We emphasize “governance” as setting the very ground rules within which society’s institutions, including hospitals, function—stretching across government, regulations and management. For a hospital, governance delineates the “licence to operate” of the organization. It operates at a variety of levels: micro, meso and macro. Key parameters for judging the space for governance are the technical capacity (outputs from inputs), managerial capacity (setting strategies and operational objectives) and degree of operational status. The latter in the form of degree of autonomy has led through ideas of new public management to differing corporate functional forms, but without clear criteria for assessing the result.
KeywordsAutonomy Governance Government Hospitals Macro Management Managerial capacity Meso Micro New Public Management Regulations Technical capacity
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