Hospital autonomy is undertaken in countries to meet some or all of the following objectives: 1) improve communication and reduce administrative complexity for effectively managing hospitals; 2) enhance effectiveness and efficiency of hospital operations; 3) increase accountability to the public for care provided at hospitals; 4) improve resource mobilization for hospitals. The Hashemite Kingdom of Jordan approved hospital autonomy in financial and administrative matters for Prince Hamzah Hospital (PHH) by a Royal Decree on 19 August 2008.

The USAID Health Finance and Governance Activity conducted this study as part of a review of PHH’s operations, structure, patient care and staff and patient satisfaction under hospital autonomy. Limited quantitative data was available from existing sources and reports. Most of the data was qualitative and was gathered through structured interviews with the PHH Board, administration and staff