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Teaching hospital performance: Towards a community of shared values?

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Listed:
  • Mauro, Marianna
  • Cardamone, Emma
  • Cavallaro, Giusy
  • Minvielle, Etienne
  • Rania, Francesco
  • Sicotte, Claude
  • Trotta, Annarita

Abstract

This paper explores the performance dimensions of Italian teaching hospitals (THs) by considering the multiple constituent model approach, using measures that are subjective and based on individual ideals and preferences. Our research replicates a study of a French TH and deepens it by adjusting it to the context of an Italian TH. The purposes of this research were as follows: to identify emerging views on the performance of teaching hospitals and to analyze how these views vary among hospital stakeholders. We conducted an in-depth case study of a TH using a quantitative survey method. The survey uses a questionnaire based on Parsons' social system action theory, which embraces the major models of organizational performance and covers three groups of internal stakeholders: physicians, caregivers and administrative staff. The questionnaires were distributed between April and September 2011. The results confirm that hospital performance is multifaceted and includes the dimensions of efficiency, effectiveness and quality of care, as well as organizational and human features. There is a high degree of consensus among all observed stakeholder groups about these values, and a shared view of performance is emerging. Our research provides useful information for defining management priorities to improve the performance of THs.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:101:y:2014:i:c:p:107-112
    DOI: 10.1016/j.socscimed.2013.11.027
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. Blake, R. Todd & Massey, Anne P. & Bala, Hillol & Cummings, Jeff & Zotos, Angela, 2010. "Driving health IT implementation success: Insights from The Christ Hospital," Business Horizons, Elsevier, vol. 53(2), pages 131-138, March.
    4. 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.
    5. Koelewijn, Wout T. & Ehrenhard, Michel L. & Groen, Aard J. & van Harten, Wim H., 2012. "Intra-organizational dynamics as drivers of entrepreneurship among physicians and managers in hospitals of western countries," Social Science & Medicine, Elsevier, vol. 75(5), pages 795-800.
    6. Angelo A. Alonzo & Arthur B. Simon, 2008. "Have stethoscope, will travel: contingent employment among physician health care providers in the United States," Work, Employment & Society, British Sociological Association, vol. 22(4), pages 635-654, December.
    7. van der Geer, Eric & van Tuijl, Harrie F.J.M. & Rutte, Christel G., 2009. "Performance management in healthcare: Performance indicator development, task uncertainty, and types of performance indicators," Social Science & Medicine, Elsevier, vol. 69(10), pages 1523-1530, November.
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