title: [The dimensions of the organisational climate as seen by general practitioners].
abstract: OBJECTIVE
  To create and validate a tool to assess the organizational climate (OC) perceived by general practitioners (GP).
  
  
  METHODS
  Descriptive, cross-sectional, and multi-site, study.
  
  
  METHODS
  Health centres (HC) in Jaén and Málaga province Spain.
  
  
  METHODS
  Random sample of 38 HCs and 387 GPs.
  
  
  METHODS
  A self-administered questionnaire in March 2001, with the personal variables of sex, age, graduation date, specialty, kind of contract, time worked in primary care teams, time in current job, list size, case load, tutor of residents and academic qualification. HC variables: urban/rural, team structure, accreditation for teaching residents, service portfolio, out-patient care, and an OC scale of 40 Likert-like questions. We analysed the content validity of the scale by factorial analysis; and its reliability, by Cronbach's alpha and corrected scale-item correlation coefficients.
  
  
  RESULTS
  Reply rate was 89.8%, 71% of the GPs were male, mean age was 44, 76% had tenure, and 37% were specialists in family medicine and 28% tutors, 17% with 3rd-year residents, 9% with doctors; 50% of HCs were rural and the mean team structure had 13 GPs and 4 paediatricians. We obtained 12 factors that explained 60% of variance, and 7 factors with reliability coefficients >0.50. We made an OC-positive scale (alpha=.82) with the dimensions for team-work, cohesion and social life; and another OC-negative scale (alpha=.78) composed of team conflict, perceived team failure, excess autonomy, authoritarian management, and GP-nurse tension.
  
  
  CONCLUSIONS
  We found a questionnaire with good validity and reliability, which was useful for evaluating the OC perceived by GPs.
authors.affiliation: Agencia de Calidad Sanitaria de Andalucía, Sevilla, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Delgado Sánchez
authors.forename: Juan Angel
authors.initials: JA
authors.lastname: Bellón Saameño
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Martínez-Cañavate López-Montes
authors.forename: Juan de Dios
authors.initials: Jde D
authors.lastname: Luna del Castillo
authors.forename: Luis Andrés
authors.initials: LA
authors.lastname: López Fernández
authors.forename: Pablo
authors.initials: P
authors.lastname: Lardelli Claret
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D010820:Physicians / Q000523:psychology*; D011320:Primary Health Care; D011795:Surveys and Questionnaires