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Hospital network performance: A survey of hospital stakeholders’ perspectives

Author

Listed:
  • Bravi, F.
  • Gibertoni, D.
  • Marcon, A.
  • Sicotte, C.
  • Minvielle, E.
  • Rucci, P.
  • Angelastro, A.
  • Carradori, T.
  • Fantini, M.P.

Abstract

Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders’ perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders’ perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers’ rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score>8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance.

Suggested Citation

  • Bravi, F. & Gibertoni, D. & Marcon, A. & Sicotte, C. & Minvielle, E. & Rucci, P. & Angelastro, A. & Carradori, T. & Fantini, M.P., 2013. "Hospital network performance: A survey of hospital stakeholders’ perspectives," Health Policy, Elsevier, vol. 109(2), pages 150-157.
  • Handle: RePEc:eee:hepoli:v:109:y:2013:i:2:p:150-157
    DOI: 10.1016/j.healthpol.2012.11.003
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    References listed on IDEAS

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    1. 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.
    2. Etienne Minvielle & Claude Sicotte & François Champagne & André-Pierre Contandriopoulos & Marine Jeantet & Nathalie Préaubert & Annie Bourdil & Christian Richard, 2008. "Hospital performance: Competing or shared values?," Post-Print hal-03477095, HAL.
    3. Minvielle, Etienne & Sicotte, Claude & Champagne, François & Contandriopoulos, André-Pierre & Jeantet, Marine & Préaubert, Nathalie & Bourdil, Annie & Richard, Christian, 2008. "Hospital performance: Competing or shared values?," Health Policy, Elsevier, vol. 87(1), pages 8-19, July.
    4. Lega, Federico & DePietro, Carlo, 2005. "Converging patterns in hospital organization: beyond the professional bureaucracy," Health Policy, Elsevier, vol. 74(3), pages 261-281, November.
    5. Myrna Mandell & Robyn Keast, 2008. "Evaluating the effectiveness of interorganizational relations through networks," Public Management Review, Taylor & Francis Journals, vol. 10(6), pages 715-731.
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    1. Sabina Nuti & Guido Noto & Tommaso Grillo Ruggieri & Milena Vainieri, 2021. "The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    2. Dubas-Jakóbczyk, K. & Albreht, T. & Behmane, D. & Bryndova, L. & Dimova, A. & Džakula, A. & Habicht, T. & Murauskiene, L. & Scîntee, S.G. & Smatana, M. & Velkey, Z. & Quentin, W., 2020. "Hospital reforms in 11 Central and Eastern European countries between 2008 and 2019: a comparative analysis," Health Policy, Elsevier, vol. 124(4), pages 368-379.
    3. Mauro, Marianna & Cardamone, Emma & Cavallaro, Giusy & Minvielle, Etienne & Rania, Francesco & Sicotte, Claude & Trotta, Annarita, 2014. "Teaching hospital performance: Towards a community of shared values?," Social Science & Medicine, Elsevier, vol. 101(C), pages 107-112.
    4. Foglino, Silvia & Bravi, Francesca & Carretta, Elisa & Fantini, Maria Pia & Dobrow, Mark J. & Brown, Adalsteinn D., 2016. "The relationship between integrated care and cancer patient experience: A scoping review of the evidence," Health Policy, Elsevier, vol. 120(1), pages 55-63.

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