Nasirpour Amir Ashkan, Gohari Mahmoud Reza, Moradi Saied
Department of Health Services Management, Faculty of Management and Economics, Islamic Azad University, Science and Research Branch, Tehran, Iran.
Acta Med Iran. 2010 Sep-Oct;48(5):326-31.
One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant correlation with performance indexes of these hospitals. Further research regarding structure is suggested in the future.
组织效率和效能的主要问题之一是其结构问题。组织文化也被视为许多组织绩效的一个有效因素。本研究的主要目的是确定德黑兰医科大学附属教学医院的集权化、组织文化与绩效指标之间的关系。这项相关性研究于2007年进行。研究人群包括来自13家医院的4408名人员，其中441名受试者通过分层抽样方法被选中并进行研究。数据通过一份关于集权化评估状况的清单、另一份关于绩效指标的表格以及罗宾斯组织文化问卷进行收集。数据通过受试者自行作答获得，并使用描述性统计指标、t检验和费舍尔精确检验进行分析。在所研究医院的组织文化指标中，控制和组织认同相较于其他指标表现更好（均值分别为3.32和3.30）。在所研究医院的集权化程度方面，分别有53.85%和46.15%的医院报告具有较高和较低的组织集权化。手术与住院患者的平均比例为40%，每张有效床位的平均入院率为60.83，平均床位占用系数为70.79%，平均住院时间为6.96天，平均净死亡率为1.41%。在德黑兰医科大学教学医院中，集权化程度、组织文化与绩效指标之间未发现显著相关性。（置信区间为95%）。由于一级教学医院使用获得委员会认证的成员、专业人员和先进设备，且由于患者选择受限，集权化程度和许多组织文化组成部分与这些医院的绩效指标没有显著相关性。建议未来对结构进行进一步研究。
