Good governance: an empirical evidence from Egypt’s public health sector

Abstract

Purpose This paper aims to investigate the implementation of good governance (GG) principles in Egypt’s public health sector and assess their impact on overall GG and their interrelationships. Design/methodology/approach About 21 indicators under six principles were chosen to investigate the following principles: rule of law, legislation and institutions’ regulations, self-governance, transparency and accountability, equity and efficiency and e-services. Using secondary survey data, this paper employed structural equation modeling (SEM) to explore the impact of chosen GG principles on the overall GG and their interrelationship. Findings The findings showed the significant impact of the principles on GG, but with different weights. They confirmed the complex interrelation among GG principles toward implementing GG effectively and efficiently. The findings recommend the importance of diagnosing the organization’s structure and functions and how this can carry out governance in a good manner. Investigating the success of implementing GG at the micro-level is also suggested, using a bottom-up approach, to assure that the organization’s units/subunits perform efficiently toward enhancing the goodness of governance. Originality/value This study provides empirical evidence on the complex nature of GG principles through their implementation in Egypt’s public health sector as a case study, aiming to investigate the direct and indirect interrelation between GG principles.

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