Peña-Viveros R, Hernández-Hernández DM, Vélez-Moreno AML, García-Sandoval MG, Reyes-Tellez MA, Ureña-Bogarin EL

Idioma: Español
Referencias bibliográficas: 31
Paginas: 528-536
Archivo PDF: 243.02 Kb.

RESUMEN

Objetivo. Identificar la relación entre el clima organizacional de los equipos directivos y el desempeño de los servicios de salud. Material y métodos. Estudio transversal y analítico. Se utilizó la Escala de Clima Organizacional (EDCO). El desempeño se valoró por el logro de indicadores a través de correlación y regresión múltiple. Se evaluaron 34 jefaturas de servicios de prestaciones médicas del Instituto Mexicano del Seguro Social. Resultados. De 862 participantes, 238 (27.6%) evaluaron el clima de sus organizaciones con nivel alto. El promedio de desempeño fue 0.79±0.07 (mínimo: 0.65; máximo: 0.92). Se muestra una correlación positiva entre clima organizacional y desempeño (r=0.4; p=0.008). Conclusiones. El clima organizacional de las jefaturas de servicios de prestaciones médicas se relaciona con el desempeño en la atención a la salud.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Arnold E. Improving organizational climate for excellence in patient care. Health Care Manag 2013;32:280-286.

2. Al-Sawai A. Leadership of healthcare professionals: where do we stand? Oman Med J 2013;28:285-287.

3. Wilkinson J, Greenwood N, Tienwey-Wang C, White L, Larry-Culpepper L. Measuring staff empowerment regarding health care for clients with intellectual disabilities. Int J Family Med 2014;2014:678127.

4. Randmaa M, Mårtensson G, Leo Swenne C, Engström M. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. BMJ open 2014;4(1):e004268.

5. Lewin K, Lippitt R, White RK. Patterns of aggressive behavior in experimentally created “social climates”. J Soc Psychol 1939;10(2):269-299.

6. Denison DR. What is the difference between organizational culture and organizational climate? A native´s point of view on a decade of paradigm wars. Acad Manage Rev 1996;21:619-654.

7. Wahr J, Prager R, Abernathy JH 3rd, Martinez E, Salas E, Seifert P, et al. Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Circulation 2013;128:1139-1169.

8. Edward E, Lawle, Douglas T, Greg R. Organizational climate: relationship to organizational structure, process and performance. Org Behav Hum Perform 1974;11:139-155.

9. Benning A, Ghaleb M, Suokas A, Dixon-Woods M, Dawson J, Barber N, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ 2011;342:d195.

10. Yueng-Hsiang H, Zohar D, Robertson M, Garabet A, Lauren A, Murphy L, et al. Development and validation of safety climate scales for mobile remote workers using utility/electrical workers as exemplar. Accid Anal Prev 2013;59:76-86.

11. Bhatnagar K, Srivastava K. Job satisfaction in health-care organizations. Ind Psychiatry J 2012; 21:75-78.

12. Mannion R, Konteh FH, Davies HT. Assessing organizational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf Health Care 2009;18:153-156.

13. Hesselink G, Vernooij-Dassen M, Pijnenborg L, Barach P, Gademan P, Dudzik-Urbaniak. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care 2013;51:90-98.

14. Patlán PJ, Flores HR. Desarrollo y validación de la escala multidimensional de clima organizacional (EMCO): un estudio empírico con profesionales de la salud. Ciencia & trabajo 2013;15:131-139.

15. Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care 2010;16:632-638.

16. Nembhard IM, Northrup V, Shaller D, Cleary PD. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care 2012;50 suppl:S74-S82.

17. Scammon DL, Tabler J, Brunisholz K, Gren H, Kim J, Tomoaia-Cotisel A, et al. Organizational culture associated with provider satisfaction. J Am Board Fam Med 2014;27:219-228.

18. Instituto Mexicano del Seguro Social. Informe de Servicios Personales 2012 [monografía en Internet] México: IMSS, 2012 [consultado en noviembre de 2012]. Disponible en: http://www.imss.gob.mx/instituto/ informes/Pages/infopersonales2012.aspx

19. Fernández CS. El IMSS en cifras: la salud medida a través de indicadores. Rev Med Inst Mex Seguro Soc 2003;41:521-530.

20. Acero Y, Echeverri LM, Lizarazo S, Quevedo AJ, Sanabria B. Escala de clima organizacional (EDCO) [documento en internet]. Santafé de Bogotá, DC: Fundación Universitaria Konrad Lorenz [consultado en mayo de 2011]. Disponible en: http://www.monografias.com/trabajos35/escalaclima- organizacional/escala-clima-organizacional.shtm

21. Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas. Manual metodológico de indicadores médicos v. 2011, v. 2012 [monografía en internet]. México: IMSS [consultado en noviembre de 2012]. Disponible en: http://11.22.41.168:86/2012/

22. Davies HT, Nutley SM, Mannion R. Organizational culture and quality of health care. Health Care 2000;9:111-119.

23. Jones GT. Indicator-based systems of performance management in the National Health Service: a comparison of the perceptions of local- and national-level managers. Health Serv Manage Res 2000;13(1):16-26.

24. Coomber B, Barriball KL. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud 2007;44:297-314.

25. Freeman T, Walshe K. Achieving progress through clinical overnance. A national study of health care managers’ perceptions in the NHS in England. Qual Saf Health Care 2004;13:335-343.

26. Shahnazi H, Shahrbanoo-Daniali S, Sharifirad G. Job satisfaction survey among health centers staff. J Educ Health Promot 2014;3:35.

27. Spehar I, Frich JC, Kjekshus LE. Clinicians’ experiences of becoming a clinical manager: a qualitative study. BMC Health Serv Res 2012;12:421.

28. Lawn S, Lloyd A, King A, Sweet L, Gum L. Integration of primary health services: being put together does not mean they will work together. BMC Res Notes 2014;7:66.

29. Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res 2007;7:17.

30. Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The Impact of Health on the Quality and Safety of Health Care: A Systematic Overview. PLoS Med 2011; 8(1): e1000387. doi:10.1371/journal. pmed.1000387

31. Pickett RB. Making a difference. J Med Pract Manage 2013;28:229-231.