Universität zu Köln

Wagner, C., Mannion, R., Hammer, A., Groene, O., Arah, O. A., Dersarkissian, M. and Sunol, R. (2014). The associations between organizational culture, organizational structure and quality management in European hospitals. Int. J. Qual. Health Care, 26. S. 74 - 81. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

Full text not available from this repository.

Abstract

To better understand associations between organizational culture (OC), organizational management structure (OS) and quality management in hospitals. A multi-method, multi-level, cross-sectional observational study. 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. Extent of implementation of quality management systems, extent of compliance with existing management procedures and implementation of clinical quality activities. 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. 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wagner, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mannion, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Groene, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Arah, O. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dersarkissian, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sunol, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-442281
DOI:	10.1093/intqhc/mzu027
Journal or Publication Title:	Int. J. Qual. Health Care
Volume:	26
Page Range:	S. 74 - 81
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1464-3677
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IMPROVEMENT Multiple languages Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44228