Performance of healthcare organizations: contributing variables to efficiency and quality

Doctoral thesis English OPEN
Albuquerque, Isabel Garcia da Fonseca e Faro de (2017)
  • Subject: Workplace spirituality | Hospital organizational integration | Work engagement | Relational coordination | Organizational performance | :Ciências Sociais [Domínio/Área Científica]

The transition from volume-based healthcare to value-based healthcare has been the major challenge of National Health Systems. Nevertheless, some variables that might contribute to bring together healthcare professionals and healthcare challenges have been overlooked. Study A, the first of three studies, conducted in a primary healthcare setting, revealed that perceived and objective organizational performance is predicted by sense of community, which simultaneously mediates the relationship between workgroup and performance. Study B provides a definition of hospital organizational integration (HOI) by exploring which change initiatives undertaken by hospitals are contributing to healthcare integration and by explaining how these initiatives are connecting and bringing together different levels of healthcare. Study C concludes that HOI increases both sides of organizational outcomes: efficiency and quality. The study also revealed that relational coordination (RC) only produces a positive impact on quality (perceived performance) and that the influence of HOI and RC on performance is mediated by workplace spirituality and work engagement.
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