The impact of organizational culture on the outcome of hospital care: after the implementation of person-centred care

Scand J Public Health. 2014 Feb;42(1):104-10. doi: 10.1177/1403494813500593. Epub 2013 Aug 19.


Aims: To measure the effect of organizational culture on health outcomes of patients 3 months after discharge.

Methods: a quantitative study using Organizational Values Questionnaire (OVQ) and a health-related quality of life instrument (EQ-5D). A total of 117 nurses, 69% response rate, and 220 patients answered the OVQ and EQ-5D, respectively.

Results: The regression analysis showed that; 16% (R(2) = 0.02) of a decreased health status, 22% (R(2) = 0.05) of pain/discomfort and 13% (R(2) = 0.02) of mobility problems could be attributed to the combination of open system (OS) and Human Relations (HR) cultural dimensions, i.e., an organizational culture being dominated by flexibility.

Conclusions: The results from the present study tentatively indicated an association between an organizational culture and patients' health related quality of life 3 months after discharge. Even if the current understanding of organizational culture, which is dominated by flexibility, is considered favourable when implementing a new health care model, our results showed that it could be hindering instead of helping the new health care model in achieving its objectives.

Keywords: Culture; Sweden; implementation; public health; quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Hospital Units / organization & administration*
  • Humans
  • Male
  • Middle Aged
  • Organizational Culture
  • Outcome Assessment, Health Care*
  • Patient Discharge / statistics & numerical data
  • Patient-Centered Care / organization & administration*
  • Quality of Life
  • Sweden
  • Time Factors
  • Young Adult