The associations between organizational culture, organizational structure and quality management in European hospitals
Wagner, Cordula (Netherlands Institute for Health Services Research (NIVEL))
Mannion, Russell (Health Services Management Centre, University of Birmingham)
Hammer, A.
Groene, Oliver (London School of Hygiene & Tropical Medicine. Department of Health Services Research and Policy)
Arah, Onyebuchi A (University of California. Los Angeles-UCLA)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)

Date:	2014
Abstract:	OBJECTIVE: To better understand associations between organizational culture (OC), organizational management structure (OS) and quality management in hospitals. DESIGN: A multi-method, multi-level, cross-sectional observational study. SETTING AND PARTICIPANTS: As part of the DUQuE project (Deepening our Understanding of Quality improvement in Europe), a random sample of 188 hospitals in 7 countries (France, Poland, Turkey, Portugal, Spain, Germany and Czech Republic) participated in a comprehensive questionnaire survey and a one-day on-site surveyor audit. Respondents for this study (n = 158) included professional quality managers and hospital trustees. MAIN OUTCOME MEASURES: Extent of implementation of quality management systems, extent of compliance with existing management procedures and implementation of clinical quality activities. RESULTS: Among participating hospitals, 33% had a clan culture as their dominant culture type, 26% an open and developmental culture type, 16% a hierarchical culture type and 25% a rational culture type. The culture type had no statistically significant association with the outcome measures. Some structural characteristics were associated with the development of quality management systems. CONCLUSION: The type of OC was not associated with the development of quality management in hospitals. Other factors (not culture type) are associated with the development of quality management. An OS that uses fewer protocols is associated with a less developed quality management system, whereas an OS which supports innovation in care is associated with a more developed quality management system.
Grants:	European Commission 241822
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Organizational culture ; Organizational structure ; Hospital ; Quality management ; Quality improvement ; DUQuE
Published in:	International journal for quality in health care, Vol. 26 (january 2014) , p. 74-80, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu027
PMID: 24671119

7 p, 273.8 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Avedis Donabedian Research Institute-UAB
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Articles > Published articles