Hospital network performance: A survey of hospital stakeholders’ perspectives

F. Bravi, D. Gibertoni, A. Marcon, Claude Sicotte (), Etienne Minvielle (), P. Rucci, A. Angelastro, T. Carradori and M.P. Fantini
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A. Marcon: Unit of Epidemiology and Medical Statistics - UNIVR - Università degli studi di Verona = University of Verona
Claude Sicotte: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP]
Etienne Minvielle: COMPAQ(HSPT) - U988 - COordination pour la Mesure de la Performance et l'Amélioration de la Qualité ( Hôpital, Patient, Sécurité, Territoire) - IGR - Institut Gustave Roussy - EHESP - École des Hautes Études en Santé Publique [EHESP] - INSERM - Institut National de la Santé et de la Recherche Médicale, EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy
P. Rucci: DPNFB - UniPi - University of Pisa [Italy] = Università di Pisa [Italia] = Université de Pise [Italie], Western Psychiatric Institute and Clinic - PITT - University of Pittsburgh - Pennsylvania Commonwealth System of Higher Education (PCSHE)
M.P. Fantini: Department of Public Health - UNIBO - Alma Mater Studiorum Università di Bologna = University of Bologna

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Abstract: Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders' perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders' perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers' rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score > 8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance.

Keywords: Shared values; Performance; Oncology; Hospital network; Stakeholders; Quality of care (search for similar items in EconPapers)
Date: 2012-11-29
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Published in Health Policy, 2012, 109 (2), pp.150 - 157. ⟨10.1016/j.healthpol.2012.11.003⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01511250

DOI: 10.1016/j.healthpol.2012.11.003

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