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The Nexus of Tamed Bureaucracy and Better Health Outcomes for Consumers in Nigeria's Health Institutions
Abstract
Health institution is a typology of formal organization that is designed manifestly to ensure the diagnosis, treatment, and rehabilitation of the sick and the wounded. There are three levels of health institutions in Nigeria: the primary, secondary, and the tertiary/specialist care organizations. Their clienteles range from the infants, very young, adolescents, middle-aged, and the very old afflicted with acute or chronic health conditions, contagious or non-communicable disorders. A number of healthcare workers are involved in the process of patients/clients' care and treatment. The process and the divergent human resources in the healthcare industry tend to throw up “red-tapism” and complex bottlenecks resulting from specialization, hierarchy of authority, and chains of command of bureaucracy. The chapter relying on guided participant observation, desk research, and key informants interrogated this phenomenon. The chapter concludes that if bureaucracy is tamed, there is bound to be better health outcome for health consumers in health institutions in Nigeria.
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