IDEAS home Printed from https://ideas.repec.org/a/eee/proeco/v234y2021ics0925527321000232.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0925527321000232
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.ijpe.2021.108047?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

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

    References listed on IDEAS

    as
    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. Hicks, Chris & McGovern, Tom & Prior, Gary & Smith, Iain, 2015. "Applying lean principles to the design of healthcare facilities," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 677-686.
    3. Stefano Calciolari & Anna Prenestini & Federico Lega, 2018. "An organizational culture for all seasons? How cultural type dominance and strength influence different performance goals," Public Management Review, Taylor & Francis Journals, vol. 20(9), pages 1400-1422, September.
    4. 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.
    5. Bortolotti, Thomas & Boscari, Stefania & Danese, Pamela, 2015. "Successful lean implementation: Organizational culture and soft lean practices," International Journal of Production Economics, Elsevier, vol. 160(C), pages 182-201.
    6. Armstrong, J. Scott & Overton, Terry S., 1977. "Estimating Nonresponse Bias in Mail Surveys," MPRA Paper 81694, University Library of Munich, Germany.
    7. 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.
    8. 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.
    9. Palvi Pasricha & Bindu Singh & Pratibha Verma, 2018. "Ethical Leadership, Organic Organizational Cultures and Corporate Social Responsibility: An Empirical Study in Social Enterprises," Journal of Business Ethics, Springer, vol. 151(4), pages 941-958, September.
    10. Stock, Gregory N. & McFadden, Kathleen L. & Gowen III, Charles R., 2007. "Organizational culture, critical success factors, and the reduction of hospital errors," International Journal of Production Economics, Elsevier, vol. 106(2), pages 368-392, April.
    11. Véronique Nabelsi & Stéphane Gagnon, 2017. "Information technology strategy for a patient-oriented, lean, and agile integration of hospital pharmacy and medical equipment supply chains," International Journal of Production Research, Taylor & Francis Journals, vol. 55(14), pages 3929-3945, July.
    12. Zu, Xingxing & Robbins, Tina L. & Fredendall, Lawrence D., 2010. "Mapping the critical links between organizational culture and TQM/Six Sigma practices," International Journal of Production Economics, Elsevier, vol. 123(1), pages 86-106, January.
    13. Palvi Pasricha & Bindu Singh & Pratibha Verma, 2018. "Erratum to: Ethical Leadership, Organic Organizational Cultures and Corporate Social Responsibility: An Empirical Study in Social Enterprises," Journal of Business Ethics, Springer, vol. 151(4), pages 959-959, September.
    14. Parast, Mahour Mellat & Golmohammadi, Davood, 2019. "Quality management in healthcare organizations: Empirical evidence from the baldrige data," International Journal of Production Economics, Elsevier, vol. 216(C), pages 133-144.
    15. Jinxin Pan & Shuai Ding & Desheng Wu & Shanlin Yang & Jun Yang, 2019. "Exploring behavioural intentions toward smart healthcare services among medical practitioners: a technology transfer perspective," International Journal of Production Research, Taylor & Francis Journals, vol. 57(18), pages 5801-5820, September.
    16. Fundin, Anders & Bergquist, Bjarne & Eriksson, Henrik & Gremyr, Ida, 2018. "Challenges and propositions for research in quality management," International Journal of Production Economics, Elsevier, vol. 199(C), pages 125-137.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Effrosyni Taraza & Sofia Anastasiadou & Andreas Masouras & Christos Papademetriou, 2023. "Sustainable Development and Implementation of Quality Management Excellence Models in Public Organizations: A Systematic Literature Review," Sustainability, MDPI, vol. 15(10), pages 1-27, May.
    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).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ghafoori, Arman & Gupta, Manjul & Merhi, Mohammad I. & Gupta, Samrat & Shore, Adam P., 2024. "Toward the role of organizational culture in data-driven digital transformation," International Journal of Production Economics, Elsevier, vol. 271(C).
    2. Zu, Xingxing & Robbins, Tina L. & Fredendall, Lawrence D., 2010. "Mapping the critical links between organizational culture and TQM/Six Sigma practices," International Journal of Production Economics, Elsevier, vol. 123(1), pages 86-106, January.
    3. Aisling Bonner & George Onofrei & Paul Humphreys & Michael Margey & Trevor Cadden, 2021. "Entrepreneurial versus cooperative social capital: The impact on operational performance," Business Strategy and the Environment, Wiley Blackwell, vol. 30(8), pages 3854-3865, December.
    4. Hardcopf, Rick & Liu, Gensheng (Jason) & Shah, Rachna, 2021. "Lean production and operational performance: The influence of organizational culture," International Journal of Production Economics, Elsevier, vol. 235(C).
    5. Erthal, Alice & Frangeskou, Marianna & Marques, Leonardo, 2021. "Cultural tensions in lean healthcare implementation: A paradox theory lens," International Journal of Production Economics, Elsevier, vol. 233(C).
    6. Cheffi, Walid & Kaleem Zahir-ul-Hassan, Muhammad & Omer Farooq, Muhammad & Baqrain, Abdelrahman & Mohamed Habib Mansour, Mourad, 2023. "Ethical leadership, management control systems and circular economy in SMEs in an emerging economy, the UAE," Journal of Business Research, Elsevier, vol. 156(C).
    7. Yongjun Tang & Qi Li & Fen Zhou & Mingjia Sun, 2024. "Does Clan Culture Promote Corporate Natural Resource Disclosure? Evidence from Chinese Natural Resource-Based Listed Companies," Journal of Business Ethics, Springer, vol. 192(1), pages 167-190, June.
    8. Yuyuan Chang & Wen He & Jianling Wang, 2021. "Government Initiated Corporate Social Responsibility Activities: Evidence from a Poverty Alleviation Campaign in China," Journal of Business Ethics, Springer, vol. 173(4), pages 661-685, November.
    9. Alev Ozer Torgaloz & Mehmet Fatih Acar & Cemil Kuzey, 2023. "The effects of organizational learning culture and decentralization upon supply chain collaboration: analysis of covid-19 period," Operations Management Research, Springer, vol. 16(1), pages 511-530, March.
    10. Seokwon Chang & Mugoan Jeong, 2021. "Does Leadership Matter in Performance of Social Enterprises in South Korea?," Sustainability, MDPI, vol. 13(20), pages 1-19, October.
    11. Tortorella, Guilherme Luz & Narayanamurthy, Gopalakrishnan & Thurer, Matthias, 2021. "Identifying pathways to a high-performing lean automation implementation: An empirical study in the manufacturing industry," International Journal of Production Economics, Elsevier, vol. 231(C).
    12. Martínez-Caro, Eva & Cegarra-Navarro, Juan Gabriel & Alfonso-Ruiz, Francisco Javier, 2020. "Digital technologies and firm performance: The role of digital organisational culture," Technological Forecasting and Social Change, Elsevier, vol. 154(C).
    13. Longinos Marín & Alicia Rubio & Salvador Ruiz de Maya, 2012. "Competitiveness as a Strategic Outcome of Corporate Social Responsibility," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 19(6), pages 364-376, November.
    14. Soliman, Marlon & Saurin, Tarcisio Abreu & Anzanello, Michel Jose, 2018. "The impacts of lean production on the complexity of socio-technical systems," International Journal of Production Economics, Elsevier, vol. 197(C), pages 342-357.
    15. Alkhoraif, Abdullah & Rashid, Hamad & McLaughlin, Patrick, 2019. "Lean implementation in small and medium enterprises: Literature review," Operations Research Perspectives, Elsevier, vol. 6(C).
    16. Shivam Gupta & Sachin Modgil & Piera Centobelli & Roberto Cerchione & Serena Strazzullo, 2022. "Additive Manufacturing and Green Information Systems as Technological Capabilities for Firm Performance," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 23(4), pages 515-534, December.
    17. Stefanie Einhorn & Bernhard Fietz & Thomas W. Guenther & Edeltraud Guenther, 2024. "The relationship of organizational culture with management control systems and environmental management control systems," Review of Managerial Science, Springer, vol. 18(8), pages 2321-2371, August.
    18. Charles H. Schwepker & Sean R. Valentine & Robert A. Giacalone & Mark Promislo, 2021. "Good Barrels Yield Healthy Apples: Organizational Ethics as a Mechanism for Mitigating Work-Related Stress and Promoting Employee Well-Being," Journal of Business Ethics, Springer, vol. 174(1), pages 143-159, November.
    19. Verdu-Jover, Antonio J. & Alos-Simo, Lirios & Gomez-Gras, Jose-Maria, 2018. "Adaptive culture and product/service innovation outcomes," European Management Journal, Elsevier, vol. 36(3), pages 330-340.
    20. Dubey, Rameshwar & Gunasekaran, Angappa & Childe, Stephen J. & Roubaud, David & Fosso Wamba, Samuel & Giannakis, Mihalis & Foropon, Cyril, 2019. "Big data analytics and organizational culture as complements to swift trust and collaborative performance in the humanitarian supply chain," International Journal of Production Economics, Elsevier, vol. 210(C), pages 120-136.

    Corrections

    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:proeco:v:234:y:2021:i:c:s0925527321000232. See general information about how to correct material in RePEc.

    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 bibliographic 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/ijpe .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.