The relationship between organizational culture and performance in acute hospitals

R Jacobs, R Mannion, Huw Talfryn Oakley Davies, S Harrison, F Konteh, K Walshe

    Research output: Contribution to journalArticlepeer-review

    127 Citations (Scopus)


    This paper examines the relationship between senior management team culture and organizational performance in English acute hospitals (NHS Trusts) over three time periods between 2001/02 and 2007/08. We use a validated culture rating instrument, the Competing Values Framework, to measure senior management team culture. Organizational performance is assessed using a wide range of routinely collected indicators. We examine the associations between organizational culture and performance using ordered probit and multinomial logit models. We find that organizational culture varies across hospitals and over time, and this variation is at least in part associated in consistent and predictable ways with a variety of organizational characteristics and routine measures of performance. Moreover, hospitals are moving towards more competitive culture archetypes which mirror the current policy context, though with a stronger blend of cultures. The study provides evidence for a relationship between culture and performance in hospital settings.
    Original languageEnglish
    Pages (from-to)115-125
    Number of pages11
    JournalSocial Science and Medicine
    Issue number1
    Early online date2 Nov 2012
    Publication statusPublished - Jan 2013


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