The Influencing factors of quality Health Care delivery and nhis Accessibility: A Fresh Empirical Evidence from the Greater Accra Metropolis, Ghana
International Journal of Development Research
The Influencing factors of quality Health Care delivery and nhis Accessibility: A Fresh Empirical Evidence from the Greater Accra Metropolis, Ghana
Received 14th October, 2023; Received in revised form 03rd November, 2023; Accepted 25th December, 2023; Published online 30th January, 2024
Copyright©2024, Paul Otoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
In low-income economy such as Ghana, most citizens have poor access to quality health delivery (QHD). Healthcare system in Ghana suffers from numerous challenges that affect people accessibility to quality health care. This research investigates the comprehensive dynamics influencing the quality of healthcare in Ghana, focusing on the interplay between government funding (GF), human resource management (HRM), demoralization of health workers (DHW), healthcare infrastructure (HCI), and work attitude and ethics (WAE). Anchored in Andersen's Health Behavior Model and the WHO Health System Framework, the study aims to discern the intricate relationships among these variables. The research objectives involve assessing the individual and collective impacts of GF, HRM, DHW, HCI, and WAE on the quality of healthcare. The research further explored the moderation effect of health care professional behavior on the connection between WAE and QHD in Ghana. A sample size of 300 respondents is surveyed using the Partial Least Squares Structural Equation Model (PLS-SEM) method, allowing for a robust examination of the complex relationships within the proposed model. The outcome of the study indicated that all the variables were reliable and valid. The main findings of the present study indicated government funding, human resource management, demoralization of health workers, health care infrastructure and work attitude and ethics have a significant influence on QHD in Ghana. In addition, the study empirical outcome revealed that health workers professional behavior moderates the interaction between work attitude and ethics and QHD. Furthermore, this study provides valuable insights for policymakers, healthcare practitioners, and researchers alike, offering a holistic understanding of the factors shaping the healthcare landscape in Ghana and providing a foundation for informed interventions and policy development.
