Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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A study on the quality of medical social work influenced by organizational culture of hospital

조직문화가 의료사회사업서비스의 질에 미치는 영향에 관한 연구

  • Published : 2002.12.01
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Abstract

In this study, the impact of organizational culture on the quality of social work services in hospitals were empirically analysed. A mailed questionnaire survey was conducted between February 19 and April 10, 2001. A sample of total 70 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. According to coping strategy and reacting pattern with the environmental changes, four types of organizational culture in each hospital, classified as group culture, developmental culture, hierarchial culture, and rational culture, were adopted for the independent variables. Three dimensional aspects of quality of social work service - structure, process, and outcome were selected as dependent variables in this study. Also the quality of social work service was distributed into provider-perceiving quality and consumer-perceiving quality The major findings were as following in summary; First, most social workers reported that the characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, developmental culture the third, and rational culture finally in order of comparing the level of quality perceived between social worker's recognition. Second, service provider and consumer, The provider-perceiving quality showed less score than that of consumer, especially the lowest was the score of quality of outcome perceived by provider. Third, according to the types of organizational culture, there were significantly different levels of quality in total social work services, structure dimension and process dimension. The quality of outcome dimension did not show significant differences among the type of organizational culture. Finally, the most influential variables to the quality of social work service ice proved departmental form of social work unit, leader of social work unit, and developmental culture of hospital To assure quality services, accordingly, social work unit in hospital is required to be organized as a single unit, that means to be an independent department of which qualified social worker is supposed to control the unit. It is strongly recommended to develop leadership for the leaders of social work unit.

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References

  1. 강흥구. 의료사회사업부문의 평가제도개선에 관한 연구, 사회복지 1999 : 142 : 113-136.
  2. 원성연. 조직문화 특성 및 조직유효성에 관한 연구. 연세대 석사학위 논문. 1989.
  3. 이종찬. 최고경영자의 가치지향성이 조직문화와 조직효과성에 미치는 영향. 연세대 박사학위 논문. 1996.
  4. 장금성, 김영숙, 김안자. 병원의 조직문화 유형과 조직 유효성간의 관계에 관한 연구, 간호과학논집 1996 : 1 : 125-144.
  5. 조희숙 외. 종합병원에서 조직문화와 조직 유효성과의 관계, 예방의학회지 1999 : 32(3) : 374-382.
  6. 한국의료QA학회. QA실무자 연수자료-CQI의 개념과 필요성. 서울: 한국의료QA학회.1999.
  7. Babakus, E. & Mangold, W.,G. Adapting the SERVQUAL scale to hospital services: An empirical investigation, Health Service Research 1992 : 26(6) : 767-786.
  8. Bopp, K., D. "How patients evaluates the quality of ambulatory medical encounters: A marketing perspective, Journal of Health Care Marketing 1990 : 37(1) : 13-36.
  9. Coulton, C., J. Development and implementing quality assurance programs, skills for effective human services management. R.C. Edwards, J.A. Yank(Eds.). Washington DC: NASW Press. 1991 : 251-266.
  10. Croxton, T., A. Jayaratne, S. & Mattison, D. Social work and emerging practice standards: A review and exploratory study. Ann Arbor: University of Michigan, School of Social Work. 1995.
  11. Deal, T., E. & Kennedy. A., A. Corporate culture, the rites and rituals of corporate life, reading, Mass.: Addison Wesley Publishing Co. 1982.
  12. Donabedian, A. The definition of quality and approaches to its assessment, Michigan: Health Administration Press. 1980.
  13. Donabedian, A.The criteria and standards of quality, Michigan: Health Administration Press. 1982.
  14. Georegette, M., Zifko-Baliga, & Robert, F., K. Managing perception of hospitals quality, Marketing Health Services 1997 : Spring : 28-35.
  15. Kast, F., E. & Rosenzweig, J., E. Organization and management. NY: Mcgraw-Hill. 1985.
  16. Kilmann, R., H. Five steps for closing culture-gaps In R. H. Kilmann et al. Gaining control of the corporate culture, San Francisco: Jossey-Bass. 1988 : 351-369.
  17. Kimberly, J., P. & Quinn, R.. E. Managing organizational transitions. Irwin. 1984.
  18. Klein, M., I. & Masi, A., S. Organization culture, distribution, and amount of control, and perceptions of quality, Group & Organization Management 1995 : 20(2) : 122-150. https://doi.org/10.1177/1059601195202004
  19. Kotter, J. & Heskett, J. Corporate culture and performance. NY: Free press. 1992.
  20. Masterson, D. What business are we in? In L. Friedman(Ed.), The AMA handbook of marketing for the service industries(25-38). NY: American Management Association. 1991.
  21. McNeill, T., Nicholas, D., Szechy, K. & Lach, L. Perceived outcome of social work intervention: beyond consumer satisfaction, Social Work in Health Care 1998 : 26(3): 1-18. https://doi.org/10.1300/J010v26n03_01
  22. Mintzberg, H. Power in and around organizations, Englewood Cliffs, N.J. : Prentice-Hall, Inc.. 1983.
  23. National Association of Social Workers. Standards for the practice of clinical social work, Silver Spring, M.D.: Author. 1989.
  24. O'Reilly, C., A. Corporations, culture, and committment : Motivation and social control in organizations, California Management Review 1989 : 9-25.
  25. Ouchi, W., G. Theory Z : How american business can meet the japanese challange, N.Y.: Aveon. 1981.
  26. Patti, R., J. & Ezell, M. Performance priorities and administrative practice in hospital social work departments, Social Work in Health Care 1988 : 13(3) : 73-90. https://doi.org/10.1300/J010v13n03_07
  27. Rondeau, K.,V. & Wager, T., H. Hospital chief executive officer perceptions of organizational culture and performance, Hospital Topics 1998 : Spring : 14-21.
  28. Schein, E., H. Organizational culture and leadership. San Francisco: Jossey-Bass. 1985.
  29. Scott, A. D. & Richard, D. H., Toward defining the quality culture, Engineering Management Journal 1999 : 11(2) : 11-15. https://doi.org/10.1080/10429247.1999.11415022
  30. Senge, P., M. The fifth discipline. N.Y.: Doubleday Currency. 1990.
  31. Siehl, C. & J. Martin. Learning organizational culture, Working Paper, Graduate School of Business, Stanford Univ. 1981.
  32. Smircich, L. Concept of cultural & organizational analysis, Administrative Science Quarterly 1983 : 28(3) : 344-345.
  33. Tunstall, W., B. Cultural transition at AT&T. Solan Management Review 1983 : Fall : 15.
  34. Vourlekis, B., S,. The field's evaluation of proposed clinical indicators for social work services in the acute care hospital, Health & Social Work 1990 : 15(3) : 197-206. https://doi.org/10.1093/hsw/15.3.197
  35. Vourlekis, B., S., Bakke-Friedland, K, Zlotnik J., L. Clinical indicators to assess the quality of social work services in nursing homes, Social work in Health Care 1995 : 22(1) : 81-93. https://doi.org/10.1300/J010v22n01_06