The impact of managerial styles on medical service quality in Romanian public hospitals: a study of accreditation and performance

The quality of medical services in public hospitals is significantly influenced by managerial styles, which shape organizational efficiency, patient satisfaction, and hospital accreditation outcomes. This study examines the impact of managerial leadership styles and organizational characteristics on accreditation performance in Romanian public hospitals. Using survey data from hospital managers, the study employs a structured analytical approach combining Chi-square tests and cross-tabulations, Kendall's Tau correlations, the Kruskal-Wallis H test, ordinal regression modeling, and exploratory K-means cluster analysis to examine how hospital size, managerial education, employee consultation, team motivation, and access to information are associated with accreditation outcomes. Results indicate that hospital administration type, field of study, and team motivation are significant predictors of accreditation success, while hospital size negatively correlates with accreditation scores, suggesting larger hospitals face greater challenges in meeting accreditation standards. Conversely, employee consultation and information transparency show no statistically significant impact on accreditation performance. These findings highlight the critical role of managerial education and team engagement in achieving higher accreditation outcomes. Strengthening leadership training and team-based quality initiatives could enhance accreditation performance in public hospitals. Policy makers should prioritize managerial development programs and strategic leadership approaches to improve healthcare quality and compliance.