Journal article

What could be achieved with greater public hospital autonomy? Comparison of public and PNFP hospitals in Uganda

F Ssengooba, L Atuyambe, B McPake, K Hanson, S Okuonzi

Public Administration and Development | JOHN WILEY & SONS LTD | Published : 2002


The policy of hospital autonomy has been discussed for some time in Uganda. There is little evidence from Uganda or elsewhere that increased autonomy will improve hospital performance. This article compares the performance of three private not-for-profit (PNFP) and public hospital pairs to address this question. PNFP and public hospitals have similar management structures but PNFP hospitals had better trained managers and a church affiliated chair in the hospital management committee. Both types have problems with personnel management but these appear more pronounced in public hospitals. Drug supply management appears better in PNFP hospitals. Overall, workloads are similar, but analysis of ..

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