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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.

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File URL: http://www.sciencedirect.com/science/article/pii/S0277953612007368
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Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 76 (2013)
Issue (Month): C ()
Pages: 115-125

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Handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:115-125
DOI: 10.1016/j.socscimed.2012.10.014
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  1. Raquel Fernandez & Alessandra Fogli, 2005. "Culture: An Empirical Investigation of Beliefs, Work, and Fertility," NBER Working Papers 11268, National Bureau of Economic Research, Inc.
  2. 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.
  3. 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 912-50, October.
  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. William A. Jackson, 2009. "Economics, Culture and Social Theory," Books, Edward Elgar Publishing, number 4082, 10.
  6. Paola Sapienza & Luigi Zingales & Luigi Guiso, 2006. "Does Culture Affect Economic Outcomes?," NBER Working Papers 11999, National Bureau of Economic Research, Inc.
  7. Carrillo, Juan D. & Gromb, Denis, 1999. "On the strength of corporate cultures," European Economic Review, Elsevier, vol. 43(4-6), pages 1021-1037, April.
  8. 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.
  9. 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.
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