Journal of Rehabilitation Research and Development
Vol. 39 No. 1, January/February 2002
Pages 115-126

Clinical Report

Abstract — The influence of hospital culture on rehabilitation team functioning in VA hospitals

Dale C. Strasser, MD; Stanley J. Smits, PhD; Judith A. Falconer, PhD, MPH; Jeph S. Herrin, PhD;
Susan E. Bowen, PhD

Atlanta Site--Birmingham/Atlanta GRECC, VA Medical Center (Atlanta); Department of Rehabilitation Medicine, Emory University School of Medicine Atlanta, GA; Robinson College of Business, Georgia State University, Atlanta, GA; Northwestern University Medical School, Chicago, IL; Flying Buttress Associates, Charlottesville, VA; VA Rehabilitation Research and Development Center, VA Medical Center (Atlanta), Decatur, GA

Abstract:: A conceptual model of rehabilitation effectiveness, in which team functioning is influenced by hospital culture, has been previously suggested by several authors of this study. The current study tested the efficacy of the hospital culture portion of the model using survey data from 523 rehabilitation team members and 162 administrators from 50 participating Veterans Administration Hospitals (VAHs). We assessed four types of hospital culture (personal, dynamic, formal, and production-oriented) using an instrument developed originally for a Competing Values Model. Rehabilitation team members and administrators perceived three of the four hospital cultures differently (p < 0.0001), agreeing only on production-oriented culture. With the use of VAH dominant culture as the independent variable, statistically significant differences were found among all nine measures of team functioning (dependent variables). The major contrast was between personal versus formal hospital culture types.

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