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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/24164

Title: The impact of stakeholder involvement in hospital policy decision-making: a study of the hospital's business processes
Authors: Malfait, Simon
Van Hecke, Ann
Hellings, Johan
De Bodt, Griet
Eeckloo, Kristof
Issue Date: 2017
Publisher: TAYLOR & FRANCIS LTD
Citation: 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.
Notes: [Malfait, Simon; Van Hecke, Ann; De Bodt, Griet; Eeckloo, Kristof] Ghent Univ Hosp, UZ K5,3rd Floor,De Pintelaan 185, B-9000 Ghent, Belgium. [Eeckloo, Kristof] Univ Ghent, Fac Med & Life Sci, Dept Publ Hlth, Ghent, Belgium. [Hellings, Johan] Hasselt Univ, Fac Med & Life Sci, Roeselare, Belgium. [Malfait, Simon; Van Hecke, Ann] Univ Ghent, Univ Ctr Nursing & Midwifery, Dept Publ Hlth, Fac Med & Hlth Sci, Ghent, Belgium.
URI: http://hdl.handle.net/1942/24164
DOI: 10.1080/17843286.2016.1246681
ISI #: 000395099100013
ISSN: 1784-3286
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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