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The Associations Between Organizational Culture, Organizational Structure and Quality Management in European Hospitals (International Journal of Quality in Health Care)

Publication Topics

Access to Health Care; Use of Health Services; Health Care Delivery System; Managed Care; Safety Net Providers

Publication Type

Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1348&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1348&RootFolder=*">Cordula Wagner</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=79&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=79&RootFolder=*">Onyebuchi A. Arah, MD, PhD, MPH</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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​Authors want to better understand associations between organizational culture (OC), organizational management structure (OS) and quality management in hospitals.

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 included professional quality managers and hospital trustees.
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.


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Journal Article: The Associations Between Organizational Culture, Organizational Structure and Quality Management in European Hospitals

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Press Release

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Version: 2.0
Created at 6/21/2016 8:38 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 6/21/2016 8:39 AM by i:0#.f|uclachissqlmembershipprovider|celeste