Background: Chinese public hospitals are facing ‘business-like’ transformation challenges in the Health Care Reform policy era, with increasing focus on lean management and efficiency. At the same time, other issues have occurred, including tense physician-patient relations, heavy workloads and high job stress which have led to low job satisfaction and burnout among medical staff. This paper aims to explore a Chinese hospital culture profile with the possibility of combining a culture of a patient wellness-centered approach and a business-like approach. Methods: A questionnaire (n=110) using convenience sampling was carried out at Sun Yat-sen University Cancer Center (SYSUCC). Observation and interview (n=8) data on the hospital’s operations were also collected. Results: SYSUCC’s culture profile includes clan culture (mean = 4.35), hierarchical culture (mean = 4.40) and rational culture (mean = 4.32). The Chief Clinical Professor Responsibility System is a key strategy that enables this culture profile to be successful in the hospital. Conclusion: This culture profile focuses on teamwork inside and outside of the medical teams to achieve a positive and cohesive effect, with standardized operational and formal procedures, as well as, a performance assessment system to reach the goal of operational stability, efficiency and better financial outcomes.
| Published in | Science Journal of Business and Management (Volume 9, Issue 4) |
| DOI | 10.11648/j.sjbm.20210904.11 |
| Page(s) | 237-244 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Culture Profile, Chinese Hospital, Team Work, Efficiency
| [1] | Lim, B. Examining the organizational culture and organizational performance link. Leader. Organ. Dev. J. 1995; 16 (5), 16–21. |
| [2] | Schein, E. H. Coming to a new awareness of organizational culture. Sloan Manag. Rev. 1984; 25 (2), 3–16. |
| [3] | Scott, T., Mannion, R., Marshall, M., Davies, H. Does organizational culture influence health care performance? A review of the evidence. J. Health Serv. Res. 2003; 8 (2), 1005–1117. |
| [4] | Mannion R, Davies H. Understanding organisational culture for healthcare quality improvement BMJ 2018; 363: k4907. |
| [5] | Schein E. Organizational culture and leadership. Jossey Bass, 1985. |
| [6] | Ferlie E, Montgomery K, Reff Pedersen AMannion R. Davies, H Cultures in Healthcare. In: Ferlie E, Montgomery K, Reff Pedersen A, eds. Oxford Handbook of Health Care Management. Oxford University Press, 2016. |
| [7] | Lee JY, McFadden KL, Lee MK, Gowen CR. U.S. hospital culture profiles for better performance in patient safety, patient satisfaction, Six Sigma, and lean implementation. International Journal of Production Economics 2021; 234. |
| [8] | Sasaki H, Yonemoto N, Mori R, Nishida T, Kusuda S, Nakayama T. Assessing archetypes of organizational culture based on the Competing Values Framework: the experimental use of the framework in Japanese neonatal intensive care units. Int. J. Qual. Health Care 2017; 29 (3), 384–391. |
| [9] | Calciolari S, Prenestini A, Lega F. An organizational culture for all seasons? How cultural type dominance and strength influence different performance goals. Public Management Review, 2018; 20 (9), 1400–1422. |
| [10] | Mulligan J, Rehman B. Corporate medical cultures: MD Anderson as a case study in American corporate medical valuesMedical Humanities 2020; 46: 84-92. |
| [11] | Yang J, Li L, Zeng X, Xiao L, Liu Q. Strengthen the delicacy management of clinical pathway to promote the reform in public hospitals. Modern Hospitals. 2021, 21 (03), 332-334. |
| [12] | Hu S, Zhang Y, Liu Qing. Empirical Research on Comprehensive Equivalent Method of Hospital Performance Appraisal and Performance Salary Distribution. Chinese Hospital Management. 2021; 41 (03), 63-67. |
| [13] | Zhou X, Pu J, Zhong X, Zhu D, Yin D, Yang L, Zhang Y, Fu Y, Wang H, Xie P; China Neurologist Association. Burnout, psychological morbidity, job stress, and job satisfaction in Chinese neurologists. Neurology 2017; 88 (18): 1727-1735. |
| [14] | Nie JB, Yu Cheng Y, Zou X, Gong N, Tucker JD, Wong B, Kleinman A. The vicious circle of patient-physician mistrust in China: health professionals’ perspectives, institutional conflict of interest, and building trust through medical professionalism, Developing World Bioethics 2017; 1-11. |
| [15] | Li WC, Zhuang YH, Sun XY, et al. Investigation on mental health status and job satisfaction of primary medical staff in Wenzhou. Health Research 2020; 40 (05): 513-517. |
| [16] | Wang H, Zhang N. Analysis on the Status of Occupational Burnout among Doctors. 2008; 04: 397-399. |
| [17] | Jiang S, Wang W, Yang X, Tian H, Chen M. Studying on The Factors to Influence The Job Burnout of Medical Staffs in Shenzhen City. Chinese Health Service Management. 2020; 37 (09), 709-712. |
| [18] | Belias D, Koustelios A. Organizational Culture and Job Satisfaction: A Review. 2014; 4 (2): 132-149. |
| [19] | Yao J. Practice studies of cultural construction in modern hospitals. Chinese Hospital Management, 2010; 30 (5): 46-48. |
| [20] | Chen Y. Hospital management should not discard the cultural essence. Health News, 2009-02-19 (5). |
| [21] | Cameron KS, Quinn RE. Diagnosing and Changing Organizational Culture. Addison-Wesley, Reading (MA), 1999. |
| [22] | Livermore D. Cultural Intelligence: Improving Your CQ to Engage Our Multicultural World. Baker Publishing Group, 2009. |
| [23] | Campbell J. The power of myth with Bill Moyers (B. S. Flowers, Ed.). New York, NY: Bantam Doubleday, 1988. |
| [24] | Laugesen MJ. Regarding "Committee Representation and Medicare Reimbursements: An Examination of the Resource-Based Relative Value Scale". Health services research, 2018; 53 (6), pp. 4123-4131. |
| [25] | Zhou P, Bundorf K, Le Chang J, et al. Organizational culture and its relationship with hospital performance in public hospitals in China. Health Serv Res. 2011; 46 (6pt2): 2139-60. |
| [26] | Carman JM, Shortell SM, Foster RW et al. Keys for successful implementation of total quality management in hospitals. Health Care Manage Rev 2010; 35: 283–93. |
| [27] | Brazil K, Wakefield DB, Cloutier MM et al. Organizational culture predicts job satisfaction and perceived clinical effectiveness in pediatric primary care practices. Health Care Manage Rev 2010; 35: 365–71. |
| [28] | Goodman EA, Zammuto RF, Gifford BD. The Competing Values Framework: understanding the impact of organizational culture on the quality of work life. Organ Dev J 2001; 19: 58–68. |
| [29] | Mijakoski, D, Karadzinska-Bislimovska J, Basarovska V, et al. Burnout, engagement, and organizational culture: differences between physicians and nurses. Open Access Maced. J. Med. Sci. 2015; 3 (3), 506–513. |
| [30] | Hartnell, CA, Ou, AY, Kinicki, A. Organizational culture and organizational effectiveness: a meta-analytic investigation of the competing values framework’s theoretical suppositions. J. Appl. Psychol. 2011; 96 (4), 677–694. |
| [31] | Ovseiko PV, Buchan AM. Organizational culture in an academic health center: an exploratory study using a competing values framework. Acad. Med. 2012; 87 (6), 709–718. |
| [32] | Wagner C, Mannion R, Hammer A, et al. The association between organizational culture, organizational structure, and quality management in European hospitals. Int. J. Qual. Health Care 2014; 26 (1), 74–80. |
| [33] | Jacobs R, Mannion R, Davies HTO, et al. The relationship between organizational culture and performance in acute hospitals. Soc. Sci. Med. 2013; 76, 115–125. |
| [34] | Chen J, Yang Q, Zhang R et al. Effect of hospital culture on professional attitudes and behaviors of Chinese clinical physicians: a cross-sectional investigation. The Lancet, 2017; 390: S82-S82. |
APA Style
Wangqing Peng, Yun Chen, Yu Cheng, Huiwen Zhai, Zijie Shao, et al. (2021). Chinese Hospital Culture Profile for Better Performance and Staff Satisfaction: A Case Study. Science Journal of Business and Management, 9(4), 237-244. https://doi.org/10.11648/j.sjbm.20210904.11
ACS Style
Wangqing Peng; Yun Chen; Yu Cheng; Huiwen Zhai; Zijie Shao, et al. Chinese Hospital Culture Profile for Better Performance and Staff Satisfaction: A Case Study. Sci. J. Bus. Manag. 2021, 9(4), 237-244. doi: 10.11648/j.sjbm.20210904.11
AMA Style
Wangqing Peng, Yun Chen, Yu Cheng, Huiwen Zhai, Zijie Shao, et al. Chinese Hospital Culture Profile for Better Performance and Staff Satisfaction: A Case Study. Sci J Bus Manag. 2021;9(4):237-244. doi: 10.11648/j.sjbm.20210904.11
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Download@article{10.11648/j.sjbm.20210904.11,
author = {Wangqing Peng and Yun Chen and Yu Cheng and Huiwen Zhai and Zijie Shao and Jun Ma},
title = {Chinese Hospital Culture Profile for Better Performance and Staff Satisfaction: A Case Study},
journal = {Science Journal of Business and Management},
volume = {9},
number = {4},
pages = {237-244},
doi = {10.11648/j.sjbm.20210904.11},
url = {https://doi.org/10.11648/j.sjbm.20210904.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjbm.20210904.11},
abstract = {Background: Chinese public hospitals are facing ‘business-like’ transformation challenges in the Health Care Reform policy era, with increasing focus on lean management and efficiency. At the same time, other issues have occurred, including tense physician-patient relations, heavy workloads and high job stress which have led to low job satisfaction and burnout among medical staff. This paper aims to explore a Chinese hospital culture profile with the possibility of combining a culture of a patient wellness-centered approach and a business-like approach. Methods: A questionnaire (n=110) using convenience sampling was carried out at Sun Yat-sen University Cancer Center (SYSUCC). Observation and interview (n=8) data on the hospital’s operations were also collected. Results: SYSUCC’s culture profile includes clan culture (mean = 4.35), hierarchical culture (mean = 4.40) and rational culture (mean = 4.32). The Chief Clinical Professor Responsibility System is a key strategy that enables this culture profile to be successful in the hospital. Conclusion: This culture profile focuses on teamwork inside and outside of the medical teams to achieve a positive and cohesive effect, with standardized operational and formal procedures, as well as, a performance assessment system to reach the goal of operational stability, efficiency and better financial outcomes.},
year = {2021}
}
TY - JOUR T1 - Chinese Hospital Culture Profile for Better Performance and Staff Satisfaction: A Case Study AU - Wangqing Peng AU - Yun Chen AU - Yu Cheng AU - Huiwen Zhai AU - Zijie Shao AU - Jun Ma Y1 - 2021/10/29 PY - 2021 N1 - https://doi.org/10.11648/j.sjbm.20210904.11 DO - 10.11648/j.sjbm.20210904.11 T2 - Science Journal of Business and Management JF - Science Journal of Business and Management JO - Science Journal of Business and Management SP - 237 EP - 244 PB - Science Publishing Group SN - 2331-0634 UR - https://doi.org/10.11648/j.sjbm.20210904.11 AB - Background: Chinese public hospitals are facing ‘business-like’ transformation challenges in the Health Care Reform policy era, with increasing focus on lean management and efficiency. At the same time, other issues have occurred, including tense physician-patient relations, heavy workloads and high job stress which have led to low job satisfaction and burnout among medical staff. This paper aims to explore a Chinese hospital culture profile with the possibility of combining a culture of a patient wellness-centered approach and a business-like approach. Methods: A questionnaire (n=110) using convenience sampling was carried out at Sun Yat-sen University Cancer Center (SYSUCC). Observation and interview (n=8) data on the hospital’s operations were also collected. Results: SYSUCC’s culture profile includes clan culture (mean = 4.35), hierarchical culture (mean = 4.40) and rational culture (mean = 4.32). The Chief Clinical Professor Responsibility System is a key strategy that enables this culture profile to be successful in the hospital. Conclusion: This culture profile focuses on teamwork inside and outside of the medical teams to achieve a positive and cohesive effect, with standardized operational and formal procedures, as well as, a performance assessment system to reach the goal of operational stability, efficiency and better financial outcomes. VL - 9 IS - 4 ER -
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