The nexus between corporate governance and records management in private and public hospitals in Ghana

Abstract

Purpose – The purpose of this paper is to examine the relationship between corporate governance and records management in private and public hospitals in Ghana, with the aim of finding out how the effective and efficient management of a hospital’s records can facilitate its governance obligations, which includes but not limited to accountability, transparency and information security. Design/methodology/approach – The study was informed by the triangulation of the Stakeholders’ and Records Continuum Theories. Data used for analysis were drawn from 90 respondents from four hospitals with the use of questionnaires and personal observations. A total of 82 questionaries’ were returned in their complete forms and used for the analysis. Linear regressions were performed to establish the relationship between corporate governance and records management. Findings – The key finding of the study was that, the hospitals generated different types of records in the course of their business activities but existing records management standards, practices and systems were inadequate and undermined the contribution records could make in support of the governance function in the hospitals. Results of a linear regression also revealed that positive and significant relationships exist between corporate governance and records management. Furthermore, all variables used as predictors of corporate governance had positive and significant relationships with records management except information security. Research limitations/implications – Participants were from four hospitals in only one Region in Ghana, and as such the results could not be generalised to the whole country. Practical implications – The study has established the recognition of the essential but often ignored conditions necessary for an effective and efficient governance system for hospitals. Originality/value – The study has demonstrated that the effective management of hospital records is a critical factor in providing capacity for hospitals’ efficiency, accountability, transparency, information security and indeed good governance. This research has also contributed towards bridging the theoretical gap identified in the study.