How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1—A Cross-Sectional Study

Faten Amer, Sahar Hammoud, Haitham Khatatbeh, Huda Alfatafta, Abdulsalam Alkaiyat, Abdulnaser Ibrahim Nour, Dóra Endrei and Imre Boncz
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Faten Amer: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
Sahar Hammoud: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
Haitham Khatatbeh: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
Huda Alfatafta: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
Abdulsalam Alkaiyat: Division of Public Health, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine
Abdulnaser Ibrahim Nour: Faculty of Economics and Social Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine
Dóra Endrei: Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
Imre Boncz: Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary

IJERPH, 2022, vol. 19, issue 15, 1-29

Abstract: Organizations worldwide utilize the balanced scorecard (BSC) for their performance evaluation (PE). This research aims to provide a tool that engages health care workers (HCWs) in BSC implementation (BSC-HCW1). Additionally, it seeks to translate and validate it at Palestinian hospitals. In a cross-sectional study, 454 questionnaires were retrieved from 14 hospitals. The composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were evaluated. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used. In both EFA and CFA, the scale demonstrated a good level of model fit. All the items had loadings greater than 0.50. All factors passed the discriminant validity. Although certain factors’ convergent validity was less than 0.50, their CR, IIC, and CITC were adequate. The final best fit model had nine factors and 28 items in CFA. The BSC-HCW1 is the first self-administered questionnaire to engage HCWs in assessing the BSC dimensions following all applicable rules and regulations. The findings revealed that this instrument’s psychometric characteristics were adequate. Therefore, the BSC-HCW1 can be utilized to evaluate BSC perspectives and dimensions. It will help managers highlight which BSC dimension predicts HCW satisfaction and loyalty and examine differences depending on HCWs’ and hospital characteristics.

Keywords: balanced scorecard; health personnel; satisfaction; loyalty; hospital; performance evaluation; quality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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