Department of Hospital Management, School of Public Health, Fu Dan University, Shanghai, China.
Health Serv Res. 2011 Dec;46(6pt2):2139-60. doi: 10.1111/j.1475-6773.2011.01336.x. Epub 2011 Oct 18.
To measure perceptions of organizational culture among employees of public hospitals in China and to determine whether perceptions are associated with hospital performance.
Hospital, employee, and patient surveys from 87 Chinese public hospitals conducted during 2009.
Developed and administered a tool to assess organizational culture in Chinese public hospitals. Used factor analysis to create measures of organizational culture. Analyzed the relationships between employee type and perceptions of culture and between perceptions of culture and hospital performance using multivariate models.
Employees perceived the culture of Chinese public hospitals as stronger in internal rules and regulations, and weaker in empowerment. Hospitals in which employees perceived that the culture emphasized cost control were more profitable and had higher rates of outpatient visits and bed days per physician per day but also had lower levels of patient satisfaction. Hospitals with cultures perceived as customer-focused had longer length of stay but lower patient satisfaction.
Managers in Chinese public hospitals should consider whether the culture of their organization will enable them to respond effectively to their changing environment.
测量中国公立医院员工对组织文化的看法，并确定这些看法是否与医院绩效相关。
2009 年在中国 87 家公立医院进行的医院、员工和患者调查。
开发并管理了一种评估中国公立医院组织文化的工具。使用因子分析创建组织文化的衡量标准。使用多元模型分析员工类型与文化认知之间的关系以及文化认知与医院绩效之间的关系。
员工认为中国公立医院的文化在内部规章制度方面更强，在授权方面较弱。员工认为文化强调成本控制的医院更盈利，门诊人次和医师每天床日更高，但患者满意度更低。以客户为中心的文化的医院住院时间更长，但患者满意度更低。
中国公立医院的管理者应该考虑他们组织的文化是否能够使他们有效地应对不断变化的环境。
