Assessing Operational and Administrative Challenges in Cebu Provincial Hospital

This study aims to assess the operational and administrative challenges faced by Cebu Provincial Hospitals, specifically focusing on the hospitals in Bogo City, Carcar City, Danao City, and Balamban. The research examines key challenges and constraints related to implementation of Internal Control System under the Control Environment Component; implementation of Internal Control System under the Risk Assessment Component, implementation of Internal Control System under the Control Activity Component; implementation of Internal Control System under the Information and Communication Component; and implementation of Internal Control System under the Monitoring Component. Furthermore, excerpts from the interviews were quoted to further support the identified problems and constraints. A mixed-methods approach was used, combining surveys, interviews, and document analysis to gather data from hospital administrators, medical staff, and patients. The findings revealed several critical key challenges such as slow processing of payments, insufficient drugs and medical supplies, and a lack of automated information systems. Additionally, the absence of an Internal Audit Unit contributed to a weak monitoring framework, increasing the risk of fraud. The lack of proper information systems and bureaucratic delays further compounded these issues, hindering the hospitals' ability to provide timely and quality healthcare. Additionally, inadequate infrastructure and limited financial resources were identified as major constraints in improving service delivery. The study concludes that addressing these operational and administrative challenges is essential for enhancing the efficiency of Cebu Provincial Hospitals. Recommendations include strengthening internal processes, improving resource allocation, and implementing technology-driven solutions to optimize hospital management and healthcare outcomes.