Document Type : Original Article
Authors
1
Master Quality and Patient Safety Improvement, Northern Area Armed Forces Hospital, SA
2
Health Services Administration, Northern Area Armed Forces Hospital, SA
3
Quality and Patient Safety Department, Northern Area Armed Forces Hospital, SA
4
Prince Sultan Military Medical City, SA
5
Pharmacy Technician, Prince Sultan Medical City, Riyadh, SA
6
Internal medicine, King Fahad Medical City, SA
7
Family medicine, King Fahad Medical City, SA
8
Family medicine, Prince Sultan Military Medical City, SA
Abstract
Background: Hospital management strategies play a crucial role in shaping clinical care quality, influencing patient outcomes, operational efficiency, and adherence to evidence-based practices. Despite growing recognition of their importance, the effectiveness of these strategies varies across different healthcare settings, necessitating a systematic review of recent evidence.
Aim: This study synthesizes empirical research on the impact of hospital management strategies—such as Lean Management, Six Sigma, Total Quality Management (TQM), and patient-centered care—on clinical quality indicators, including patient safety, treatment outcomes, and staff satisfaction.
Methods: A systematic review of peer-reviewed studies (2000–2025) from databases like PubMed, EMBASE, and Web of Science was conducted. Quantitative studies employing cross-sectional, intervention-based, and observational designs were analyzed using tools like ROBINS-I to assess bias. Key outcomes included structural quality, clinical adherence, health outcomes, and patient satisfaction.
Results: Findings indicate that 49.5% of management-care quality associations were positive, with structural quality showing the strongest improvements (79%). Clinical quality and health outcomes followed (60% and 57%, respectively), while patient satisfaction remained largely unaffected (80% null associations). Leadership engagement, health IT integration, and organizational culture were critical moderators.
Conclusion: Hospital management strategies significantly enhance structural and clinical quality but require contextual adaptation. Future research should employ causal designs (e.g., RCTs) and qualitative methods to explore implementation barriers.
Keywords
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