Hospital performance: Competing or shared values?

Etienne Minvielle (1) , Claude Sicotte (2) , François Champagne (2) , André-Pierre Contandriopoulos (2) , Marine Jeantet (1) , Nathalie Préaubert (1) , Annie Bourdil (3) , Christian Richard (3)

1 CERMES - UMR 8169 / U750 - CERMES - Centre de recherche Médecine, Science, Santé Société
2 UQAM - Université du Québec à Montréal = University of Québec in Montréal
3 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]

Objective To find out which are the emerging views on hospital performance and to analyze how these views vary among hospital stakeholders. Methods Study setting: Three hospital stakeholder groups (physicians, caregivers, and administrative staff) in a large Paris teaching hospital. Study design: A case study combining a qualitative (interviews of 80 key hospital stakeholders and a survey of hospital staff), and a quantitative analysis (a questionnaire composed of 4 theoretical dimensions, 13 sub-dimensions, 66 items) with triangulation of the results. Results Hospital stakeholders assign greatest importance to the human relations dimension, i.e., organizational climate (professional and public service values) and quality of work life. These values attract a high degree of consensus among stakeholders (no statistical difference between physicians, caregivers and administrative staff). Conclusions Our findings challenge the mainstream view that competing values underlie hospital performance. Currently, views are to some extent shared among different stakeholder groups. A reason for this could be the need to form a more united front in the face of recent reforms. This common emphasis on professional and public service values could be the basis for formulating management priorities in teaching hospitals in order to improve performance.

Mots clés: Multiple stakeholders; Performance; Teaching hospital; Shared values

Domaines: Gestion et management; Santé publique et épidémiologie

Etienne Minvielle, Claude Sicotte, François Champagne, André-Pierre Contandriopoulos, Marine Jeantet, et al.. Hospital performance: Competing or shared values?. Health Policy, 2008, 87 (1), pp.8-19. ⟨10.1016/j.healthpol.2007.09.017⟩. ⟨hal-03477095⟩