Cultures For Performance In Health Care

by Mannion, Russell; Davies, Huw; Marshall, Martin

• ISBN13: 9780335215546
• ISBN10: 0335215548
• Edition: 1st
• Format: Hardcover
• Copyright: 2004-10-01
• Publisher: Open University Press

Summary

What is organizational culture? Do organizational cultures influence the performance of health care organizations? Are organizational cultures capable of being managed to beneficial effect?Recent legislation in the United Kingdom has led to significant reforms within the health care system. Clinical quality, safety and performance have been the focus for improvement alongside systematic changes involving decision-making power being devolved to patients and frontline staff. However, as this book shows, improvements in performance are intrinsically linked to cultural changes within health care settings.Using theories from a wide range of disciplines including economics, management and organization studies, policy studies and the health sciences, this book sets out definitions of cultures and performance, in particular the specific characteristics that help or hinder performance. Case studies of high and low performing hospital trusts and primary care trusts are used to explore the links between culture and performance. These studies provide examples of strategies to create beneficial, high-performance cultures that may be used by other managers. Moreover, implications for future policies and research are outlined.Cultures for Performance in Health Careis essential reading for those with an interest in health care management and health policy including students, researchers, policy makers and health care professionals.

Author Biography

Huw T. O. Davies is Professor of Health Care Policy and Management at the University of St. Andrews.

Table of Contents

List of figures, tables and boxes	ix
Series editor's introduction	xi
About the authors	xiii
Foreword	xv
Aidan Halligan
Jay Bevington
Foreword	xix
Nigel Edwards
Acknowledgements	xxii
Introduction: policy background and overview	1	(7)
Making sense of organizational culture in health care	8	(35)
Tim Scott
Does organizational culture influence health care performance? A review of existing evidence	43	(24)
Tim Scott
Culture and performance in acute hospital trusts: integration and synthesis of case study evidence	67	(22)
Culture and performance in English acute hospital trusts: condensed case study narratives	89	(70)
Alison Powell
Findings from a quantitative analysis of all English NHS acute trusts	159	(20)
Rowena Jacobs
Findings from the primary care case studies	179	(18)
Liz Nelson
Summary, conclusions and implications for policy and research	197	(28)
Appendix 1 Research design and methods of data gathering and analysis	225	(10)
Appendix 2 Quantitative models and data definitions	235	(36)
References	271	(12)
Index	283