Social Dysfunctioning and Human Resources Management Practices in University Hospital Centers in Mali: The Case of Gabriel Toure, Point-G and the Mali Hospital in 2023

Introduction: The evolution of the hospital reflects a profound transformation. From a place of spiritual and social assistance for the poor, it has become a high-tech technical center managed according to principles of economic efficiency. Human resources are the primary lever for this much-anticipated economic efficiency in today's hospitals. However, even the slightest disruption can affect human resources and thereby hinder economic efficiency. It is within this context that we initiated this study. Objectif: the main objective of which was to evaluate the influence of human resource management practices on social dysfunctions in the Gabriel Touré University Hospital, the Mali Hospital, and Point-G. Methodology: We conducted a cross-sectional, analytical, mixed-methods study with 52 healthcare professionals, 64 support staff, and 93 patients. Individual surveys, semi-structured interviews, and document analysis were used to collect data. This data was analyzed quantitatively using SPSS 21 and qualitatively using NVivo 11. A bivariate analysis with a significance threshold of 10% was also performed to demonstrate the link between variables. Results: The overall satisfaction rate was 41.9% (high level of dysfunction) for the Mali Hospital, 39.5% (high level of dysfunction) for the Gabriel Touré Hospital, and 25% (high level of dysfunction) for the Point-G Hospital. At the 10% significance level, the study demonstrated that HR practices are linked to social dysfunctions with a p-value < 0.10 in the hospitals. Conclusion: Our study established the existence of a significant link between human resource management practices and social dysfunctions. If left unresolved, these dysfunctions expose the organization to a multitude of difficulties. To effectively combat dysfunctions, understanding behavioral approaches is therefore essential for HR management, as these approaches are at the root of the dysfunctions.