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A Study on Organizational Culture in Indian Private Hospitals

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Book cover Investigating Cultural Aspects in Indian Organizations

Part of the book series: India Studies in Business and Economics ((ISBE))

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Abstract

Last few years have seen the global healthcare industry rise to astonishing heights making it challenging and exceedingly competitive for modern healthcare providers around the world. The healthcare market has grown faster than the GDP in the Western world for the past three decades, and at high rates in emerging markets such as China and India (Powell 2006). Public sector (federal and state governments) has traditionally dominated the Indian healthcare scene but currently the private healthcare sector is witnessing a boom. The private healthcare market is growing and several consulting firms’ research indicates it to be the next-big thing (PwC health report 2007; IBM health report 2008). According to the WHO report (2008), newfound prosperity of many Indian households is spurring demand for high-quality medical care, transforming the healthcare delivery sector into a profitable industry. Recently, the Indian national expenditure on healthcare budget was hiked by 20 % by the government (Federal budget speech 2011). Hence, the funds for health have risen to $5.9bn or £3.7bn (BBC 2011) that indicates the government is getting increasingly concerned about its ability to meet its social obligations toward the wider population in the health sector.

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References

  • Alvesson, M. (2002). Understanding organizational culture. Thousand Oaks, CA: Sage.

    Book  Google Scholar 

  • Ashley, J. (1997). Power in structured misogyny: implications for the politics of care. In K. Wolf (Ed.), Jo Ann Ashley: Selected readings. New York: NLN Press.

    Google Scholar 

  • Balthazard, P., Cooke, R., & Potter, R. (2006). Dysfunctional culture, dysfunctional organization—capturing the behavioural norms that form organizational culture and drive performance. Journal of Managerial Psychology, 21(8), 709–732.

    Article  Google Scholar 

  • Bellou, V. (2008). Identifying organizational culture and subcultures within Greek public hospitals. Journal of Health, Organization and Management, 22(5), 496–509. doi:10.1108/1477726081089871.

    Article  Google Scholar 

  • Beyond Health Care: The Economic Contribution of Hospitals. American Hospital Association, 2009.

    Google Scholar 

  • Black, R. J. (2003). Organisational culture: Creating the influence needed for strategic success. Dissertation.com, London.

    Google Scholar 

  • Bolman, L. G., & Deal, T. E. (1997). Reframing organisations: Artistry, choice and leadership. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Braithwaite, J., Westbrook, M., Iedema, R., Mallock, N., Forsyth, R., & Zhang, K. (2005). A tale of two hospitals: Assessing cultural landscapes and compositions. Social Science & Medicine, 60(5), 1149–1162.

    Article  Google Scholar 

  • Bryman, A., & Bell, E. (2003). Business research methods. Oxford, England: Oxford University Press.

    Google Scholar 

  • Budget speech. (2011). http://www.indiabudget.nic.in/bspeecha.asp

  • Carter, A. J., & West, M. A. (1999). Sharing the Burden—team work in health care setting. In J. Firth-Cozens & R. L. Payne (Eds.), Stress in health professionals (pp. 191–202). Chichester, England: John Wiley.

    Google Scholar 

  • Connell, J. (2001). Influence of firm size on organizational culture and employee morale. Journal of Management Research, 1, 220–233.

    Google Scholar 

  • Cooke, R. A., & Rousseau, D. M. (1988). Behavioral norms and expectations: A quantitative approach to the assessment of culture. Group and Organizational Studies, 13, 245–273.

    Article  Google Scholar 

  • Dahnke, D. M. (2013). Ethics and the image of the healthcare administrator in popular culture. International Journal of Healthcare Management, 6(3), 177–183.

    Article  Google Scholar 

  • Davies, H., Mannion, R., Jacobs, R., Powell, A. E., & Marshall, M. N. (2003). Does hospital organizational culture influence hospital performance? Lessons from the UK. Academy Health Meet, University of St. Andrews, Centre for Public Policy & Management.

    Google Scholar 

  • Davies, H., Mannion, R., Jacobs, R., Powell, A. E., & Marshall, M. N. (2007). Exploring the relationship between senior management team culture and hospital performance. Medical Care Research & Review, 64(1), 46–65.

    Article  Google Scholar 

  • De Vaus, D. A. (2002). Surveys in social research (5th ed.). London: UCL Press.

    Google Scholar 

  • Deal, T., & Kennedy, A. (1999). The new corporate cultures. New York: Perseus.

    Google Scholar 

  • Denison, D. R., & Mishra, A. K. (1995). Toward a theory of organizational culture and effectiveness. Organization Science, 6(1995), 204–223.

    Article  Google Scholar 

  • Deshpande, R., Farley, J. U., & Webster, F. E. (1993). Corporate culture, customer orientation and innovativeness in Japanese firms: A quadrad analysis. Journal of Marketing, 57, 23–27.

    Article  Google Scholar 

  • Firth-Cozens and Moss (2001): correct citation is Firth-Cozens 2001: Firth-Cozens, J. (2001) Interventions to improve physicians’ well-being and patient care. Social Science & Medicine. Volume 52, Issue 2, January, Pages 215-222

    Google Scholar 

  • Firth-Cozens, J., & Moss, F. (1998). Hours, sleep, teamwork and stress. British Medical Journal, 317, 1335–1336.

    Article  Google Scholar 

  • Fitzpatrick, R., & Boulton, M. (1994). Qualitative methods for assessing health care. Quality Health Care, 3, 107–113.

    Article  Google Scholar 

  • Fraser, J., Kick, E., & Barber, K. (2002). Organizational culture as contested ground in an era of globalization: Worker perceptions and satisfaction in the USPS. Sociological Spectrum, 22, 445–471.

    Article  Google Scholar 

  • Freidson, E. (1970). Profession of medicine: A study of the sociology of applied knowledge. New York: Harper and Row.

    Google Scholar 

  • Frost, P., Moore, L., Louis, M., Lundberg, C., & Martin, J. (1985). Organizational culture. Beverly Hills, CA: Sage.

    Google Scholar 

  • Gerstner, L.V. Jr (2002), Who Says Elephants Can’t Dance?, HarperCollins Publishers, New York, NY.

    Google Scholar 

  • Gifford, B. D., Zammuto, R. F., & Goodman, E. A. (2002). The relationship between hospital unit culture and nurses’ quality of work life. Journal of Healthcare Management, 47(1), 13–25.

    Google Scholar 

  • Gjerberg, E., & Kjolsrod, L. (2001). The doctor–nurse relationship: How easy is it to be a female doctor co-operating with a female nurse? Social Science and Medicine, 52, 189–202.

    Article  Google Scholar 

  • Goffee, R., & Jones, G. (1996). What holds the modern company together? Harvard Business Review, 74(6), 133–148.

    Google Scholar 

  • Goodman, E., Zammuto, R., & Gifford, B. D. (2001). The competing values framework: Understanding the impact of organizational culture on the quality of work life. Organization Development Journal, 19(3), 58.

    Google Scholar 

  • Grönroos, C. (1990). Service management and marketing—Managing the moments of truth in service competition. Lexington, MA: Lexington Books.

    Google Scholar 

  • Grönroos, C. (2001). The perceived service quality concept—A mistake? Managing Service Quality, 11(3), 150–152.

    Article  Google Scholar 

  • Helfrich, C., Li, Y., Mohr, D., Meterko, M., & Sales, A. (2007). Assessing an organizational culture instrument based on the competing values framework: Exploratory and confirmatory factor analyses. Implementation Science, 2, 13.

    Article  Google Scholar 

  • Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Beverly Hills, CA: Sage.

    Google Scholar 

  • Hofstede, G., Neuijen, B., Ohayv, D. D., & Sanders, G. (1990). Measuring organizational cultures: A qualitative and quantitative study across twenty cases. Administrative Science Quarterly, 35, 286–316.

    Article  Google Scholar 

  • Huq, Z., & Martin, T. N. (2000). Workforce cultural factors in TQM/CQI implementation in hospitals. Health Care Management Review, 25(3), 80–103.

    Article  Google Scholar 

  • IBM Annual Report. (2008). http://www.ibm.com/annualreport/2008/ch_2.shtml

  • Indian budget projects economic growth. BBC News. 28 February 2011. http://www.bbc.co.uk/news/world-south-asia-12593755

  • Kane, D., & Thomas, B. (2000). Nursing and the ‘F’ word. Nursing Forum, 35(2), 17–24.

    Article  Google Scholar 

  • Kinicki and Tamkins (2003): correct citation is Ostroff et al. 2003: Ostroff C, Kinicki AJ, Tamkins MM. (2003). Organizational culture and climate. In Handbook of psychology: Volume 12, Industrial and organizational psychology Volume 12. Edited by: Borman WC, Ilgen DR, Klimoski RJ. New York, Wiley: 565-587.

    Google Scholar 

  • Koberg, C. S., & Chusmir, L. H. (1987). Organizational culture relationships with creativity and other job-related variables. Journal of Business Research, 15, 397–409.

    Article  Google Scholar 

  • Kotter, J. P., & Heskett, J. L. (1992). Corporate culture and performance. New York: The Free Press.

    Google Scholar 

  • Le Grand, J., Mays, N., & Mulligan, J. (1998). Learning from the NHS internal market. London: King’s Fund.

    Google Scholar 

  • Lehrman, W., Elliott, M., Goldstein, E., Beckett, M., Klein, D., & Giordano, L. (2010). Characteristics of hospitals demonstrating superior performance in patient experience and clinical process as measures of care. Medical Care Research and Review, 67(1), 38–55.

    Article  Google Scholar 

  • Lewis, D. (2002). Five years on—The organizational culture saga revisited. Leadership & Organization Development Journal, 23, 280–287.

    Article  Google Scholar 

  • Lim, B. (1995). Examining the organizational culture and organizational performance link. Leadership and Organization Development Journal, 16(5), 16–21.

    Article  Google Scholar 

  • MacIntosh, E. W., & Doherty, A. (2010). The influence of organizational culture on job satisfaction and intention to leave. Sport Management Review, 13(2), 106–117.

    Article  Google Scholar 

  • Manley, K. (2000a). Organisational culture and consultant nurse outcomes: Part 1. Organisational culture. Nursing Standard: Official Newspaper of the Royal College of Nursing, 14(36), 34–38.

    Article  Google Scholar 

  • Manley, K. (2000b). Organisational culture and consultant nurse outcomes: Part 2. Nurse outcomes. Nursing Standard: Official Newspaper of the Royal College of Nursing, 14(37), 34–39.

    Article  Google Scholar 

  • Mannion, R., Davies, H., & Marshall, M. (2005). Cultural attributes of “high” and “low” performing hospitals. Journal of Health Organisation and Management, 19(6), 431–439.

    Article  Google Scholar 

  • Maraldo, P. J. (1991) Empowerment, not numbers will end nursing shortage. Healthcare Financial Management Report, September 21–29.

    Google Scholar 

  • Mark, B. A., Lindley, L., & Jones, C. B. (2009). Nurse working conditions and nursing unit costs. Policy, Politics, & Nursing, 10, 120–128.

    Article  Google Scholar 

  • Martin, J. (1992). Cultures in organizations. Three perspectives. Oxford, England: Oxford University Press.

    Google Scholar 

  • Martin, J. (2002). Organizational culture: Mapping the terrain. Thousand Oaks, CA: Sage.

    Book  Google Scholar 

  • Martin, J., & Frost, V. (1996). The organizational culture war games: A struggle for intellectual dominance. In S. R. Clegg, C. Hardy, & W. R. Nord (Eds.), Handbook of organization studies (pp. 599–621). London: Sage.

    Google Scholar 

  • McKee, M., & Black, N. (1991). Does the current use of junior doctors in the United Kingdom affect the quality of medical care? Social Science and Medicine, 34, 549–558.

    Article  Google Scholar 

  • Meterko, M., Mohr, D. C., & Young, G. J. (2004). Teamwork culture and patient satisfaction in hospitals. Medical Care, 42(5), 492–498.

    Article  Google Scholar 

  • Narver, J. C., & Slater, S. F. (1990). The effect of a market orientation on business profitability. Journal of Marketing, 54(4), 20–35.

    Article  Google Scholar 

  • Nie, Y., Mao, X., Cui, H., He, S., Li, J., & Zhang, M. (2013). Hospital survey on patient safety culture in China. BMC Health Services Research, 13, 228.

    Article  Google Scholar 

  • O’Reilly, C. A., III, Chatman, J. A., & Caldwell, D. F. (1991). People and organizational culture: A profile comparison approach to assessing person-organization fit. Academy of Management Journal, 34, 487–516.

    Article  Google Scholar 

  • Panchamia, J. (2013). A study of OCTAPACE culture in civil hospital, Gandhinagar. IUP Journal of Organizational Behavior, 12(2), 43–50.

    Google Scholar 

  • Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49, 41–50.

    Article  Google Scholar 

  • Pareek, U. (2010). Training instruments in HRD and OD. New Delhi, India: Tata McGraw Hill.

    Google Scholar 

  • Pettigrew, A. (1979). On Studying Organizational Culture. Administrative Science Quarterly, 24, 570–81.

    Google Scholar 

  • Porter, M. (1980). Competitive strategy. New York: Free Press.

    Google Scholar 

  • Powell, A. (2006). In China, India, health care burden shift to poor, Harvard University Gazette online, http://www.hno.harvard.edu/gazette/2006/10.12/09-chinaindia

  • PWC, Healthcare in India, emerging market report, 2007.

    Google Scholar 

  • Rakich, J. S., Longest, B. B., & Darr, K. (1993). Managing health services organizations (3rd ed.). Baltimore: Health Professions Press.

    Google Scholar 

  • Rondeau, K. V., & Wagar, T. H. (1998). Hospital chief executive officer perceptions of organizational culture and performance. Hospital Topics, 76(2), 14–22.

    Article  Google Scholar 

  • Sackmann, S. (1992). Culture and subculture: An analysis of organizational knowledge. Administrative Sciences Quarterly, 37, 141–161.

    Article  Google Scholar 

  • Saunders, M., Lewis, P., & Thornhill, A. (2009). Research methods for business students (5th ed.). Harlow: Pearson Education.

    Google Scholar 

  • Saxena, S., & Shah, H. (2008). Effect of organizational culture on creating learned helplessness attributions in R & D professionals: A canonical correlation analysis. Vikalpa, 33(2), 25–45.

    Google Scholar 

  • Schein, E. H. (1985). Organizational culture and leadership: A dynamic view. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Schein, E. (1990). Organizational culture. American Psychologist, 45(2), 109–119.

    Article  Google Scholar 

  • Schein, E. H. (1996). Culture: The missing concept in organization studies. Administrative Science Quarterly, 41(2), 229–239.

    Article  Google Scholar 

  • Scott, T., Mannion, R., Davies, H., & Marshall, M. (2003a). Implementing culture change in health care: Theory and practice. International Journal for Quality in Health Care (2003), 15(2), 111–118. doi:10.1093/intqhc/mzg021.

    Article  Google Scholar 

  • Scott, T., Mannion, R., Davies, H., & Marshall, M. (2003b). The quantitative measurement of organizational culture in health care: A review of the available instruments. Health Services Research, 38(3), 923–945.

    Article  Google Scholar 

  • Seren, S., & Baykal, U. (2007). Relationships Between Change and Organizational Culture in Hospitals. Journal of Nursing Scholarship, 39, 191–197.

    Article  Google Scholar 

  • Shortell, S. M., Bennett, C. L., & Byck, G. R. (1998). Assessing the impact of continuous quality improvement on clinical practice: What it will take to accelerate progress. Milbank Quarterly, 76(4), 593–624.

    Article  Google Scholar 

  • Shortell, S. M., O’Brien, J. L., Carman, J. M., Foster, R. W., Hughes, E., Boerstler, H., & O’Connor, E. J. (1995). Assessing the impact of continuous quality improvement/total quality management: Concept versus implementation. Health Services Research, 30(2), 377–401.

    Google Scholar 

  • Sorenson, J. B. (2002). The strength of corporate culture and the reliability of firm performance. Administrative Science Quarterly, 47, 70–91.

    Article  Google Scholar 

  • Tzeng, H.-M. (2002). The relationship between Nurses’ job satisfaction and inpatient satisfaction: An exploratory study in a Taiwan teaching hospital. Journal of Nursing Care Quality, 16(2), 39–49.

    Article  Google Scholar 

  • Van den Berg, P., & Wilderom, C. (2004). Defining, measuring and comparing organizational culture. Applied Psychology: An International Review, 53(4), 57–582.

    Google Scholar 

  • Weston, M. J. (2008). Defining control over nursing practice and autonomy. Journal of Nursing Administration, 38, 404–408.

    Article  Google Scholar 

  • WHO report (2008). Primary Health Care – Now More Than Ever. The World Health Report 2008. World Health Organization.

    Google Scholar 

  • Williams, A. L., Dobson, P., & Walters, M. (1989). Changing culture. London: Institute of Personnel Management (IPM).

    Google Scholar 

  • Wilson, C. (2009). Dis-embedding health care: Marketisation and the rising cost of medicine in Kerala, South India. Journal of South Asian Development, 4, 83. doi:10.1177/097317410900400106.

    Article  Google Scholar 

  • Wooten, L. P., & Crane, P. (2003). Nurses as implementators of organisational culture. Nursing Economics, 21(6), 275–281.

    Google Scholar 

  • Zabada, C., Rivers, P. A., & Munchus, G. (1998). Obstacles to the application of total quality management in healthcare organizations. Total Quality Management, 9(1), 57–59.

    Article  Google Scholar 

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Authors and Affiliations

  1. Portsmouth Business School, University of Portsmouth, Richmond Building, Portland Street, Portsmouth, PO1 3DE, UK

    Kajal Sharma

  2. Lecturer, Amity Global Business School, Ahmedabad, Gujarat, India

    Poonam Sharma

  3. School of Petroleum Management, Pandit Deendayal Petroleum University, Gandhinagar, Gujarat, India

    D. M. Pestonjee (GSPL Chair Professor)

  4. Dean, Faculty of Applied Management, CEPT University, Ahmedabad, Gujarat, India

    D. M. Pestonjee (GSPL Chair Professor)

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  1. Kajal Sharma
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  2. Poonam Sharma
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  3. D. M. Pestonjee
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Correspondence to Kajal Sharma .

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Editors and Affiliations

  1. Organisation Studies and HRM, University of Portsmouth, Portsmouth, United Kingdom

    Vijay Pereira

  2. The University of Newcastle, Newcastle Business School, Ourimbah, New South Wales, Australia

    Ashish Malik

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Sharma, K., Sharma, P., Pestonjee, D.M. (2015). A Study on Organizational Culture in Indian Private Hospitals. In: Pereira, V., Malik, A. (eds) Investigating Cultural Aspects in Indian Organizations. India Studies in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-16098-6_8

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