Universität zu Köln

Hammer, Antje, Arah, Onyebuchi A., DerSarkissian, Maral, Thompson, Caroline A., Mannion, Russell, Wagner, Cordula, Ommen, Oliver, Sunol, Rosa and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2013). The Relationship between Social Capital and Quality Management Systems in European Hospitals: A Quantitative Study. PLoS One, 8 (12). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

Background: Strategic leadership is an important organizational capability and is essential for quality improvement in hospital settings. Furthermore, the quality of leadership depends 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. Objectives: 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. Methods: 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. Results: 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). Conclusion: 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hammer, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Arah, Onyebuchi A. UNSPECIFIED UNSPECIFIED UNSPECIFIED DerSarkissian, Maral UNSPECIFIED UNSPECIFIED UNSPECIFIED Thompson, Caroline A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mannion, Russell UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Cordula UNSPECIFIED UNSPECIFIED UNSPECIFIED Ommen, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Sunol, Rosa UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-469844
DOI:	10.1371/journal.pone.0085662
Journal or Publication Title:	PLoS One
Volume:	8
Number:	12
Date:	2013
Publisher:	PUBLIC LIBRARY SCIENCE
Place of Publication:	SAN FRANCISCO
ISSN:	1932-6203
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRANSFORMATIONAL LEADERSHIP; SAFETY CULTURE; HEALTH-CARE; DIRECTORS; PERFORMANCE; IMPROVEMENT; CLIMATE; IMPACT Multiple languages Multidisciplinary Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/46984