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2015-12-31 Effective public leadership to drive organisational change in the public health sector in order to improve service delivery : the case of the Western Cape Department of Health

Thesis (MPA)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: The goal of this research was to investigate effective leadership that drives organisational
change in the public health sector to meet the changing environmental needs to improve
service delivery within the Western Cape Department of Health. Organisational change in the
public health sector must lead to improved public health service delivery.
The role of leadership is to deal with incompetent personnel as they are the cause of problems
regarding inadequate service delivery. Leadership must contribute to the main areas where
competency development needs to take place. Healthcare 2030 requires transformational
leadership from the ranks of managers and clinicians for collective and distributed leadership
across all levels of organisations.
The research methodology used in this study was a combination of qualitative and
quantitative research methodologies. The methodology included an empirical investigation in
the form of a literature review and a preliminary semi-structured interview as well as a nonempirical
investigation. The empirical investigation was conducted by using semi-structured
interviews as well as a survey questionnaire which was designed to gather information
focussing on leader personality traits, task-related traits and understanding the organisation.
This study specifically focussed on effective public leadership to drive organisational change
in the health sector and to improve service delivery. The results provide support for a
cohesive trait-behavioural model of leadership effectiveness. In general, leadership traits
associated with task competence are related to task-oriented leadership behaviours, which
improve performance-related leadership outcomes. Effective leadership in the public health
sector that drives organisational change is based on the general personality traits of a leader,
task-related traits and understanding the organisation. These are the elements that are
important for effective public leadership to improve service delivery. / AFRIKAANSE OPSOMMING: Die doel van hierdie navorsing was om doeltreffende leierskap, wat organisatoriese
verandering in die openbare gesondheidsektor teweeg kan bring, te ondersoek. Sodoende kan
in die veranderende omgewingsbehoeftes voorsien word en kan die Wes-Kaapse Department
van Gesondheid verbeter. Organisatoriese verandering in die openbare gesondheidsektor
moet tot verbeterde openbare gesondheidsdienslewering lei.
Die rol van leierskap is om onbekwame personeel te hanteer omdat hulle die oorsaak van
probleme met betrekking tot onvoldoende dienslewering is. Leierskap speel ‘n sleutelrol in
die bevordering van bevoegdheidsontwikkeling. Healthcare 2030 vereis transformerende
leierskap uit die geledere van bestuurders en dokters oor alle vlakke van organisasies heen.
Die navorsingsmetodologie wat in hierdie studie gebruik is, was ’n kombinasie van
kwalitatiewe en kwantitatiewe navorsingsmetodologieë. Die metodologie het ’n empiriese
ondersoek in die vorm van ’n literatuuroorsig en ’n voorafgaande semi-gestruktureerde
onderhoud asook ’n nie-empiriese ondersoek, ingesluit. Die empiriese ondersoek is uitgevoer
deur van semi-gestruktureerde onderhoude en ’n opnamevraelys gebruik te maak. Die vraelys
is ontwerp om inligting met betrekking tot leiers se persoonlikheidseienskappe, taakverwante
eienskappe en ’n begrip van die organisasie te ondersoek.
Hierdie studie het spesifiek op doeltreffende openbare leierskap gefokus om organisatoriese
verandering in die gesondheidsektor te bewerkstellig en dienslewering te verbeter. Die
resultate ondersteun ’n samehangende eienskapgedragmodel van leierskapdoeltreffendheid.
Oor die algemeen is leierskapeienskappe wat met taakbevoegdheid geassosieer word,
verwant aan taakgeöriënteerde leierskapgedrag wat prestasieverwante leierskapuitkomste
verbeter. Doeltreffende leierskap in die openbare gesondheidsektor wat organisatoriese
verandering dryf, is gegrond op die algemene persoonlikheidseienskappe van ’n leier, taakverwante
eienskappe en ’n begrip van die organisasie. Dit is die elemente wat belangrik is vir
doeltreffende openbare leierskap om dienslewering te verbeter.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/97126
Date04 1900
CreatorsIsaacs, Rafeeqah
ContributorsSchwella, Lyzette, Stellenbosch University. Faculty of Economic and Management Sciences. School of Public Leadership.
PublisherStellenbosch : Stellenbosch University
Source SetsSouth African National ETD Portal
Languageen_ZA
Detected LanguageEnglish
TypeThesis
Formatxiii, 111 pages
RightsStellenbosch University

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