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Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study.
- Source :
-
BMC health services research [BMC Health Serv Res] 2015 Dec 21; Vol. 15, pp. 569. Date of Electronic Publication: 2015 Dec 21. - Publication Year :
- 2015
-
Abstract
- Background: Organizational learning, the process by which a group changes its behavior in response to newly acquired knowledge, is critical to outstanding organizational performance. In hospitals, strong organizational learning culture is linked with improved health outcomes for patients. This study characterizes the organizational learning culture of hospitals in China from the perspective of a cardiology service.<br />Methods: Using a modified Abbreviated Learning Organization Survey (27 questions), we characterized organizational learning culture in a nationally representative sample of 162 Chinese hospitals, selecting 2 individuals involved with cardiovascular care at each hospital. Responses were analyzed at the hospital level by calculating the average of the two responses to each question. Responses were categorized as positive if they were 5+ on a 7-point scale or 4+ on a 5-point scale. Univariate and multiple regression analyses were used to assess the relationship between selected hospital characteristics and perceptions of organizational learning culture.<br />Results: Of the 324 participants invited to take the survey, 316 responded (98 % response rate). Perceptions of organizational learning culture varied among items, among domains, and both among and within hospitals. Overall, the median proportion of positive responses was 82 % (interquartile range = 59 % to 93 %). "Training," "Performance Monitoring," and "Leadership that Reinforces Learning" were characterized as the most favorable domains, while "Time for Reflection" was the least favorable. Multiple regression analyses showed that region was the only factor significantly correlated with overall positive response rate.<br />Conclusions: This nationally representative survey demonstrated variation in hospital organizational learning culture among hospitals in China. The variation was not substantially explained by hospital characteristics. Organizational learning culture domains with lower positive response rates reveal important areas for improvement.
- Subjects :
- Adult
Aged
Attitude of Health Personnel
Cardiac Care Facilities trends
China epidemiology
Cross-Sectional Studies
Efficiency
Female
Hospitals
Humans
Leadership
Male
Middle Aged
Models, Organizational
Organizational Culture
Quality Assurance, Health Care trends
Quality of Health Care
Retrospective Studies
Surveys and Questionnaires
Cardiac Care Facilities organization & administration
Cardiovascular Diseases therapy
Quality Assurance, Health Care organization & administration
Quality Improvement
Subjects
Details
- Language :
- English
- ISSN :
- 1472-6963
- Volume :
- 15
- Database :
- MEDLINE
- Journal :
- BMC health services research
- Publication Type :
- Academic Journal
- Accession number :
- 26689591
- Full Text :
- https://doi.org/10.1186/s12913-015-1211-7