IDEAS home Printed from
   My bibliography  Save this article

The relationship between organizational culture and performance in acute hospitals


  • Jacobs, Rowena
  • Mannion, Russell
  • Davies, Huw T.O.
  • Harrison, Stephen
  • Konteh, Fred
  • Walshe, Kieran


This paper examines the relationship between senior management team culture and organizational performance in English acute hospitals (NHS Trusts) over three time periods between 2001/2002 and 2007/2008. We use a validated culture rating instrument, the Competing Values Framework, to measure senior management team culture. Organizational performance is assessed using a wide range of routinely collected indicators. We examine the associations between organizational culture and performance using ordered probit and multinomial logit models. We find that organizational culture varies across hospitals and over time, and this variation is at least in part associated in consistent and predictable ways with a variety of organizational characteristics and routine measures of performance. Moreover, hospitals are moving towards more competitive culture archetypes which mirror the current policy context, though with a stronger blend of cultures. The study provides evidence for a relationship between culture and performance in hospital settings.

Suggested Citation

  • Jacobs, Rowena & Mannion, Russell & Davies, Huw T.O. & Harrison, Stephen & Konteh, Fred & Walshe, Kieran, 2013. "The relationship between organizational culture and performance in acute hospitals," Social Science & Medicine, Elsevier, vol. 76(C), pages 115-125.
  • Handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:115-125 DOI: 10.1016/j.socscimed.2012.10.014

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Alessandra Fogli & Raquel Fernandez, 2009. "Culture: An Empirical Investigation of Beliefs, Work, and Fertility," American Economic Journal: Macroeconomics, American Economic Association, vol. 1(1), pages 146-177, January.
    2. Luigi Guiso & Paola Sapienza & Luigi Zingales, 2006. "Does Culture Affect Economic Outcomes?," Journal of Economic Perspectives, American Economic Association, vol. 20(2), pages 23-48, Spring.
    3. Carrillo, Juan D. & Gromb, Denis, 1999. "On the strength of corporate cultures," European Economic Review, Elsevier, vol. 43(4-6), pages 1021-1037, April.
    4. Russell Mannion & Andrew Street, 2009. "Managing activity and expenditure in the new NHS market," Public Money & Management, Taylor & Francis Journals, vol. 29(1), pages 27-34, January.
    5. Greif, Avner, 1994. "Cultural Beliefs and the Organization of Society: A Historical and Theoretical Reflection on Collectivist and Individualist Societies," Journal of Political Economy, University of Chicago Press, vol. 102(5), pages 912-950, October.
    6. 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.
    7. Samuel Bowles, 1998. "Endogenous Preferences: The Cultural Consequences of Markets and Other Economic Institutions," Journal of Economic Literature, American Economic Association, vol. 36(1), pages 75-111, March.
    8. William A. Jackson, 2009. "Economics, Culture and Social Theory," Books, Edward Elgar Publishing, number 4082.
    9. Braithwaite, Jeffrey & Westbrook, Mary T. & Iedema, Rick & Mallock, Nadine A. & Forsyth, Rowena & Zhang, Kai, 2005. "A tale of two hospitals: assessing cultural landscapes and compositions," Social Science & Medicine, Elsevier, vol. 60(5), pages 1149-1162, March.
    Full references (including those not matched with items on IDEAS)


    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.

    Cited by:

    1. Valmohammadi, Changiz & Roshanzamir, Shervin, 2015. "The guidelines of improvement: Relations among organizational culture, TQM and performance," International Journal of Production Economics, Elsevier, vol. 164(C), pages 167-178.
    2. Nurul Fadly Habidin & Nurul Aifaa Shazali & Naimah Ali & Nur Afni Khaidir & Osman Jusoh, 2016. "The impact of lean healthcare practice on healthcare performance: the mediating role of supply chain innovation in Malaysian healthcare industry," International Journal of Critical Accounting, Inderscience Enterprises Ltd, vol. 8(1), pages 79-93.

    More about this item


    Organizational culture; Hospital performance; Competing Values Framework; English NHS hospital Trusts;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • Z10 - Other Special Topics - - Cultural Economics - - - General


    Access and download statistics


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:115-125. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.