The associations between organizational culture, organizational structure and quality management in European hospitals

C. Wagner, R. Mannion, A. Hammer, O. Groene, O. A. Arah, M. Dersarkissian, R. Suñol, DUQuE Project Consortium

Research output: Contribution to journalArticle

1 Downloads (Pure)

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.

Original languageEnglish
Pages (from-to)74-80
Number of pages7
JournalInternational Journal for Quality in Health Care
Volume26
Issue numberSupplement 1
DOIs
Publication statusPublished - 1 Apr 2014
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2014. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • DUQuE
  • hospital
  • organizational culture
  • organizational structure
  • quality improvement
  • quality management

Fingerprint Dive into the research topics of 'The associations between organizational culture, organizational structure and quality management in European hospitals'. Together they form a unique fingerprint.

  • Cite this

    Wagner, C., Mannion, R., Hammer, A., Groene, O., Arah, O. A., Dersarkissian, M., ... DUQuE Project Consortium (2014). The associations between organizational culture, organizational structure and quality management in European hospitals. International Journal for Quality in Health Care, 26(Supplement 1), 74-80. https://doi.org/10.1093/intqhc/mzu027