Administration in hospital is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal. A common goal is “Quality Patient Care". And the hospital administrator has a great responsibility to understand and appreciate the aspects of patient care. The purpose of the study was to examine the relationship between the quality of administrative system and health care provided to patients among hospital managers. Design: A descriptive correlational research design was utilized in the current study. Setting: This study was conducted at inpatient and critical care units at Menoufia University Hospitals. Methods: A simple random sample for each category of study participants was done. They were 57 Nurses' managers, 55 physicians' managers, 33 administrative managers, and 75 patients. Two instruments were used for data gathering. The first instrument was managers‟ observational checklist. The second instrument was patients' structured interview questionnaire. Results: The main findings of this study revealed that the administrative system total quality in Menoufia University Hospital among managers was high (70.3%). Majority of patients denoted that the quality of health services were moderate quality. Conclusion: More than two thirds of patients' perceived that the quality of services was moderate. There was high significant difference between patients' perception and all hospital managers and the total quality score of administrative system. It was recommended that hospital administrators should take action to provide adequate staff and resources at any time to maintain and continuously improve the quality of health care and quality of administrative system. Managers should make ongoing monitoring of patient satisfaction specific to nursing and medical services regularly. Further researches studies are required to pay more attention toward comparing between in-patient departments regard quality of structure of administrative system.