The Relationship between social capital and quality management systems in European hospitals : A quantitative study
Hammer, A (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne)
Arah, Onyebuchi A.. (University of California Los Angeles Center for Health Policy Research)
Dersarkissian, Maral (Department of Epidemiology, University of California Los Angeles Fielding School of Public Health)
Thompson, Caroline A. (Department of Epidemiology, University of California Los Angeles Fielding School of Public Health)
Mannion, Russell (School of Social Policy, HSMC, University of Birmingham)
Wagner, Cordula (Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam)
Ommen, Oliver (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Pfaff, Holger (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne)

Data:	2013
Resum:	Strategic leadership is an important organizational capability and is essential for quality improvement in hospital settings. Furthermore, the quality of leadership depends crucially on a common set of shared values and mutual trust between hospital management board members. According to the concept of social capital, these are essential requirements for successful cooperation and coordination within groups. We assume that social capital within hospital management boards is an important factor in the development of effective organizational systems for overseeing health care quality. We hypothesized that the degree of social capital within the hospital management board is associated with the effectiveness and maturity of the quality management system in European hospitals. We used a mixed-method approach to data collection and measurement in 188 hospitals in 7 European countries. For this analysis, we used responses from hospital managers. To test our hypothesis, we conducted a multilevel linear regression analysis of the association between social capital and the quality management system score at the hospital level, controlling for hospital ownership, teaching status, number of beds, number of board members, organizational culture, and country clustering. The average social capital score within a hospital management board was 3. 3 (standard deviation: 0. 5; range: 1-4) and the average hospital score for the quality management index was 19. 2 (standard deviation: 4. 5; range: 0-27). Higher social capital was associated with higher quality management system scores (regression coefficient: 1. 41; standard error: 0. 64, p=0. 029). The results suggest that a higher degree of social capital exists in hospitals that exhibit higher maturity in their quality management systems. Although uncontrolled confounding and reverse causation cannot be completely ruled out, our new findings, along with the results of previous research, could have important implications for the work of hospital managers and the design and evaluation of hospital quality management systems.
Ajuts:	European Commission 24188
Drets:	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.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 8 Num. 12 (december 2013) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0085662
PMID: 24392027

8 p, 343.3 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut Universitari Avedis Donabedian-UAB
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