Influence of Record Management on strategy Implementation in Public Hospitals: A Survey of Ministry of Health Facilities in Lari Sub-County, Kiambu

Abstract

Internationally, despite application of strategic management in organizations, there is evidence
of a high rate of failure of strategy implementation in public hospitals. The adoption of the
strategic planning practices has not recorded direct encouraging indicators as anticipated in the
hospitals. The study sought to examine the influence of record management on strategy
implementation in public hospitals in the ministry of health facilities in Lari Sub-County,
Kiambu. A descriptive research design guided this study. The target population was 121
members of staff in Lari Sub- County health facilities and a sample size of 92 was selected from
the target population using cluster sampling design. Data was collected using questionnaires.
Regression analysis was carried out to determine the relationship between dependent and
independent variables. The results indicated that record management is statistically significant -
(r=0.378, p=0.000) in strategy execution in public health facilities in Lari Sub- County, Kiambu.
The findings also revealed that a unit change in record management would influence the
implementation of the strategy. The study recommended that records management be considered
as an important factor in strategy implementation, particularly in the healthcare sector, where
the records define how resources are allocated and how patient’s care is executed.
Keywords: Strategy Implementation, Records Management