A Health Care Management Control Model for Effective Performance of the South African Public Health Care System

Abstract

This paper evaluates processes and mechanisms for monitoring and evaluating activities in the South African Public Health Care System. The overriding motive of the study is to postulate a comprehensive public healthcare management control model for measuring and improving the performance of the South African public health care system. The study is hinged on the underpinning assumption that the application of a comprehensive public healthcare management control model would significantly result into improving monitoring and evaluation of processes and methods for implementing public healthcare plans and strategies in the South African public healthcare system. Confirmatory factor analysis was used to determine whether the priori public healthcare management theory reproduces the observed sample data. The fitness of the model was assessed using the values of the Chi-Square analysis, the standardized regression weights (factor loadings), and Squared Multiple Correlation Coefficient ( ). The alternative fit indices which were used included; the incremental fit indices, absolute fit indices, and parsimony adjusted measures. The chi-square and alternative modification indices indicated that the hypothesized public healthcare management control theory perfectly fits the observed sample data.

Keywords: Management Control Model; Performance and Public Health Care System, Fitness, Modification Fit Indices