Effect of Cultural Diversity on Firm Performance: Evidence from the Healthcare Sector in Enugu State, Nigeria

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  • December 1, 2025
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Cyrus Apeh Abah 1, Orji Amela Ngozika 2 & Njoku Onyedika Brian3

Abstract         

This study examined the effect of cultural diversity on firm performance in the healthcare sector in Enugu State, Nigeria. The study specifically evaluates (i) the effect of team collaboration on cost effectiveness, and (ii) the effect of patient-centered care on regulatory compliance among healthcare firms. A descriptive survey design was employed, and data were collected using a structured questionnaire administered to the entire staff population (N = 233) of the National Orthopaedic Hospital, Enugu. Out of these, 226 questionnaires were duly completed and returned. Data were analyzed using descriptive statistics, Likert-scale measures, and Z-test statistics for hypothesis testing. The findings show that team collaboration has a significant positive effect on cost effectiveness (Z = 9.180, p < 0.05), while patient-centered care has a significant positive effect on regulatory compliance (Z = 10.776, p < 0.05). The study concludes that cultural diversity expressed through collaborative teamwork and patient-centered practices positively affects the performance of healthcare firms in Enugu State. It recommends that healthcare organizations implement structured team-collaboration frameworks, including multidisciplinary team meetings and shared decision-making protocols, to strengthen coordination, communication, and overall performance outcomes.

Keywords:  Cultural diversity, Firm performance, Team collaboration, Patient-centered care, Regulatory compliance, Healthcare sector

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