title: Teaching hospital performance: towards a community of shared values?
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.
authors.affiliation: Department of Clinical and Experimental Medicine, Magna Græcia University of Catanzaro, Campus of Germaneto, Viale Europa, 88100, Catanzaro, Italy. Electronic address: mauro@unicz.it.
authors.forename: Marianna
authors.initials: M
authors.lastname: Mauro
authors.affiliation: Department of Legal, Historical, Economic and Social Sciences, Magna Græcia University of Catanzaro, Campus of Germaneto, Viale Europa, 88100, Catanzaro, Italy.
authors.forename: Emma
authors.initials: E
authors.lastname: Cardamone
authors.affiliation: Department of Legal, Historical, Economic and Social Sciences, Magna Græcia University of Catanzaro, Campus of Germaneto, Viale Europa, 88100, Catanzaro, Italy.
authors.forename: Giusy
authors.initials: G
authors.lastname: Cavallaro
authors.affiliation: Centre for Medical Research, Medicine, Health and Society (INSERM U750/CNRS 8169), Institut Gustave Roussy, 114 rue Edouard Vaillant, 94895, Villejuif Cedex, France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Minvielle
authors.affiliation: Department of Legal, Historical, Economic and Social Sciences, Magna Græcia University of Catanzaro, Campus of Germaneto, Viale Europa, 88100, Catanzaro, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Rania
authors.affiliation: Department of Health Administration, University of Montreal, CP 6128 Succursale Centreville, Montreal, Quebec, H3C 3J7, Canada.
authors.forename: Claude
authors.initials: C
authors.lastname: Sicotte
authors.affiliation: Department of Legal, Historical, Economic and Social Sciences, Magna Græcia University of Catanzaro, Campus of Germaneto, Viale Europa, 88100, Catanzaro, Italy.
authors.forename: Annarita
authors.initials: A
authors.lastname: Trotta
mesh_terms: D017598:Efficiency, Organizational; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006801:Humans; D007558:Italy; D017146:Models, Organizational; D015279:Organizational Culture; D036301:Qualitative Research; D011787:Quality of Health Care; D011795:Surveys and Questionnaires
keywords: Hospital management; Hospital stakeholders; Italy; Performance measurement; Shared values; Teaching hospital