DRIVERS OF IMPLEMENTATION OF SERVICE DELIVERY INNOVATION PROJECTS IN PUBLIC HOSPITALS IN NAIROBI CITY COUNTY, KENYA
Abstract
The aim of this study was to determine the drivers of implementation of service delivery innovations projects in public hospitals in Nairobi City County, Kenya. The study was purposely confined to the Nairobi County because it has a number of service delivery innovation projects. The study was limited to the project managers who were directly concerned with implementation of the projects of health care in the institutions. The study used a structured self-administered questionnaire to collect data from the project managers. The collected data was analyzed using both quantitative and qualitative data analysis methods. Data from questionnaire was coded, entered and analyzed using to Statistical Package for Social Science (SPSS). It shows that the independent variables in the study were able to explain 60.70% variation in the implementation of service delivery innovation projects while the remaining 39.30% was explained by the variables or other aspects outside the model. This implied that these variables were very significant and they therefore needed to be considered in any effort to boost implementation of service delivery innovation projects. The study therefore identifies variables as critical implementation of service delivery innovation projects in public hospitals in Kenya.The study recommends for the enhancement of the project funding on implementation of projects. There is need to have adequate quality control costs in the projects. There is need to enhance proper communication during the implementation of the projects. Further, there is need for the project team competency to be enhanced to increase efficiency of the procurement process and reduce delayed payment in the projects. The study recommended for the adequate M & E plans for continuous monitoring of project activities. The study contributes the body of knowledge by examining the determinants of implementation of service delivery innovation projects in Kenya is greatly affected by project funding, project team, project communication, monitoring and evaluation.
Key Words: Project Funding, Project Team, Project Communication, Monitoring and Evaluation
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Atun, R. (2012). Health systems, systems thinking and innovation. Health policy and planning, 27(4) , 4-8.
Berman, P., Pallas, S., Smith, A. L., Curry, L., & Bradley, E. H. (2011). Improving the Delivery of Health Services: A Guide to Choosing StraAkenroye, T. O. (2012). Factors Influencing Innovation in Healthcare : A conceptual synthesis, 17(2).
Arhete, L. E. O. E. (2016). International Association for Management of Technology IAMOT 2016 Conference Proceedings, 487–505.
Bhattacharyya, O., Khor, S., McGahan, A., Dunne, D., Daar, A. S., & Singer, P. A. (2010). Innovative health service delivery models in low and middle income countries - what can we learn from the private sector? Health Research Policy and Systems / BioMed Central, 8(Lmic), 24. https://doi.org/10.1186/1478-4505-8-24
Bodenheimer, T. (2008). Coordinating Care — A Perilous Journey through the Health Care System. New England Journal of Medicine, 358(10), 1064–1071. https://doi.org/10.1056/NEJMhpr0706165
Braunerhjelm, P., & Svensson, R. (2006). The Inventor ’ s Role : Was Schumpeter Right ? The Inventor ’ s Role : Was Schumpeter Right ?, (78), 1–31.
Building an Open Innovation ecosystem in Europe for healthcare. (2012), (October).
Buxton, W. (2005a). Innovation vs. Invention. Knowledge Creation Diffusion Utilization, 52–53.
Buxton, W. (2005b). Point of View : William Buxton Innovation vs . Invention, 52–53.
Byron, B. M., & Shooter, S. B. (2005). An Introduction to Innovation Adoption Theories for the Design of a Product Family Information Management Infrastructure. Computers and Information in Engineering, 2005, 41–48. https://doi.org/10.1115/IMECE2005-79933
Chambers, V., Wild, L., & Foresti, M. (n.d.). Innovations in service delivery.
Foundation, C. H. (n.d.). Reinventing Health Care Delivery: Innovation and Improvement Behind the Scenes.
Fry, A. (2002). Creativity , Innovation and Invention : A Corporate Inventor ’ s Perspective. The Spirit of Invention, (February), 1–5.
Gillies, R., & Wu, F. (n.d.-a). United States Innovations in Healthcare Delivery, 32(1), 190–212.
Gillies, R., & Wu, F. (n.d.-b). United States Innovations in Healthcare Delivery, 32(1), 190–212.
Government of Kenya. (2007). Kenya Vision 2030 - A Globally Competitive and Prosperous Kenya, (October), 1–180.
Government of Malaysia. (2011). Systematic improvement in public service delivery : Complaint as sources of innovation, 1–17. Retrieved from http://www.soumu.go.jp/main_content/000144330.pdf
Greenhalgh, T., Bate, P., Kyriakidou, O., Macfarlane, F., & Robert, G. (2004). Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. The Milbank Quarterly, 82(4), 607–610.
Hofmann, B. (2001). The technological invention of disease. Medical humanities (Vol. 27). https://doi.org/10.1136/mh.27.1.10
Klein, K. J., & Knight, A. P. (2005). Overcoming the Challenge, 5–8.
Mahdjoubi, D. (1999). Schumpeterian Economics and the Trilogy of “Invention-Innovation-Diffusion.” The Mapping of Innovation, 1–6. Retrieved from https://www.ischool.utexas.edu/~darius/papers.htm
Mayoka, K. G. (2011). Factors Affecting Adoption , Implementation and Sustainability of Telemedicine Information Systems in, 299–316.
Mitton, C., Dionne, F., Masucci, L., Wong, S., & Law, S. (2011). Innovations in health service organization and delivery in northern rural and remote regions: a review of the literature. International Journal of Circumpolar Health, 70(5), 460–472. https://doi.org/10.3402/ijch.v70i5.17859
Morton, M. E. (2008). Use and acceptance of an electronic health record: Factors affecting physician attitudes. ProQuest Dissertations and Theses, (August), 153. Retrieved from http://search.proquest.com/docview/304639018?accountid=8630%5Cnhttp://diglib1.bham.ac.uk:3210/sfxlcl3?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&genre=dissertations+%26+theses&sid=ProQ:ProQuest+Dissertations+%26+Theses+Global&atitle
Mucheru, M. F. (2013). FACTORS INFLUENCING ADOPTION OF INFORMATION SYSTEMS IN PRIVATE HEALTHCARE FACILITIES IN KIAMBU COUNTY , KENYA.
Mulgan, G., & Albury, D. (2003). 13 5.3 I, (October), 1–40.
Ohkubo, S., Limaye, R., & Harlan, S. (n.d.). K4Health Theory Primer: Diffusion of Innovations.
Omachonu, V. K. (2010). Innovation in Healthcare Delivery Systems : A Conceptual Framework. The Innovation Journal, 15(1), 1–20.
Plsek, P. (2003). Complexity and the Adoption of Innovation in Health Care Complexity and the Adoption of Innovation in Health Care.
Report, P. (n.d.). Service Innovation Service Innovation.
Roberts, E. B. (2007). Managing invention and innovation. Research Technology Management, 50(1), 35–54. https://doi.org/10.1038/427679a
Rogers, E. M. (1995). Diffusion of innovations. Macmillian Publishing Co. https://doi.org/citeulike-article-id:126680
Sawang, S. (2008). Innovation implementation effectiveness : A multiorganizational test of Klein Conn and Sorra’s Model, 1–184.
Smith, M., Building, J. W., Busi, M., House, H., Park, D. B., Ball, P., … Lecturer, S. (2008). Factors Influencing an Organisations ability to Manage Innovation : a Structured Literature Review and Conceptual Model, 44(0), 655–676.
Windrum, P., & García-Goñi, M. (2008). A neo-Schumpeterian model of health services innovation. Research Policy, 37(4), 649–672. https://doi.org/10.1016/j.respol.2007.12.011
Zulu, J. M., Hurtig, A., Kinsman, J., & Michelo, C. (2015). Innovation in health service delivery : integrating community health assistants into the health system at district level in Zambia, 1–12. https://doi.org/10.1186/s12913-015-0696-4
DOI: http://dx.doi.org/10.61426/sjbcm.v4i4.610
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