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Determinants of human resource management risk in district public hospitals

Pawelec Grażyna, Jończyk Joanna, Buchelt Beata, Filipiak Katarzyna

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

2024

z. 201

275--288

Purpose: The aim of this paper was to identify the determinants of human resources management (HRM) risk in district public hospitals (PSP) and to estimate the impact of macroenvironmental factors on HRM risk. Design/methodology/approach: The research process was carried out in two ways. Firstly, a critical analysis of the literature of an integrative nature was performed. Secondly, the empirical research used a qualitative approach using a multiple case study strategy and survey research conducted in selected PSPs. Findings: The distribution of the indicator values is characterized by relatively high left-sided skewness, which means that most of the values of this indicator have a value higher than the average. Moreover, taking into account the fact that each of the partial measures included in the construction of the Indicator-Macro was assessed on a 4-point scale, it can be concluded that this indicator has an average value at a relatively high level (2.52). Taking into account the average value of the Indicator-Macro (2.52), it can be assumed that there is a high level of influence of macroenvironmental factors on HRM risk, which confirms the truthfulness of the formulated hypothesis. Research limitations/implications: There is a need for further broad research in this problem, in order to compare different hospitals in different regions of the country. Practical implications: It was emphasized that there are difficulties in achieving the goals of public hospitals experiencing a shortage of medical staff, therefore this area should receive special care by the management staff of these entities, as well as decision-makers in the health care system. Social implications: The factors indicated by the respondents were also confirmed in the literature, where both the problem of staff shortages and the relatively low valuation of medical services have been raised for years. Therefore these factors strongly influence health care quality and should be monitored carefully. Originality/value: The obtained research results fill the theoretical gap in the identification of HRM risk determinants in organizations, with particular emphasis on district public hospitals.