The Influence of Health Administration and Management Practices on Overall Healthcare Quality, Patient Outcomes, and System Efficiency: A Systematic Review
Year: 2024
Type: review
Study design: Systematic Review
Abstract: Background: Health administration and management practices are fundamental determinants of healthcare system performance, influencing quality of care, patient outcomes, and operational efficiency.Effective leadership, governance, workforce management, and resource allocation are increasingly emphasized as critical components of high-performing healthcare organizations.However, the evidence linking specific administrative and managerial practices to measurable healthcare outcomes remains dispersed across the literature.Objective: This systematic review aimed to synthesize available evidence on the influence of health administration and management practices on overall healthcare quality, patient outcomes, and system efficiency across various healthcare settings.Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Comprehensive searches were performed in PubMed, Scopus, Web of Science, and CINAHL for peer-reviewed studies published in English.Studies were included if they examined associations between health administration or management practicessuch as leadership approaches, governance structures, quality improvement initiatives, financial management, and human resource strategies-and outcomes related to healthcare quality, patient safety, clinical outcomes, or system efficiency.Data were extracted and synthesized using a narrative approach due to methodological heterogeneity.Results: A total of 32 studies met the inclusion criteria.The reviewed evidence demonstrated that strong leadership and effective governance were consistently associated with improved healthcare quality, enhanced patient safety, and higher patient satisfaction.Workforce planning, staff engagement, and continuous professional development were linked to better clinical outcomes and reduced staff turnover.Additionally, the implementation of quality management systems, performance monitoring, and efficient financial and operational strategies was associated with reduced length of hospital stay, improved resource utilization, and increased system efficiency.In contrast, inadequate administrative coordination and weak management practices were associated with inefficiencies and poorer patient outcomes.Conclusion: Health administration and management practices exert a significant influence on healthcare quality, patient outcomes, and system efficiency.Strengthening managerial capacity, leadership development, and evidence-based administrative strategies is essential for improving healthcare system performance.Policymakers and healthcare leaders should prioritize effective management frameworks to support sustainable, highquality care delivery.
Source: Journal of Ecohumanism
Institution: Primary Health Care
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7125218402
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