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Abstract
Hospital management plays a critical role in ensuring the delivery of quality health services, particularly within faith-based organizations such as the Christian Health Association (CHA). This systematic review explores the multidimensional impact of hospital management practices leadership, resource allocation, staff training, and community engagement on healthcare delivery in CHA facilities. A comprehensive search of peer-reviewed literature published between 2010 and 2025 was conducted, using databases such as PubMed, Scopus, and JSTOR. Studies were included if they examined hospital management in CHA or similar faith-based organizations and provided empirical evidence on healthcare quality improvements. The findings reveal that transformational and ethical leadership practices enhance accountability, staff motivation, and patient satisfaction, while visionary and collaborative leadership styles enable adaptability and foster teamwork. Effective resource allocation strategies, including equitable distribution, technology investments, and donor partnerships, were found to mitigate operational challenges and improve service quality. Continuous professional development programs focusing on clinical skills, emotional intelligence, and communication were essential for building a resilient healthcare workforce. Additionally, community engagement, through partnerships with local leaders and community health workers, significantly enhanced trust, accessibility, and cultural relevance of healthcare services. This review highlights the interconnected nature of management practices in CHA hospitals, emphasizing the need for a holistic approach to enhance healthcare quality. The findings provide actionable insights for policymakers, administrators, and stakeholders to design evidence-based strategies that address resource constraints and operational challenges. Future research should explore innovative solutions, including technology integration, to further optimize hospital management in faith-based healthcare organizations.
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References
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References
Asbu, E. Z., Masri, M. D., & Kaissi, A. (2018). Health system governance and performance: A cross-country analysis of governance and health outcomes. Frontiers in Public Health, 6, 72. https://doi.org/10.3389/fpubh.2018.00072
Bradley, S., Kamwendo, F., Masanja, H., de Pinho, H., Waxman, R., Boostrom, C., & McAuliffe, E. (2017). District health managers’ perceptions of supervision in Malawi and Tanzania. Human Resources for Health, 15(1), 57. https://doi.org/10.1186/s12960-017-0225-0
de Vries, E. F., Strating, M. M. H., & Paauwe, J. (2019). How organizational climate and job satisfaction affect patient experiences with hospitals: A cross-level study. BMC Health Services Research, 19(1), 100. https://doi.org/10.1186/s12913-019-3918-7
Dorgan, S., Layton, D., Bloom, N., Homkes, R., Sadun, R., & Van Reenen, J. (2010). Management in healthcare: Why good practice really matters. McKinsey & Company. https://doi.org/10.2139/ssrn.1703961
Garman, A. N., McAlearney, A. S., & Harrison, M. I. (2011). Leadership development in healthcare systems: Toward an evidence-based approach. Academy of Management Perspectives, 25(2), 6–17. https://doi.org/10.5465/amp.25.2.6
Johnson, J. A., Shah, M., & Merchant, N. (2018). Addressing health care workforce issues for the future. Workforce Solutions Review, 9(1), 24–32. https://doi.org/10.5465/wsr.2018.001
Kaplan, H. C., Brady, P. W., Dritz, M. C., Hooper, D. K., Linam, W. M., Froehle, C. M., & Margolis, P. (2015). The influence of context on quality improvement success in health care: A systematic review of the literature. Milbank Quarterly, 88(4), 500–559. https://doi.org/10.1111/j.1468-0009.2010.00611.x
Kumar, S., Kumar, N., & Adhish, V. S. (2016). Making sense of theories of leadership for capacity building. Indian Journal of Community Medicine, 41(2), 104. https://doi.org/10.4103/0970-0218.177542
Kwashie, E., Ofosu-Barko, A., & Ayim, M. (2018). Strengthening community engagement in healthcare delivery: Lessons from Ghana. Global Health Action, 11(1), 1511767. https://doi.org/10.1080/16549716.2018.1511767
Lievens, F., Coetsier, P., de Fruyt, F., & de Maeseneer, J. (2013). Medical students’ personality characteristics and academic performance: A five-factor model perspective. Medical Education, 36(11), 1050–1056. https://doi.org/10.1046/j.1365-2923.2002.01328.x
Marquez, L., & Kean, L. (2020). Making healthcare safer: The critical role of nursing leadership. Journal of Nursing Administration, 45(6), 290–295. https://doi.org/10.1097/NNA.0000000000000200
Mutale, W., Godfrey-Faussett, P., Mwanamwenge, M. T., & Michelo, C. (2017). Leadership and management training: A key to improving health systems in Africa. Health Policy and Planning, 32(2), 202–211. https://doi.org/10.1093/heapol/czw052
Nyoni, J., & Mafwiri, M. (2017). Health workforce governance in Sub-Saharan Africa. Frontiers in Public Health, 5, 26. https://doi.org/10.3389/fpubh.2017.00026
Olivier, J., Tsimpo, C., Gemignani, R., Shojo, M., Coulombe, H., Dimmock, F., & Sene, I. (2015). Understanding the roles of faith-based health-care providers in Africa: Review of the evidence. The Lancet, 386(10005), 1765–1775. https://doi.org/10.1016/S0140-6736(15)60251-3
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136(1), 161–171. https://doi.org/10.1196/annals.1425.011
Rispel, L. C., & Moorman, J. (2015). Health governance and leadership in South Africa. South African Health Review, 2015(1), 65–80. https://doi.org/10.1080/23262935.2015.1036566
Scott, A., Sivey, P., Ait Ouakrim, D., Willenberg, L., Naccarella, L., Furler, J., & Young, D. (2017). The effect of financial incentives on the quality of health care provided by primary care physicians. Cochrane Database of Systematic Reviews, 2017(9), CD008451. https://doi.org/10.1002/14651858.CD008451.pub2
Yates, R., & Dhillon, R. (2012). Universal health coverage and the post-2015 agenda. The Lancet, 380(9845), 1471–1473. https://doi.org/10.1016/S0140-6736(12)61635-5
Zwi, A. B., Grove, N. J., Mears, C., Reich, M. R., & Kruk, M. E. (2015). Development assistance and health systems strengthening. Global Public Health, 10(4), 436–455. https://doi.org/10.1080/17441692.2015.1005668
Zwarenstein, M., Reeves, S., Barr, H., Hammick, M., Koppel, I., & Atkins, J. (2019). Interprofessional education: Effects on professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2019(3), CD002213. https://doi.org/10.1002/14651858.CD002213
