. K. (1990). Strategic intent. Mckinsey quarterly, (1), 36-61.
Hume, J., & Leonard, A. (2014). Exploring the strategic potential of internal communication in international non-governmental organisations. Public relations review, 40(2), 294-304.
Kim, J., Kim, H., & Kwon, H. (2020). The impact of employees’ perceptions of strategic alignment on sustainability: an empirical investigation of Korean firms. Sustainability, 12(10), 4180.
Kisumu County (2020). Kisumu County First County Integrated Development Plan CIDP 2013-2017. Kenya Property Developers Association. September 2013. Retrieved 29 May 2020.
KNBS. (2019). Kenya Population and Housing Census Volume I: Population by County and Sub-County. 2019.
Luftman, J. (2004). Assessing business-IT allignment maturity. In Strategies for information technology governance (pp. 99-128). Igi Global.
Masefield, S. C., Msosa, A., & Grugel, J. (2020). Challenges to effective governance in a low income healthcare system: a qualitative study of stakeholder perceptions in Malawi. BMC health services research, 20(1), 1-16.
Mbau, R., Kabia, E., Honda, A., Hanson, K., & Barasa, E. (2020). Examining purchasing reforms towards universal health coverage by the National Hospital Insurance Fund in Kenya. International journal for equity in health, 19, 1-18.
Moresky, R. T., Razzak, J., Reynolds, T., Wallis, L. A., Wachira, B. W., Nyirenda, M., ... & Hynes, E. J. C. (2019). Advancing research on emergency care systems in low-income and middle-income countries: ensuring high-quality care delivery systems. BMJ global health, 4(Suppl 6), e001265.
Moses, M. W., Korir, J., Zeng, W., Musiega, A., Oyasi, J., Lu, R., ... & Di Giorgio, L. (2021). Performance assessment of the county healthcare systems in Kenya: a mixed-methods analysis. BMJ global health, 6(6), e004707.
Muigua, P. D. (2021). Ensuring Healthy Lives and Well-being for All Kenyans. Journal of Conflict Management and Sustainable Development, 6(1).
Mutia, D. M. (2016). Evaluation of the Effectiveness of Facilities Maintenance Management in Major Public and Private Hospitals in Kenya (Doctoral dissertation, Mechanical Engineering, JKUAT).
Mwenzwa, E. M., & Misati, J. A. (2014). Kenya’s social development proposals and challenges: review of Kenya Vision 2030 first medium-term plan, 2008-2012.
Mweru, M. C., & Maina, T. M. (2016). Features of resource based view theory: An effective strategy in outsourcing.
Olwal, M. A., Benjamin, M., & Ndiao, O. (2018). Strategic Thinking and Organisational Performance of State Corporations in Kenya: The Case of National Social Security Fund (NSSF). Journal of African Interdisciplinary Studies
(JAIS), 2(5), 29.
Owolabi, A. O., & Yekinni, O. T. (2022). Utilisation of information and communication technologies for agricultural extension service delivery in public and non-public organisations in southwestern Nigeria. Heliyon, 8(9).
Pashutan, M., Abdolvand, N., & Harandi, S. R. (2022). The impact of IT resources and strategic alignment on organizational performance: The moderating role of environmental uncertainty. Digital Business, 2(2), 100026.
Peteraf, M. A., & Barney, J. B. (2003). Unraveling the resource‐based tangle. Managerial and decision economics, 24(4), 309-323.
Seify, M., Tabaeeian, R. A., & Khoshfetrat, A. (2020). Investigating factors in implementation of electronic customer relationship management and its consequences in private hospitals in Isfahan city. International Journal of Electronic Customer Relationship Management, 12(3), 225-245.
Selznick, P. (1957). Leadership Leadership in Administration: A Sociological Interpretation. New York [ua].
Sibé, M., Cueille, S., & Roberts, T. (2021). Variety and Performance of Innovative Organizational Structures: The Emergence of Territorial Support Platforms. Altering Frontiers: Organizational Innovations in Healthcare, 1, 115-139.
Som, A. (2008). Innovative human resource management and corporate performance in the context of economic liberalization in India. The International Journal of Human Resource Management, 19(7), 1278-1297.
Wernerfelt, B. (1984). Consumers with differing reaction speeds, scale advantages and industry structure. European Economic Review, 24(2), 257-270.
Wu, S. P. J., Straub, D. W., & Liang, T. P. (2015). How information technology governance mechanisms and strategic alignment influence organizational performance. MIS quarterly, 39(2), 497-518.
Yakub, A. O., Same, N. N., Owolabi, A. B., Nsafon, B. E. K., Suh, D., & Huh, J. S. (2022). Optimizing the performance of hybrid renewable energy systems to accelerate a sustainable energy transition in Nigeria: A case study of a rural healthcare centre in Kano. Energy Strategy Reviews, 43, 100906.
Zarafshan, H., Keshavarzpour, M., & Alizadeh, H. (2021). Improving the performance of small and medium Iranian businesses through strategic alignment and market response. Improving the performance of small and medium Iranian businesses through strategic alignment and market response, 75(1), 13-13.
Article Sidebar
Article Details
Charles Siso , Department of Accounting and Finance, Mount Kenya University, P.o Box 342-01000 Thika
Department of Accounting and Finance, Mount Kenya University, Kenya
Oscar Sangoro , Department of Accounting and Finance, Mount Kenya University, P.o Box 342-01000 Thika
Department of Accounting and Finance, Mount Kenya University, Kenya