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dc.contributor.advisor Abdelhalim, Khaled Badr, Yasmine 2018-01-16T06:32:13Z 2018-07-15T22:00:22Z Fall 2017 en_US 2018-01-16
dc.description.abstract In Egypt, public university hospitals play a crucial role not only in education and research but also in the provision of healthcare services. What adds to the complexity of public university hospitals is their existence within two sectors; higher education and healthcare. This work highlights the inability of Egyptian public university hospitals to achieve their tripartite mission as a result of improper institutional governance arrangement that does not empower hospitals to cope with the requirements of both sectors. Despite the importance of institutional governance to university hospitals in Egypt, this topic remains under researched in the literature. This qualitative study aims to explore the existing institutional governance arrangement of public university hospitals in Egypt, identify key issue domains that they face and means to overcome these challenges, and the current reforms undertaken in public university hospitals. In-depth interviews are carried out with ten participants covering six different public university hospitals across Egypt selected purposively. Interviews range between 30-60 minutes each with subject-matter experts, top leaders/ managers in public university hospitals and medical schools, and representatives from regulatory bodies. The analysis of the study follows the framework for public hospital governance and the owner model of university hospital governance. Findings of this research reveal that public university hospitals follow the unified governance arrangement. It has a number of advantages such as easier agreement between clinical and academic enterprises, and alignment of academic plans with clinical training. Yet, there are associated problems with the existing governance arrangement manifested in the limited autonomy of university hospital managers, centralization of decision making at different organizational levels, financial mismanagement, and imbalance between academic and clinical endeavors in certain cases. The study recommends the continuation of the unified governance arrangement to university hospitals, yet with more autonomy to the dean, general manager of hospitals and hospital managers. The need to develop boards of directors professionally in terms of composition and size is crucial to the accountability of university hospitals. Hospital managers need to be adequately empowered in alignment with their clinical, administrative and financial responsibilities. Financially, all revenue streams need to be consolidated electronically and linked to the missions. en_US
dc.format.extent 122 p. en_US
dc.format.medium theses en_US
dc.language.iso en en_US
dc.rights Author retains all rights with regard to copyright. en
dc.subject governance en_US
dc.subject accountability en_US
dc.subject autonomy en_US
dc.subject public university hospitals en_US
dc.subject healthcare en_US
dc.subject Egypt en_US
dc.subject.lcsh Thesis (M.A.)--American University in Cairo en_US
dc.title Accountability, autonomy, and governance challenges of public university hospitals in Egypt en_US
dc.type Text en_US
dc.subject.discipline Public Administration en_US
dc.rights.access This item is restricted for 6 months from the date issued en_US
dc.contributor.department American University in Cairo. Dept. of Public Policy and Administration en_US
dc.description.irb American University in Cairo Institutional Review Board approval has been obtained for this item. en_US
dc.contributor.committeeMember Barsoum, Ghada
dc.contributor.committeeMember Hunter, Mostafa

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  • Theses and Dissertations [1827]
    This collection includes theses and dissertations authored by American University in Cairo graduate students.

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