RESUMEN
BACKGROUND: The research aims to study the impact of corporate governance on hospital performance regarding HIV and malaria control, using the Ghana health industry as a case. The nation is making frantic effort to control HIV and malaria, since they continue to be among the deadliest diseases that attract holistic attention; hence, there is the need to put structures in place to curb the spread. METHODS: A total of 1005 precoded questionnaires were administered to 125 hospitals, for responses from staff, managers, board, and chief executive officers (CEOs). The collated data were analysed using structural equation modelling approach. RESULTS: Our research revealed that corporate governance has a positive effect on hospital performance, regarding the control of the two deadly diseases (HIV and malaria). The interventions in Ghana health delivery have brought a level of improvement in malaria control, since the disease mortality has significantly declined from 19% in 2010 to 4% in 2016. Through the implementation of systems and policies, the national HIV prevalence has admirably reduced from 2.9% in 2000 to 1.6% in 2017. CONCLUSIONS: Hospitals are therefore encouraged to continue to implement effective corporate governance mechanisms to facilitate efficient, well-organised, and prudent practices that can deliver more institutional performance in HIV and malaria control.
Asunto(s)
Consejo Directivo/organización & administración , Infecciones por VIH/prevención & control , Administración Hospitalaria , Hospitales/normas , Malaria/prevención & control , Ghana , Administración Hospitalaria/métodos , Humanos , Calidad de la Atención de Salud/organización & administraciónRESUMEN
This research reviews and analyses the environmental catastrophes in China with regard to its adherence of global environmental policies and practices. The research makes available evidence of the present policy regime and institutions, strategies for curbing emission, environmental legislations and regulations and measures to provide a sustainable environment for the present and future generations. This paper reviewed how the environment is affected by the emissions. The findings revealed that China adheres to global policies and practices. China also receives local and international support in terms of assistance in dealing with environmental challenges. It was also revealed that carbon dioxide was not included in the list of pollutants to be taxed by the environmental protection tax law. Furthermore, the government needs to be strict at the local and district levels in enforcing the law to ensure professionalism and attainment of set standards.
Asunto(s)
Conservación de los Recursos Naturales/métodos , Desarrollo Económico , Contaminación Ambiental/estadística & datos numéricos , Dióxido de Carbono , China , Conservación de los Recursos Naturales/economía , Política Ambiental , Contaminación Ambiental/economía , Contaminación Ambiental/prevención & control , Internacionalidad , Inversiones en Salud , ImpuestosRESUMEN
Internal controls are critical to guarding an institution against fraud, error, and devastation. They are effective tools for preventing losses and achieving organizational goals. However, internal control mechanisms need to be relevant, because the organization cannot comprehend the effectiveness of the system if they are out-of-touch with the operation. Health care control practices are not exceptionally different from what pertains in other industries. The health care organizations require effective corporate governance mechanisms to uphold their operations and performances. These practices assist health care organizations to exhume cynical practices that generate unproductive results and also factors militating against the hospital's goals or objectives. This study revealed that practices such as enhanced Board diligence, Health Professionals on board, financial prudence, and effective communication have the tendency of reducing mortality, if well executed.