Economics and Business
ISSN 2775-9237 (Online)
Published: 07 September 2020
Measuring Hospital Accountability
Hasanuddin University, Indonesia
Download Full-Text Pdf
Keywords: Accountability, Institutional, Liability, Financial, Accessibility, Information
Although the principle of accountability around the world across organizations is similar, its implementations differ from one country to another country, as well among different industries. Previous research found the specific dimensions, variables, and indicators of accountability applicable for hospitals in Indonesia. This research is a continuation of the first research, with the aim to analyze the measurement model of accountability practices of hospitals in Makassar, Indonesia. The data used was obtained from questionnaires distributed to the top and middle managers of hospitals, including public and private hospitals. There are 77 indicators measuring eight variables, i.e., institutional aspect, healthcare delivery process, liability, financial, quality assurance and patient safety, accessibility clarity of information, and use of information. The validity and reliability of indicators are analyzed using confirmatory factor analysis. The result shows the variable of health delivery process is not reliable, while the other variables are reliable. This reflects that the health delivery process differs depending on the environment, including regulation applied. Further, two indicators measuring institutional aspects are not valid, while the rest are valid measuring each respected variables.
Alam, A. Y., & Alabdulaali, A. K. (2016). Awareness to implementation on select quality and patient safety indicators among nursing staff. J Comm Pub Health Nursing, 2(111), 2.
Al-Ahmadi, T. A. (2009). Measuring Patient Safety Culture in Riyadh's Hospitals: A Comparison between Public and Private Hospitals. The Journal of the Egyptian Public Health Association, 84(5-6), 479-500.
Andriessen, P. A., Polignano, R., & Abel, M. (2009). Development and implementation of a clinical pathway to improve venous leg ulcer treatment. Wounds: a compendium of clinical research and practice, 21(5), 127-133.
Arthur, J. B. (1992). The link between business strategy and industrial relations systems
in American steel minimills. ILR Review, 45(3), 488-506.
Arthur, J. B. (1994). Effects of human resource systems on manufacturing performance and turnover. Academy of Management journal, 37(3), 670-687.
Barbieri, A., Vanhaecht, K., Van Herck, P., Sermeus, W., Faggiano, F., Marchisio, S., & Panella, M. (2009). Effects of clinical pathways in the joint replacement: a meta-analysis. BMC medicine, 7(1), 32.
Bental, D. S., Cawsey, A., & Jones, R. (1999). Patient information systems that tailor to
the individual. Patient education and counseling, 36(2), 171-180.
Blagescu, M. and R. Lloyd (2009). "2006 Global Accountability Report: holding power to account."
Brinkerhoff, D. W. (2001). "Taking account of accountability: A conceptual overview and strategic options." Draft Report, US Agency for International Development
, Center for Democracy and Governance, Implementing Policy Change Project, Phase 2.
Brinkerhoff, D. (2003). Accountability and health systems: Overview. Framework, and Strategies, 557215.
Bovens, M. (2007). Analysing and assessing accountability: A conceptual framework 1.
European law journal, 13(4), 447-468. 0386.2007.00378.x
Daniel, A. E., Burn, R. J., & Horarlk, S. (1999). Patients' complaints about medica
l practice. Medical Journal of Australia, 170(12), 598-602.
Daniels, N. and J. Sabin (1998)."The ethics of accountability in managed care reform." Health Affairs 17(5).
De Feijter, J. M., De Grave, W. S., Muijtjens, A. M., Scherpbier, A. J., & Koopmans, R.
P. (2012). A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. PloS one, 7(2).
Denis, J. L. (2014). Accountability in healthcare organizations and systems. Healthcare
Policy, 10(SP), 8.
Doig, G. (2004). Responding to formal complaints about the emergency department: Lessons from the service marketing literature. Emergency Medicine, 16(4), 353-
Duclos, C. W., Eichler, M., Taylor, L., Quintela, J., Main, D. S., Pace, W., & Staton, E. W. (2005). Patient perspectives of patient–provider communication after adverse events. International Journal for Quality in Health Care, 17(6), 479-486.
Dursun, S., Bayram, N., & Aytac, S. (2010). An application on patient safety culture. Social Science, 8(1), 1-14.
Eaves-Leanos, A., & Dunn, E. J. (2012). Open disclosure of adverse events: transparency and safety in health care. Surgical Clinics, 92(1), 163-177.
Emanuel, E. J., & Emanuel, L. L. (1996). What is accountability in health care?. Annals of internal medicine, 124(2), 229-239. DOI: 10.7326/0003-4819-124-2- 199601150-00007
Engelbrecht, B., Jooste, H., Muller, G., Chababa, T., & Muirhead, D. (2002). Financial management: An overview and field guide for district management teams. Health Systems Trust and Department of Health, South Africa.
Erickson, S. M., Wolcott, J., Corrigan, J. M., & Aspden, P. (Eds.). (2003). Patient safety: achieving a new standard for care. National Academies Press.
Erkkila, T. (2007)."Governance and Accountability-A Shift in Conceptualisation", Pemerintah Administration Quarterly 31(1/2): 1.
Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of health care in the United Kingdom and the United States: a framework for change. The Milbank Quarterly, 79(2), 281-315.
Feuth, S., & Claes, L. (2008). Introducing clinical pathways as a strategy for improving care. Journal of integrated care pathways, 12(2), 56-60.
Friele, R. D., Sluijs, E. M., & Legemaate, J. (2008). Complaints handling in hospitals: an empirical study of discrepancies between patients' expectations and their
experiences. BMC health services research, 8(1), 199.
Gamm, L. D. (1996). Dimensions of accountability for not-for-profit hospitals and health systems. Health Care Management Review, 21(2), 74-86. DOI: 10.1097/00004010-199605000-00009.
Han, L., Hipwell, J. H., Tanner, C., Taylor, Z., Mertzanidou, T., Cardoso, J., ... & Hawkes, D. J. (2011). Development of patient-specific biomechanical models for predicting large breast deformation. Physics in Medicine & Biology, 57(2),
Harris, I., & Spanier, R. (1976). Accountability: Answerability and liability. Journal for he Theory of Social Behaviour, 6(2), 253–259. 5914.1976.tb00369.x
Haw, C., Collyer, J., & Sugarman, P. (2010). Patients' complaints at a large psychiatric hospital: can they lead to better patient services?. International journal of health care quality assurance.
Hommel, A., Ulander, K., Bjorkelund, K. B., Norrman, P. O., Wingstrand, H., & Thorngren, K. G. (2008). Influence of optimised treatment of people with hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year. Injury, 39(10), 1164-1174.
Ishiguro, S., Yamamoto, S., Fujita, S., Akasu, T., Kobayashi, Y., & Moriya, Y. (2008). Effect of a clinical pathway after laparoscopic surgery for colorectal cancer. Hepato-gastroenterology, 55(85), 1315-1319.
Jabbra, J. G. and O. Dwivedi (1989). Public service accountability: a comparative spective, Kumarian Press.
Jessop, B. (1998). "The rise of governance and the risks of failure: the case of economic development", International social science journal 50(155)
Jones, C. S. (1999). Developing financial accountability in British acute hospitals
Financial Accountability & Management, 15(1), 1-20.
Jones, C. A., & Dewing, I. P. (1997). The attitudes of NHS clinicians and medical managers towards changes in accounting controls. Financial Accountability &
Management, 13(3), 261-280.
Kinney, E. D. (1995). Malpractice reform in the 1990s: past disappointments, future success?. Journal of Health Politics, Policy and Law, 20(1), 99-135.
Kontan.co.id. (2018). ICW tren korupsi di sector kesehatan menurun dari tahun 2010
hingga semester I 2018. Available via tren-korupsi-di-sektor-kesehatan-menurun-dari-tahun-2010-hingga-semester-i- 2018 Last Accessed 13 Januari 2020
Koppell, J. G. S. (2005). "Pathologies of accountability: ICANN and the challenge of
multiple accountabilities disorder." Public Administration Review 65(1): 94- 108.
Lanier, D. C., Roland, M., Burstin, H., & Knottnerus, J. A. (2003). Doctor performance
Mahlmeister, L. (1999). Professional accountability and legal liability for the team leader and charge nurse. Journal of Obstetric, Gynecologic, & Neonatal Nursing,
Mikhaylov, F., Julia, K., & Eldar, S. (2014). Current tendencies of the development of service of human resources management. Procedia-Social and Behavioral Sciences, 150, 330-335.
Millman, M. (Ed.). (1993). Access to health care in America. National Academies Press.
Milne, J. L., Spiers, J. A., & Moore, K. N. (2008). Men's experiences following laparoscopic radical prostatectomy: a qualitative descriptive study. International
journal of nursing studies, 45(5), 765-774.
Mitchell, P. H. (2008). Defining patient safety and quality care. In Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (US).
Mulgan, R. (2000). ‘Accountability’: An ever‐expanding concept?. Public
administration, 78(3), 555-573.
could-provide-confusion-not-clarity Last accessed 18 April 2020.
Pearson, J., Jones, R., Cawsey, A., McGregor, S., Barrett, A., Gilmour, H., ... & McEwen, J. (1999). The accessibility of information systems for patients: use of touchscreen information systems by 345 patients with cancer in Scotland. In
Proceedings of the AMIA Symposium (p. 594). American Medical Informatics Association.
Ranallo, P. A., Kilbourne, A. M., Whatley, A. S., & Pincus, H. A. (2016). Behavioral health information technology: from chaos to clarity. Health Affairs, 35(6),
Romeyke, T., & Stummer, H. (2012). Clinical pathways as instruments for risk and cost management in hospitals-a discussion paper. Global journal of health science,
Rook, D. (1998). Cardiac surgery pathway cuts postoperative intubation time in half. Hospital case management: the monthly update on hospital-based care planning and critical paths, 6(1), 9.
Sage, W. M. (1997). Enterprise liability and the emerging managed health care system. Law and Contemporary Problems, 60(2), 159-210.
Saltman, R. B., & Ferroussier-Davis, O. (2000). The concept of stewardship in health policy. Bulletin of the World Health Organization, 78, 732-739.
Saltman, R. B., Durán, A., & Dubois, H. F. (2011). Governing public hospitals. Copenhagen: WHO.
Schwarzbach, M., Bönninghoff, R., Harrer, K., Weiss, J., Denz, C., Schnülle, P., & Ronellenfitsch, U. (2010). Effects of a clinical pathway on quality of care in
kidney transplantation: a non-randomized clinical trial. Langenbeck's archives of surgery, 395(1), 11-17.
Sinclair, A. (1995). "The chameleon of accountability: forms and discourses."Accounting, organizations and Society 20(2): 219-237.
Sparrow, R., Suryahadi, A., & Widyanti, W. (2013). Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme. Social science & medicine, 96, 264-271
Sudirman, I. (2012). Understanding the Dynamics Interaction within Indonesia
Healthcare Competition. European Journal of Business and Management, 4, 94- 100.
Sudirman, I. & Sidin. I. (2014). A Conceptual Model of Indonesia Hospital
Accountability in Hospital Reformation Era. International Conference on Emerging Trends in Academic Research, November.
Sudirman, I., Sidin, I., & Hamid, N. (2018). From Concept to The Practices of the Accountability of Hospitals in Indonesia. Research Report.
The Royal College of Radiologists. (2012). Standards for patient consent particular to radiology. 2nd Edition. The Royal College of Radiologists, London. Available via https://c.uk/publication/standards-patientconsent-particular-radiology-second-edition Last Accessed 18 April 2020
Timmermans, S. (2005). From autonomy to accountability: the role of clinical practice guidelines in professional power. Perspectives in Biology and Medicine, 48(4), 490-501.
Verdu, A., Maestre, A., Lopez, P., Gil, V., Martín-Hidalgo, A., & Castaño, J. A. (2009). Clinical pathways as a healthcare tool: design, implementation and assessment of a clinical pathway for lower-extremity deep venous thrombosis. BMJ Quality & Safety, 18(4), 314-320.
Yang, J., & Cheng, H. (2015). New Insights into Human Resource Management of Large Public Hospitals with Multi Campuses in China. Journal of Human Resource and Sustainability Studies, 3(03), 117.
Yaprak, Atilla. (2016). The Effect of Quality Accreditation Programs on Patient Safety Experiences in Nursing Services. Journal of Health Education Research &
Development. 04. 10.4172/2380-5439.1000204.
Youndt, M. A., Snell, S. A., Dean Jr, J. W., & Lepak, D. P. (1996). Human resource management, manufacturing strategy, and firm performance. Academy of management Journal, 39(4), 836-866.