DETERMINANTS OF THE DECISION-MAKING PROCESS IN A TERTIARY HEALTHCARE INSTITUTION

Abstract

Decision-making in healthcare institutions is a complex process that affects service quality and operational efficiency. To ensure effectiveness, it is crucial to use available resources, apply new knowledge, and adopt technological advancements. This study examines decision-making processes in a tertiary healthcare institution, focusing on efficiency and employee participation. The methodology relies on empirical data collected via a standardized questionnaire. Factor analysis identified three key components: organizational framework, participation, and responsibility in decision-making. Education level and organizational position emerged as the strongest predictors of participation readiness. Path analysis revealed significant direct (β=0.45, p<0.001) and indirect effects of organizational structure on decision-making. Three distinct decision-maker profiles were identified: proactive (32%), conservative (45%), and independent evaluators (23%). The findings highlight the importance of structured decision-making frameworks and employee involvement in improving decision efficiency. Understanding these factors can help optimize decision-making in healthcare settings.