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The impact of stakeholder involvement in hospital policy decision-making : a study of the hospital’s business processes

Simon Malfait UGent, Ann Van Hecke UGent, Johan Hellings, Griet De Bodt and Kristof Eeckloo UGent (2017) ACTA CLINICA BELGICA. 72(1). p.63-71
abstract
Introduction: In many health care systems, strategies are currently deployed to engage patients and other stakeholders in decisions affecting hospital services. In this paper, a model for stakeholder involvement is presented and evaluated in three Flemish hospitals. In the model, a stakeholder committee advises the hospital's board of directors on themes of strategic importance. Objectives: To study the internal hospital's decision processes in order to identify the impact of a stakeholder involvement committee on strategic themes in the hospital decision processes. Methods: A retrospective analysis of the decision processes was conducted in three hospitals that implemented a stakeholder committee. The analysis consisted of process and outcome evaluation. Results: Fifteen themes were discussed in the stakeholder committees, whereof 11 resulted in a considerable change. None of these were on a strategic level. The theoretical model was not applied as initially developed, but was altered by each hospital. Consequentially, the decision processes differed between the hospitals. Despite alternation of the model, the stakeholder committee showed a meaningful impact in all hospitals on the operational level. As a result of the differences in decision processes, three factors could be identified as facilitators for success: (1) a close interaction with the board of executives, (2) the inclusion of themes with a more practical and patient-oriented nature, and (3) the elaboration of decisions on lower echelons of the organization. Conclusion: To effectively influence the organization's public accountability, hospitals should involve stakeholders in the decision-making process of the organization. The model of a stakeholder committee was not applied as initially developed and did not affect the strategic decision-making processes in the involved hospitals. Results show only impact at the operational level in the participating hospitals. More research is needed connecting stakeholder involvement with hospital governance.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Hospital governance, Stakeholder involvement, Patient involvement, Strategic policy, Business process, PRIMARY-HEALTH-CARE, QUALITY-OF-CARE, CITIZEN PARTICIPATION, CONCEPTUAL-FRAMEWORK, PUBLIC INVOLVEMENT, PATIENT, GOVERNANCE, ACCOUNTABILITY, EMPOWERMENT, ENGAGEMENT
journal title
ACTA CLINICA BELGICA
Acta Clin. Belg.
volume
72
issue
1
pages
63 - 71
Web of Science type
Article
Web of Science id
000395099100013
ISSN
1784-3286
2295-3337
DOI
10.1080/17843286.2016.1246681
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8506741
handle
http://hdl.handle.net/1854/LU-8506741
date created
2017-02-02 08:43:50
date last changed
2018-03-09 08:46:59
@article{8506741,
  abstract     = {Introduction: In many health care systems, strategies are currently deployed to engage patients and other stakeholders in decisions affecting hospital services. In this paper, a model for stakeholder involvement is presented and evaluated in three Flemish hospitals. In the model, a stakeholder committee advises the hospital's board of directors on themes of strategic importance.
Objectives: To study the internal hospital's decision processes in order to identify the impact of a stakeholder involvement committee on strategic themes in the hospital decision processes.
Methods: A retrospective analysis of the decision processes was conducted in three hospitals that implemented a stakeholder committee. The analysis consisted of process and outcome evaluation.
Results: Fifteen themes were discussed in the stakeholder committees, whereof 11 resulted in a considerable change. None of these were on a strategic level. The theoretical model was not applied as initially developed, but was altered by each hospital. Consequentially, the decision processes differed between the hospitals. Despite alternation of the model, the stakeholder committee showed a meaningful impact in all hospitals on the operational level. As a result of the differences in decision processes, three factors could be identified as facilitators for success: (1) a close interaction with the board of executives, (2) the inclusion of themes with a more practical and patient-oriented nature, and (3) the elaboration of decisions on lower echelons of the organization.
Conclusion: To effectively influence the organization's public accountability, hospitals should involve stakeholders in the decision-making process of the organization. The model of a stakeholder committee was not applied as initially developed and did not affect the strategic decision-making processes in the involved hospitals. Results show only impact at the operational level in the participating hospitals. More research is needed connecting stakeholder involvement with hospital governance.},
  author       = {Malfait, Simon and Van Hecke, Ann and Hellings, Johan and De Bodt, Griet and Eeckloo, Kristof},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {Hospital governance,Stakeholder involvement,Patient involvement,Strategic policy,Business process,PRIMARY-HEALTH-CARE,QUALITY-OF-CARE,CITIZEN PARTICIPATION,CONCEPTUAL-FRAMEWORK,PUBLIC INVOLVEMENT,PATIENT,GOVERNANCE,ACCOUNTABILITY,EMPOWERMENT,ENGAGEMENT},
  language     = {eng},
  number       = {1},
  pages        = {63--71},
  title        = {The impact of stakeholder involvement in hospital policy decision-making : a study of the hospital{\textquoteright}s business processes},
  url          = {http://dx.doi.org/10.1080/17843286.2016.1246681},
  volume       = {72},
  year         = {2017},
}

Chicago
Malfait, Simon, Ann Van Hecke, Johan Hellings, Griet De Bodt, and Kristof Eeckloo. 2017. “The Impact of Stakeholder Involvement in Hospital Policy Decision-making : a Study of the Hospital’s Business Processes.” Acta Clinica Belgica 72 (1): 63–71.
APA
Malfait, S., Van Hecke, A., Hellings, J., De Bodt, G., & Eeckloo, K. (2017). The impact of stakeholder involvement in hospital policy decision-making : a study of the hospital’s business processes. ACTA CLINICA BELGICA, 72(1), 63–71.
Vancouver
1.
Malfait S, Van Hecke A, Hellings J, De Bodt G, Eeckloo K. The impact of stakeholder involvement in hospital policy decision-making : a study of the hospital’s business processes. ACTA CLINICA BELGICA. 2017;72(1):63–71.
MLA
Malfait, Simon, Ann Van Hecke, Johan Hellings, et al. “The Impact of Stakeholder Involvement in Hospital Policy Decision-making : a Study of the Hospital’s Business Processes.” ACTA CLINICA BELGICA 72.1 (2017): 63–71. Print.