Public Health Management
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- ItemENGAGING PATIENTS AND HOSPITAL HEALTHCARE WORKERS WITH MEDICAL RECORDS ANALYSIS IN THE BALANCED SCORECARD IMPLEMENTATIONS(An-Najah National University, 2025-07-03) Mousy, SujoodBackground: The Balanced Scorecard (BSC) has been increasingly adopted as a strategic framework for evaluating healthcare performance, emphasizing service quality, patient satisfaction, and organizational effectiveness. The framework assesses performance across four perspectives: financial, customer, internal processes, and learning and growth. Although widely implemented internationally, limited research has addressed its integration with medical records in Palestine. This study aimed to assess patient experiences and healthcare workers’ (HCWs) attitudes toward healthcare delivery at An-Najah National University Hospital in Nablus, Palestine, using BSC principles to provide localized evidence for healthcare improvement. Methodology: A cross-sectional study was conducted between November and December 2024at An-Najah National University Hospital. Two structured and validated self-administered questionnaires were distributed: one to HCWs and another to patients. The patient survey evaluated perceptions of service quality, satisfaction, and engagement with medical records, while the HCWs’ survey measured work engagement and attitudes toward BSC implementation. A total of 185 patients and 195 HCWs participated. Data were analyzed using SPSS, employing descriptive statistics, Pearson correlation, and multiple regression analysis. Results: Strong correlations were found between patient activation and positive attitudes. The mean service quality score was 75.4%. Price information experience scored 72%, while pricing satisfaction was slightly lower at 66.3%. Among HCWs, high engagement was reflected in the Utrecht Work Engagement Scale Dedication (93.3%). However, areas such as workload–time–life balance (59.2%) highlighted opportunities for improvement. Conclusions: Service quality and access to medical records were significant contributors to patient satisfaction. Integrating medical records into BSC implementation can enhance engagement among both HCWs and patients by improving transparency and performance monitoring. These findings provide evidence to guide hospital-level healthcare policy and align future improvements with international benchmarks.
- ItemASSESSMENT OF THE COST OF SELECTED CHEMISTRY LABORATORY TESTS USING ACTIVITY-BASED COSTING: A CASE STUDY FROM AN-NAJAH NATIONAL UNIVERSITY HOSPITAL TITLE OF THESIS AS APPROVED BY FACULTY OF GRADUATE STUDIES(An-Najah National University, 2025-06-29) Abo ALola, Husam Taiseer HassanThis study aims to assess the application of the Activity-Based Costing (ABC) system in the chemistry laboratory at An-Najah National University Hospital, with the purpose of evaluating its effectiveness in improving cost calculation accuracy and resource management. The study adopted a descriptive cross-sectional methodology, using the “Cooper” model, which consists of two main stages: cost analysis and activity identification, where indirect costs are determined and linked to the activities that drive them. Data were collected from the hospital’s financial records as well as interviews with financial managers and laboratory staff. The results showed that the ABC system provides greater accuracy and transparency in allocating costs by identifying the activities that consume resources and directly linking them to costs. This approach improved resource utilization and offered valuable insights into laboratory operations. The study further demonstrated that the ABC system contributed to enhancing financial and administrative decision-making by providing managers with a precise understanding of the costs of different laboratory activities. This enabled the identification of unnecessary activities or those consuming resources without adding value, leading to improved processes and reduced waste. However, the study also indicated that implementing the ABC system requires additional time and effort at the initial stage, particularly with respect to training financial and administrative staff to use the new system. It also necessitates the provision of appropriate information systems to facilitate the tracking of activities and their associated costs. The study recommends the wider adoption of the ABC system in other hospital departments, especially those that require high accuracy in cost allocation, such as surgical operations and intensive care. It also emphasizes the importance of updating the hospital’s accounting systems to keep pace with modern developments in financial management, as well as developing human resources and providing the necessary information systems to ensure successful implementation. In conclusion, the study indicates that the ABC system is a powerful tool for improving financial transparency and reducing unnecessary costs in the complex environment of hospitals. Although it requires additional resources initially, it provides significant long-term benefits in terms of enhancing resource management and enabling more accurate financial decision-making.
- ItemFACTORS 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 ArafatBackground: 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.
- ItemFACTORS INFLUENCING ACCEPTANCE OF HEALTH INFORMATION SYSTEM AMONG HEALTH CARE PROVIDERS IN PALESTINE MEDICAL COMPLEX –RAMALLAH-PALESTINE(An-Najah National University, 2024-02-07) Abu Sofyan, FayezMost of the Palestinian government hospitals have a unified health information system to deal with health care recipients, which is positively reflected on the quality of medical services. To ensure the continuity of providing the best possible care, the factors affecting acceptance to the health information system among health care providers must be studied, as they are the main user of the system, and they have a direct impact on the success of this system and ensure its development. The purpose of the study is to investigate the factors that affecting acceptance to the health information system among health care providers. A quantitative-based cross- sectional study was conducted among health care providers, attending in Palestine medical complex in Ramallah city between September and October of 2022. A structured Self administred questionnaire was administered on participants who were recruited using the systemic random sampling technique. Linear and Binary logistic regression analysis were conducted using statistical package for the social science version 25. Technological factors which included into the system quality, in which (62.3%) of the participants found HIS to provide all the functions included in completing the job to be very high, while (49%) found its ability to integrate with other systems’ information to be low, as well as its fast response time to be low (31.3%) or medium (54.7%), compared to (74.3%) who found its 24/7 support services to be very high as major factors that influenced them acceptance of health information system. In addition, (37%) of the study participants noticed a low level of HIS features that prevent unauthorized persons from accessing data. Technological and human factors are the main factors that influence acceptance of health information system among health care providers in Palestine.
- ItemASSESSMENT OF CURRENT PRE-DISCHARGE NEONATAL JAUNDICE SCREENING PRACTICES IN GOVERNMENTAL HOSPITALS OF WEST BANK(An-Najah National University, 2024-02-07) Barhoush, AbeerAbout (60%) of mature and (80%) of premature newborns experience jaundice in the first 7 days of life, and about (10%) of themstay jaundiced till one month. Pre-Hospital discharge jaundice screening for early detection of newborns who are at risk is essential. This is the first study to assess the current practice of pre-discharge neonatal jaundice screening in governmental hospitals inthe West Bank. A questionnaire-based quantitative study was conducted among all pediatrician doctors who work at 8 West bank governmental hospitals, between September 2022 and May 2023. A structured Self-administered questionnaire was administered to participants who obtained from Personnel Affairs in selected Palestinian governmental hospitals a month before the data acquisition. A full of 138 pediatrician doctors participated in this study, which showed a relative weakness in adherence to jaundice screening guidelinesand the results of pediatricians' practices regarding the screening of neonatal jaundice were relatively low. pediatricians doctors shows low adherence levels and inadequate practices regarding screening of neonatal jaundice pre-hospital discharge. Studies are needed in our country to evaluate the impact of this practice on infants with jaundice.