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Strategic Alignment and Service Delivery Excellence in Level Six Hospitals in Kenya: An Empirical Review.
(www.ajsse.org, ©AJSSE Journals, 2025) Waithaka, Simon; Kyongo, Joanes Kaleli; Omagwa, Job
This study sought to explores the link between strategic alignment and service delivery excellence in Level Six hospitals in Kenya. An empirical review of peer-reviewed articles published in the last decade was conducted, focusing on databases like PubMed, Scopus, and Web of Science. The review synthesized empirical data to uncover themes related to strategic alignment and hospital performance. Findings highlight that hospitals with aligned strategies and operational processes show higher patient satisfaction, driven by timely services, quality care, and staff professionalism. However, disparities exist between urban and rural hospitals. In terms of performance, strategic alignment leads to improved financial outcomes, operational efficiency and resource management. Yet, rural hospitals face infrastructure challenges that hinder performance, while aligning strategies with national policies remains difficult due to budget and staffing limitations. This review emphasizes the critical need for strategy alignment to enhance patient satisfaction and hospital performance and calls for addressing regional disparities and policy alignment for service excellence