Evaluating board governance and strategic leadership in specialized hospitals: The case of Mongolia

Abstract

This study examines the influence of organizational climate, professional development, work performance, justice, and responsibility on governance in specialized hospitals through the lens of strategic leadership and management theory. Data were collected from 900 hospital staff using a structured online questionnaire. Partial least squares structural equation modeling (PLS-SEM) via SMART PLS 3.0 (IBM Corp., 2016) was employed to analyse relationships between observed and latent variables. The results indicate that justice significantly positively impacts governance, while other factors showed non significant effects. This study contributes to understanding hospital governance in Mongolia by integrating strategic leadership and management perspectives, emphasizing the importance of ethical decision making, accountability, and professional development for effective clinical governance.