Umar Faruk Abubakar (PhD)


The study examined organizational culture and quality service delivery in teaching hospitals in North-West Nigeria. The provision of adequate treatment, training and research, which are the functions of teaching hospitals will be difficult to attain without a well-organized, effective and efficient health information management department. The study adopted the survey research design to investigate six teaching hospitals in North-West, Nigeria. The proportionate stratified sampling technique was used to administer copies of questionnaire to 243 health Information Managers (HIMs) and 443 patients, but 194 and 407 were returned respectively for data analysis. Data obtained were analyzed using descriptive statistics (frequency counts, percentage, mean and standard deviation). Findings revealed that the extent of quality service delivery in the teaching hospitals, was high (x̅=3.30), on a scale of 4. All the indicators of quality service delivery showed high values:  assurance (x̅=3.32), empathy (x̅=3.31), tangibles (x̅=3.30), responsiveness (x̅=3.29) and reliability (x̅=3.26). The prevalent organizational culture in the teaching hospitals were mission (x̅=3.46), involvement (x̅=3.45), adaptability (x̅=3.41) and consistency (x̅=3.41). Organizational culture had significant influence on quality service delivery of HIMs in the teaching hospitals (R2= 0.043, β = 0.208, t (231) = 3.239, p<0.05). It was, therefore, recommended that management of the teaching hospitals should make continual efforts to sustain key indicators of quality service delivery such as security of patients’ files, protection of request forms, easy retrieval of patients’ records and availability of physical infrastructure.


Organizational culture, Quality service delivery, Service, Teaching hospitals, North-West Nigeria

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Abdu-lkadir, A. Y., Aiyedun, T. A., Shoretire, K. A., Abubakar, D., Anka, M. K. & Ologunde, K. W. (2010). The challenges and lessons learned from studying obstetrics and gynecological post-operation records in Nigerian hospital. TAF Preventive Medicine, 9(5), 427-432.

Amederi, M. & Ike, I. (2021). Improving access, quality and efficiency in health care delivery in Nigeria: A perspective. PAMJ - One Health, 5(3). 10.11604/pamj-oh.2021.5.3.28204.

American Health Information Management Association (AHIMA, 2019). Health Information Management, Concepts, Principle and Practice U.S.A. Illinois: Pub.

Ananta, N. (2017). A critical review of organizational culture on employee

performance. American Journal of Engineering and Technology Management, 2 (5), 72-76

Ayilegbe, B. (2020). Electronic health records use and human capital development on service delivery by health information management professionals in government teaching hospitals in Nigeria (Thesis). Department of Information Resources Management, Babcock University, Ilisan, Ogun-State, Nigeria

Bookey-Bassett S., Markle-Reid, M., Mckey, C.A. & Akhtar-Danesh, N. (2016). Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: A concept analysis. Journal of Advanced Nursing, 3(1), 71-84.

Denison, D.(2011). Culture in family‐owned enterprises: Recognizing and leveraging unique strengths. Family Business Review, 17(1), 61-70.

Erika, L., Kasey, B., Zahira, M. & Emily, C. (2020). Changing hospital organisational culture for improved patient outcomes: Developing and implementing the leadership saves lives intervention. BMJ Quality & Safety, 30(6). DOI:10.1136/bmjqs-2019-010734

Ghasi, NC., Onyejiaku, C.C. & Nkwonta, N.C. (2018). Organizational culture and employee performance among selected teaching hospitals in Enugu State, Nigeria. European Academic Research, 5 (2), 978

Kalaja, R., Myshketa, R. & Scalera, F. (2016). Service quality assessment in health care sector: the case of Durres public hospital. Procedia - Social and Behavioral Sciences, 235, 557 – 565

Mina, A. & Amid, A. (2017). culture and job satisfaction of midwives in therapeutic , teaching and health centers of Karaj, Iran. Journal of Research Development in Nursing and Midwifery, 14(1), 59-65.

Nwachukwu, J. N., Ogundiwin, A. O., & Nwaobi, A. N. (2015). Anthology of theories and their applications in social & management sciences (1st ed.). Ikeja, Lagos: Jamiro press link.

Rovithis, M, Linardakis, M, Merkouris, A, Patiraki, E, Vassilaki, M & Philalithis, A. (2017). Organizational culture among levels of health care services in Crete (Greece). Applied Nursing Research, 36, 9–18

Tsai, Y. (2011). Relationship between organizational culture, leadership behavior and job satisfaction. BMC Health Services Research, 11, 98.

Owolabi, R.O. & Ojo, A.I. (2015). Health information management personnel service quality: Patients’ perception in tertiary hospitals in Ogun State, Nigeria. Third School of Education and Humanities International Conference on the Future of Higher Education in Africa held at Babcock university

Wissmann, S (2015). Addressing challenges to the health information management profession: An Australian perspective. Retrieved from

World Health organization (2012). Management of patient information. Trends and challenges in member states. Managing Service Quality 10 (3), pp. 131-140.

Zheng,W., Baiyin, Y., & McLean, G. (2010). Linking organizational culture, structure, strategy, and organizational effectiveness: Mediating role of knowledge management. Journal of Business Research, 63, 763–771.


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