You are warmly invited to the final PhD Seminar@CMIST Tuesday 16th June at 12pm in HBS 2.07. Asri Maharani will be presenting her work: ‘Does hospital reform improve organisational commitment? Evidence from Indonesia’. Full abstract is below.
Please pass this information on to anyone interested. All welcome; light refreshments will be available.
Dharmi and Patty
Does hospital reform improve organisational commitment? Evidence from Indonesia
The past two decades have seen many countries reforming their public hospitals with the expectation that this reform will improve hospitals’ performance. In doing so, the hospital cannot neglect the importance of employees’ commitment as hospitals are labour-intensive and their performance is dependent upon employees’ commitment. However, evidence from the health sector in general shows that reform can bring unintended consequences for the employees such as higher stress levels due to higher workload. Reform in the hospital sector is certainly not immune from this threat. To examine the consequences of reform on organisational commitment, we conducted a study in 54 public hospitals in East Java, Indonesia. We applied a multilevel structural equation model to survey data on 1282 workers in those hospitals. Analysis suggests that the longer a hospital has been reformed, the greater the organisational commitment of its employees. Incentives improve organisational commitment, while training and resource availability have no association with it. Employees in larger hospitals are more committed than those in smaller hospitals. Our findings shed light on the debate on reform as a lever for improving organisational commitment in public hospitals in developing countries.