Objective: The study was conducted with an objective to assess the impact of the Medical Teaching Institution (MTI) promulgated in tertiary health care, on autonomy and overall performance within healthcare institutions in the Khyber Pakhtunkhwa (KP) province of Pakistan.
Methodology: A cross-sectional study was carried out from September 2023 to March 2024, involving interviews with frontline staff, administrative personnel, and senior management within MTI-affiliated institutions. A mixed-methods approach was employed, using both qualitative and quantitative data analysis techniques.
Results: The study showed that institutional staff members' knowledge and understanding of the MTI changes differed. Some observed very minor adjustments, while others saw advances in hospital operations and service delivery. Administrative complexity, political meddling, and resource allocation problems were noted as challenges. Positive results were also observed, though, and they included improved infrastructure, possibilities for staff training, and decision-making procedures.
Conclusion: Despite the improvements brought about by the MTI reforms, problems still exist, underscoring the necessity of multifaceted strategies and teamwork to properly address them. Sustaining improvement necessitates constant assessment, flexible approaches, and a dedication to improving KP healthcare delivery.