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Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care?

Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care? Interest in organizational contributions to the delivery of care has risen significantly in recent years. A challenge facing researchers, practitioners, and policy makers is identifying ways to improve care by improving the organizations that provide this care, given the complexity of health care organizations and the role organizations play in influencing systems of care. This article reviews the literature on the relationship between the structural characteristics and organizational processes of hospitals and quality of care. The review uses Donabedian's structure—process—outcome and level of analysis frameworks to organize the literature. The results of this review indicate that a preponderance of studies are conducted at the hospital level of analysis and are predominantly focused on the organizational structure—quality outcome relationship. The article concludes with recommendations of how health services researchers can expand their research to enhance one's understanding of the relationship between organizational characteristics and quality of care. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Care Research and Review SAGE

Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care?

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References (118)

Publisher
SAGE
Copyright
Copyright © by SAGE Publications
ISSN
1077-5587
eISSN
1552-6801
DOI
10.1177/1077558707309613
pmid
18089769
Publisher site
See Article on Publisher Site

Abstract

Interest in organizational contributions to the delivery of care has risen significantly in recent years. A challenge facing researchers, practitioners, and policy makers is identifying ways to improve care by improving the organizations that provide this care, given the complexity of health care organizations and the role organizations play in influencing systems of care. This article reviews the literature on the relationship between the structural characteristics and organizational processes of hospitals and quality of care. The review uses Donabedian's structure—process—outcome and level of analysis frameworks to organize the literature. The results of this review indicate that a preponderance of studies are conducted at the hospital level of analysis and are predominantly focused on the organizational structure—quality outcome relationship. The article concludes with recommendations of how health services researchers can expand their research to enhance one's understanding of the relationship between organizational characteristics and quality of care.

Journal

Medical Care Research and Review – SAGE

Published: Jun 1, 2008

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