Abstract
This study examined the effect of resource allocation on healthcare service quality in private healthcare providers in South East Nigeria, with a focus on the moderating role of managerial competencies. Resource allocation was observed through allocation to infrastructure, medical supplies, and research and development, while patient waiting time was used to measure service quality. A cross-sectional survey design was adopted, and data were collected from 215 healthcare administrators, medical professionals, and support staff in 15 selected private hospitals in South East region of Nigeria. Partial least square-Structural equation modeling (PLS-SEM) 3.2.9 was used to analyze the effect of resource allocation on healthcare service quality. The findings showed that resource allocation had a positive and significant effect on both patient waiting time and patient satisfaction, indicating that efficient distribution of resources led to reduced waiting times and improved patient experiences. Furthermore, managerial competencies significantly enhanced the relationship between resource allocation and healthcare service quality, demonstrating that hospitals with skilled managers achieved better service outcomes. The study provides empirical insights for policymakers, healthcare administrators, and investors on optimizing resource allocation and strengthening managerial competencies to enhance service quality in private healthcare facilities.