Evaluating the Governance of Specialized Hospitals with a Board of Directors: The Case of Mongolia
DOI:
https://doi.org/10.24079/CAJMS.2025.02.004Keywords:
Governance, Hospital governance, Clinical governanceAbstract
Objective: This study investigates the influence of organisational climate, professional development, and work outcomes on clinical governance in hospitals, with a focus on the Mongolian healthcare system. Clinical governance is a multidimensional framework that seeks to ensure the continuous improvement of healthcare quality by integrating professional standards, accountability mechanisms, and evidence-based management practices. Despite its recognised importance in international contexts, research on clinical governance in Mongolia remains limited, particularly regarding the organisational factors that shape its effectiveness. Methods: To address this gap, structured questionnaires were administered to 605 hospital staff, representing a diverse range of clinical and administrative roles. Data were collected online between August 2022 and February 2023 to ensure broad participation while minimising disruption to hospital operations. The study employed both SmartPLS 3.0 for structural equation modelling and SPSS 24.0 for descriptive and inferential statistical analyses, enabling robust hypothesis testing and triangulation of results. Results: Three hypotheses were tested concerning the relationship between organisational climate, professional development, work outcomes, and clinical governance. The findings revealed that two hypotheses demonstrated statistically significant positive associations, indicating that supportive organisational environments and opportunities for continuous professional growth enhance clinical governance. Conversely, one hypothesis indicated a negative association, suggesting that adverse work-related pressures may undermine governance outcomes. The study makes several contributions to the literature. Conclusion: Theoretically, it expands the understanding of governance by linking institutional climate and individual development to governance performance. Empirically, it provides rare evidence from a specialised hospital context in Mongolia, contributing to comparative knowledge in global health governance. Practically, the findings suggest that hospital leaders and policymakers should prioritise strengthening organisational climate, investing in professional development, and mitigating negative work pressures to enhance governance effectiveness and ultimately improve clinical outcomes.
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References
1. Handoko T. Personnel Management and Human Resources Issue II (14th ed.). Yogyakarta: BPFE. 2010
2. Mangkunegara A W.Effect of training, competence and discipline on employee performance in the company (case study in PT. Asuransi Bangun Askrida). Procedia - Soc Beh Sci. 2015;211:1240-1251. https://doi.org/10.1016/j.sbspro.2015.11.164
3. Sekaran U. Business Research Methods: A Managerial Approach. New York: Longman. 2000.
4. Netemeyer R G, Bearden W O, Sharma S. Scaling Procedures: Issues and Applications. Thousand Oaks, CA: Sage Publications. 2003.
5. Creswell J. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (2nd ed.). Thousand Oaks, CA: Sage Publications. 2003.
6. Henseler J. A new criterion for assessing discriminant validity in variance-based structural equation modeling. J Acad Market Sci. 2003;43:115–135. https://doi.org/10.1007/s11747-014-0403-8
7. Chhotray V, Stoker G. Governance Theory and Practice. London: Palgrave Macmillan. 2009. https://doi.org/10.1057/9780230583344_10
8. Stoker G. Governance as theory: Five propositions. Int Soc Sci J, 2019;68(227-228):17-28. https://doi.org/10.1111/issj.12177
9. Ravaghia H M. Clinical governance in Iran: Theory to practice. Procedia. Soc Beh Sci. 2019;116:1174-1179. https://doi.org/10.1016/j.sbspro.2014.01.362
10. Cole G. Personnel and Human Resource Management (5th ed.). London. York Publishers. 2002
11. Lorensa P S. The influence of training and development on employee performance. Int J of Eco Bus Account R. 2020;4(1):133-141. https://doi.org/10.29040/ijebar.v4i1.542
12. Schneider B, Ehrhart M G, Macey W H. Perspectives on Organizational Climate and Culture. Washington, DC: American Psychological Association. 2010 https://doi.org/10.1037/12069-000
13. Boath E, Chambers R. Clinical Effectiveness and Clinical Governance Made Easy. Washington, DC: ISBN 1-85775-443-3
14. Isaksson M A. Access to capital markets and corporate governance. OECD Report to G20 Finance Ministers, OECD. 2015.
15. KarassavidoubE N. Assessing hospitals’ readiness for clinical governance quality initiatives through organisational climate. J Health Organi Manage, 2011;25(2):214-240. https://doi.org/10.1108/14777261111128353
16. Ampomah P. The effect of training and development on employee performance in a private tertiary institution in Ghana. Asian J Soc Sci Manage Stud, 2016;3(1):29-33.
17. Bakker A, Demerouti E. Job Demands-Resources Theory. In Wellbeing: A Complete Reference Guide. Chichester, UK: Wiley-Blackwell. 2016.
18. Ureltsetseg B, Bor A, Tsevegmid E. The impact of organizational climate, development, work result on clinical governance: The case of Mongolia. J Human Soc Sci, 2024;7(1):01-09. https://doi.org/10.33140/JHSS
19. Cole G. Personnel and Human Resource Management (5th ed.). London: York Publishers. 2002
20. Boath E, Chambers R. Clinical Effectiveness and Clinical Governance Made Easy. Washington. 2001.
21. Ravaghia H M. Clinical governance in Iran: Theory to practice. Procedia - Social and Behavioral Sciences, 2014;1174–1179.
22. Isaksson M A. Access to capital markets and corporate governance. OECD Report to G20 Finance Ministers, OECD.
2015.
23. Lorensa P S. The influence of training and development to employee performance. Int J Eco Bus Account Res. 2020;4(1):133-141.
24. Schneider B, Ehrhart M G, Macey W H. Perspectives on Organizational Climate and Culture. Washington, DC: American Psychological Association. 2010.
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