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How are organisational climate models and patient satisfaction related? A competing value framework approach


  • Ancarani, Alessandro
  • Di Mauro, Carmela
  • Giammanco, Maria Daniela


Patient satisfaction has become an important indicator of process quality inside hospitals. Even so, the improvement of patient satisfaction cannot simply follow from the implementation of new incentives schemes and organisational arrangements; it also depends on hospitals' cultures and climates. This paper studies the impact of alternative models of organisational climate in hospital wards on patient satisfaction. Data gathered from seven public hospitals in Italy are used to explore this relationship. The theoretical approach adopted is the Competing Value Framework which classifies organisations according to their inward or outward focus and according to the importance assigned to control vs. flexibility. Results show that both a model stressing openness, change and innovation and a model emphasising cohesion and workers' morale are positively related to patient satisfaction, while a model based on managerial control is negatively associated with patient satisfaction.

Suggested Citation

  • Ancarani, Alessandro & Di Mauro, Carmela & Giammanco, Maria Daniela, 2009. "How are organisational climate models and patient satisfaction related? A competing value framework approach," Social Science & Medicine, Elsevier, vol. 69(12), pages 1813-1818, December.
  • Handle: RePEc:eee:socmed:v:69:y:2009:i:12:p:1813-1818

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    References listed on IDEAS

    1. Callen, Joanne L. & Braithwaite, Jeffrey & Westbrook, Johanna I., 2007. "Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems," Social Science & Medicine, Elsevier, vol. 65(3), pages 635-639, August.
    2. Robert E. Quinn & John Rohrbaugh, 1983. "A Spatial Model of Effectiveness Criteria: Towards a Competing Values Approach to Organizational Analysis," Management Science, INFORMS, vol. 29(3), pages 363-377, March.
    3. Cabiedes, Laura & Guillén, Ana, 2001. "Adopting and adapting managed competition: health care reform in Southern Europe," Social Science & Medicine, Elsevier, vol. 52(8), pages 1205-1217, April.
    4. Gregory, Brian T. & Harris, Stanley G. & Armenakis, Achilles A. & Shook, Christopher L., 2009. "Organizational culture and effectiveness: A study of values, attitudes, and organizational outcomes," Journal of Business Research, Elsevier, vol. 62(7), pages 673-679, July.
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