Z Evid Fortbild Qual Gesundhwes. 2021 Feb;160:34-38. doi: 10.1016/j.zefq.2020.09.006. Epub 2020 Dec 30.
The organizational pedestal of quality of care climate in health care excellence.
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
Sindhu Shantha Nair, Kennedy Andrew Thomas, Smritika S Prem
Affiliations
Affiliations
- Christ (Deemed to be University). Hosur Road, Bengaluru, Karnataka, India. Electronic address: [email protected].
- School of Education. Christ (Deemed to be University), Hosur Road, Bengaluru, Karnataka, India.
- Data Engineer, ICBC New Westminster, BC, Canada.
PMID: 33386274
DOI: 10.1016/j.zefq.2020.09.006
Abstract
BACKGROUND: Health care in private healthcare organizations is a balancing act between business excellence and quality outcomes in practice. This complex activity establishes the existence of quality of care climate so as the pedestal of quality of care decisions bring health care excellence. In healthcare, Quality of care is not linear but multi-dimensional, with myriad challenges.
PURPOSE: The aim of the study was to establish the organizational pedestal for quality of care and predominant quality of care dimension.
METHOD: This study was approved by the IRB of our Institution. This study empirically tested the quality of care climate types in NABH accredited and non-accredited hospitals using quantitative method with a sample of 410 healthcare managers from accredited and non-accredited hospitals in South India.
RESULTS: The results indicate that among the dimensions of quality of care climate, competitive advantage was perceived the lowest with a mean rating of 73.14 among the rest. Value-Stream was perceived as the highest quality of care climate with a mean of 83.12. The results indicate that patient centered value-stream is the predominant dimension of quality of care climate as perceived by the managers and value stream is the predominated determinant of patient centered decisions.
CONCLUSIONS: The results designate a promising support for patient centered quality of care approach for health care excellence with a balance on value stream mapping.
Copyright © 2021. Published by Elsevier GmbH.
Keywords: Führungskräfte; Health care excellence; Managers; Organisationale Eckpfeiler; Organizational pedestal; Quality of care climate; Qualitätsorientierte Versorgungskultur; Versorgungsexzellenz im Gesundheitswesen
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