Purpose: The purpose of this research was to develop quality and efficiency improvements in the health care administration system of Mauritius. The aim of the study is to describe how the health care services of Mauritius could be improved based on the results obtained during this investigation. Methodology: The health care executives, board members, search firm executives, and health administration managers, as well as several patients, were selected by stratified sampling 1802 participants (quantitative) and by purposive sampling method nine focus groups of nine participants each (qualitative). The population for the qualitative research was comprised of patients and health care professionals selected by the purposive sampling technique. The population was comprised of patients and health care professionals for quantitative phase selected by stratified and the health care professionals for qualitative part selected through purposive sampling technique. Findings: The participants showed a preference for Patients’ Satisfactions, ISO Quality Standards Compliance, workforce efficiency, infrastructure fitness, and adaptability principally experience a better quality of care. Moreover, there was no statistical difference between financial cost and quality of health care was depicted. The outcome of the study: A common aspect, recognised empirically, is the approach regarding enhanced external pressure on the healthcare administrators in their work. Higher administration decisions, patient pressure and judgments made by policymakers have impacted and established the choices prepared by health care managers regarding where to concentrate attempts of growth. In the context of practical implications, health care administrators must properly make new management control systems so that they help healthcare systems in their work. Implications for the healthcare leader’s perceptions are that knowledge from the environment is normally complicated and not easy to define and also transmitted from particular stakeholders. / Health Studies / D. Litt. et Phil. (Health Studies)