Strategic Choice and Performance of Mission Hospitals in Kiambu County Kenya
Njuguna, Mary Wangui
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The current business environment is greatly dynamic and hence the management of every firm is compelled to make effective decisions for the company to remain relevant. Strategic choice is a critical element in the process of formulating a strategy. As a result of the threats that organizations are exposed to, organizations are adopting strategic choices to enhance performance. Regardless of the challenges that mission hospitals in Kiambu County come across in the health industry, they are still luring away clients from public hospitals. Therefore, this study’s main objective was to establish the influence of strategic choice on performance of mission hospitals in Kiambu County. Precisely, the study embarked on four objectives; to establish the influence of organizational structure on performance of mission hospitals in Kiambu County; to determine the influence of technology on performance of mission hospitals in Kiambu County; to determine the influence of leadership on performance of mission hospitals in Kiambu County; and to establish the effect of resource acquisition on performance of mission hospitals in Kiambu County. The research was guided by the open systems theory, agency theory, contingency theory, resource based theory, and the balanced scorecard model. A descriptive research design, specifically a descriptive survey, was applied in this study. The targeted population for the study included the big four mission hospitals (Africa Inland Church Kijabe Mission Hospital; Presbyterian Church of East Africa Kikuyu Hospital; Africa Inland Church Cure International Hospital and Nazareth Hospital) in Kiambu County. The study focused on 80 senior, middle, and operational managers and employed a census since the target population was small. Data collection used a semi-structured questionnaire. A pilot test was performed using 10% of the target population. The study used face, content and construct validity. Reliability of the research instrument was realized using the Cronbach’s Alpha value of 0.7. The study analyzed data using descriptive statistics, inferential statistics, and content analysis. Descriptive statistics involved the use of frequencies, percentages, mean, and standard deviation while inferential analysis used the multiple linear regression model. Regression results exposed that organizational structure, leadership, technology, and resource acquisition were highly significant to performance of mission hospitals in Kiambu County in Kenya. It was recommended by this study that mission hospitals in Kiambu County should create organizational structures which are in line with the goals being pursued by the mission hospitals. On technology the study recommended for effective management and use of technology infrastructure planning, on leadership, the researcher recommends that leadership development be cascaded to all level of employees/management. This is to help the mission hospitals achieve its objectives on service delivery. On resource acquisition the study recommends that managers need to adopt ways capable of motivating workers in the firm for better performance. The study indicated that mission hospitals must inspire more training besides development of staffs to heighten knowledge and skills in order to endure performance.