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Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study

INTRODUCTION: Organisational culture is believed to be an important facilitator for better integrated care, yet how organisational culture impacts integrated care remains underspecified. In an exploratory study, we assessed the relationship between organisational culture in primary care centres as p...

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Autores principales: Tietschert, Maike V., Angeli, Federica, van Raak, Arno J.A., Clark, Jonathan, Singer, Sara J., Ruwaard, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923772/
https://www.ncbi.nlm.nih.gov/pubmed/31871439
http://dx.doi.org/10.5334/ijic.4681
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author Tietschert, Maike V.
Angeli, Federica
van Raak, Arno J.A.
Clark, Jonathan
Singer, Sara J.
Ruwaard, Dirk
author_facet Tietschert, Maike V.
Angeli, Federica
van Raak, Arno J.A.
Clark, Jonathan
Singer, Sara J.
Ruwaard, Dirk
author_sort Tietschert, Maike V.
collection PubMed
description INTRODUCTION: Organisational culture is believed to be an important facilitator for better integrated care, yet how organisational culture impacts integrated care remains underspecified. In an exploratory study, we assessed the relationship between organisational culture in primary care centres as perceived by primary care teams and patient-perceived levels of integrated care. THEORY AND METHODS: We analysed a sample of 2,911 patient responses and 17 healthcare teams in four primary care centres. We used three-level ordered logistic regression models to account for the nesting of patients within health care teams within primary care centres. RESULTS: Our results suggest a non-linear relationship between organisational culture at the team level and integrated care. A combination of different culture types—including moderate levels of production-oriented, hierarchical and team-oriented cultures and low or high levels of adhocracy cultures—related to higher patient-perceived levels of integrated care. CONCLUSIONS AND DISCUSSION: Organisational culture at the level of healthcare teams has significant associations with patient-perceived integrated care. Our results may be valuable for primary care organisations in their efforts to compose healthcare teams that are predisposed to providing better integrated care.
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spelling pubmed-69237722019-12-23 Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study Tietschert, Maike V. Angeli, Federica van Raak, Arno J.A. Clark, Jonathan Singer, Sara J. Ruwaard, Dirk Int J Integr Care Research and Theory INTRODUCTION: Organisational culture is believed to be an important facilitator for better integrated care, yet how organisational culture impacts integrated care remains underspecified. In an exploratory study, we assessed the relationship between organisational culture in primary care centres as perceived by primary care teams and patient-perceived levels of integrated care. THEORY AND METHODS: We analysed a sample of 2,911 patient responses and 17 healthcare teams in four primary care centres. We used three-level ordered logistic regression models to account for the nesting of patients within health care teams within primary care centres. RESULTS: Our results suggest a non-linear relationship between organisational culture at the team level and integrated care. A combination of different culture types—including moderate levels of production-oriented, hierarchical and team-oriented cultures and low or high levels of adhocracy cultures—related to higher patient-perceived levels of integrated care. CONCLUSIONS AND DISCUSSION: Organisational culture at the level of healthcare teams has significant associations with patient-perceived integrated care. Our results may be valuable for primary care organisations in their efforts to compose healthcare teams that are predisposed to providing better integrated care. Ubiquity Press 2019-12-20 /pmc/articles/PMC6923772/ /pubmed/31871439 http://dx.doi.org/10.5334/ijic.4681 Text en Copyright: © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Tietschert, Maike V.
Angeli, Federica
van Raak, Arno J.A.
Clark, Jonathan
Singer, Sara J.
Ruwaard, Dirk
Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title_full Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title_fullStr Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title_full_unstemmed Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title_short Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
title_sort can organisational culture of teams be a lever for integrating care? an exploratory study
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923772/
https://www.ncbi.nlm.nih.gov/pubmed/31871439
http://dx.doi.org/10.5334/ijic.4681
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