Medical and Health Sciences

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https://hdl.handle.net/20.500.11888/18295

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Browsing Medical and Health Sciences by Author "Bny-Fadel, Ola Arafat"

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    FACTORS AFFECTING PATTERNS OF MANAGERIAL DECISION-MAKING IN GOVERNMENTAL HOSPITALS IN THE NORTHERN WEST BANK – PALESTINE, QUALITATIVE STUDY
    (An-Najah National University, 2025-05-14) Bny-Fadel, Ola Arafat
    Background: Decision-making in public hospitals is challenged by multiple, constantly shifting political, financial and leadership considerations. The unstable environments and lack of resources in developing regions such as Northern West Bank present challenges that add further complexity to the intricacies of the decision-making process. The purpose of this study is to explore the factors affecting managerial decision-making in governmental hospitals in Northern West Bank. It looks into the impact of political pressures, monetary constraints, and leadership styles upon decision-making while observing the influence of demographic variables such as age, gender, level of education, and administrative experience. A qualitative approach was used, and data was collected through semi-structured interviews. 15 administrative and technical directors in government hospitals in the northern West Bank were interviewed. Thematic analysis was conducted using NVivo software, coding responses into themes and subthemes, including political factors, financial constraints, and leadership styles. Demographic characteristics were also analyzed to evaluate their influence on the decision-making process. The study found political pressures-such as directives from outside entities and unstable environments-and financial constraints, such as limited resources and budget constraints, as factors with the strongest impact on decision-making. Transformational and participatory leadership styles have strong connotations of effectiveness; however, they do meet with difficulty in implementation owing to systemic reasons. In addition, among demographic characteristics, administrative experience and age are the two that are most influential—experienced managers demonstrate a greater ability to adapt and solve problems. In sheer terms, external political and financial challenges play an overriding role in managerial decision-making in the public hospitals of the Northern West Bank. Although leadership styles may countermeasure these factors, their effectiveness is largely curtailed owing to systemic impediments. Age and experience further enhance decision-making effectiveness. This makes it imperative to call for ensuring adequate authority to hospital managers, independent resource mobilization and investment in leadership development programs directed at improving decision-making in public health systems.