Hospital performance: competing or shared values?
OBJECTIVE
To find out which are the emerging views on hospital performance and to analyze how these views vary among hospital stakeholders.


METHODS



METHODS
Three hospital stakeholder groups (physicians, caregivers, and administrative staff) in a large Paris teaching hospital.


METHODS
A case study combining a qualitative (interviews of 80 key hospital stakeholders and a survey of hospital staff), and a quantitative analysis (a questionnaire composed of 4 theoretical dimensions, 13 sub-dimensions, 66 items) with triangulation of the results.


RESULTS
Hospital stakeholders assign greatest importance to the human relations dimension, i.e., organizational climate (professional and public service values) and quality of work life. These values attract a high degree of consensus among stakeholders (no statistical difference between physicians, caregivers and administrative staff).


CONCLUSIONS
Our findings challenge the mainstream view that competing values underlie hospital performance. Currently, views are to some extent shared among different stakeholder groups. A reason for this could be the need to form a more united front in the face of recent reforms. This common emphasis on professional and public service values could be the basis for formulating management priorities in teaching hospitals in order to improve performance.
Minvielle
Etienne
E
Centre for Medical Research, Medicine, Health and Society, 94276 Le Kremlin-Bicêtre cedex, France. minviel@kb.inserm.fr
Sicotte
Claude
C
Champagne
François
F
Contandriopoulos
André-Pierre
AP
Jeantet
Marine
M
Préaubert
Nathalie
N
Bourdil
Annie
A
Richard
Christian
C
D001291:Attitude of Health Personnel; D017598:Efficiency, Organizational; D006740:Hospital Administrators / Q000523:psychology; D006784:Hospitals, Teaching / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D009741:Nursing Staff, Hospital / Q000523:psychology; D019982:Organizational Case Studies; D010297:Paris; D010820:Physicians / Q000523:psychology; D012945:Social Values; D011795:Surveys and Questionnaires