Author(s) :

Amisi Imani Aide-Stéphane, Tohemo Lukamba Alexis, Tabibi Mangombo Beaudras, Koyelongo Jean pierre, Bobazodisa Dikumueni Anderson, Ngwisani Matoba Norbert Mathieu, Kalau Kaumb Gabin, Mitano Mide Edmond.

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Abstract :

The performance of hospital institutions largely depends on effective governance. The absence of a qualified healthcare institution administrator-manager can cause major organizational dysfunctions, affecting both service quality and financial stability. This study explores the impact of such an absence at Mont-Amba Hospital Center. A descriptive and analytical approach was used. Data were collected through semi-structured interviews with staff members (n=10) and document analysis (financial reports, organizational charts, and internal audits over a 3-year period). Findings highlight poor interdepartmental coordination, mismanagement of human and material resources, and chronic financial imbalance. The absence of an administrator-manager led to reduced performance, staff demotivation, and increased hospital debt. These results reinforce the critical role of the administrator-manager as a central actor in hospital governance. Their absence weakens planning, oversight, and effective resource allocation. It is urgent to institutionalize this role in public healthcare structures in the DRC. Key words: Hospital governance, Administrator-manager, Dysfunction, Financial crisis.hospital administrator-manager to improving both dimensions at Saint Luc Hospital in Kisantu. A cross-sectional quantitative study was conducted with 50 patients and 10 healthcare staff members. Data were collected using Likert scales. Pearson correlation and simple linear regression were used to analyze the relationships between variables. A strong and statistically significant positive correlation was found between perceived quality of care and patient satisfaction (r = 0.72; p < 0.001). The regression model shows that each additional point in perceived quality leads to a 70% increase in satisfaction, explaining 52% of its variance. The findings confirm that perceived quality of care significantly influences patient satisfaction. Staff members acknowledge that the administrator-manager plays a key role in enhancing service quality. Effective health management is thus a strategic driver of both care quality and user satisfaction.

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