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U.S. hospital culture profiles for better performance in patient safety, patient satisfaction, Six Sigma, and lean implementation

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  • Lee, Jung Young
  • McFadden, Kathleen L.
  • Lee, Min Kyung
  • Gowen, Charles R.

Abstract

This study identifies prevalent organizational culture profiles in U.S. hospitals based on the Competing Value Framework and examines the relationship between these cultures and quality-related performance. Cross-sectional survey data from 215 U.S. hospitals were merged with secondary data from the Centers for Medicare and Medicaid Services and the Hospital Compare website. Cluster analysis identified two different culture profiles: Strong Multidimensional Culture (SMC) and Weak Multidimensional Culture (WMC). T-tests were then employed to find significant differences between the groups. The SMC group outperformed the WMC group across a variety of quality-related performance measures, such as patient safety outcomes, patient satisfaction scores, Six Sigma, and Lean implementation. This study contributes to previous literature by being the first to propose an empirical taxonomy of hospital culture, based on the Competing Values Framework. This study also reveals that hospitals should employ a more comprehensive approach to organizational culture in order to enhance overall hospital quality performance, rather than focusing on one dominant culture type.

Suggested Citation

  • Lee, Jung Young & McFadden, Kathleen L. & Lee, Min Kyung & Gowen, Charles R., 2021. "U.S. hospital culture profiles for better performance in patient safety, patient satisfaction, Six Sigma, and lean implementation," International Journal of Production Economics, Elsevier, vol. 234(C).
    • Handle: RePEc:eee:proeco:v:234:y:2021:i:c:s0925527321000232
    DOI: 10.1016/j.ijpe.2021.108047
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    2. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).

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