Email updates

Keep up to date with the latest news and content from BMC Health Services Research and BioMed Central.

Open Access Highly Accessed Research article

Healthcare technologies, quality improvement programs and hospital organizational culture in Canadian hospitals

Rajesh K Tyagi1*, Lori Cook2, John Olson3 and James Belohlav2

Author Affiliations

1 Department of Logistics and Operations Management, HEC Montréal, 3000, Chemin de la Côte-Sainte-Catherine, Montréal, Québec H3T 2A7, Canada

2 Department of Management, DePaul University, 1 East Jackson Blvd, Chicago, IL 60604, USA

3 Operations and Supply Chain Management, University of St. Thomas, 2115 Summit Ave, St Paul, MN 55115, USA

For all author emails, please log on.

BMC Health Services Research 2013, 13:413  doi:10.1186/1472-6963-13-413

Published: 13 October 2013

Abstract

Background

Healthcare technology and quality improvement programs have been identified as a means to influence healthcare costs and healthcare quality in Canada. This study seeks to identify whether the ability to implement healthcare technology by a hospital was related to usage of quality improvement programs within the hospital and whether the culture within a hospital plays a role in the adoption of quality improvement programs.

Methods

A cross-sectional study of Canadian hospitals was conducted in 2010. The sample consisted of hospital administrators that were selected by provincial review boards. The questionnaire consisted of 3 sections: 20 healthcare technology items, 16 quality improvement program items and 63 culture items.

Results

Rasch model analysis revealed that a hierarchy existed among the healthcare technologies based upon the difficulty of implementation. The results also showed a significant relationship existed between the ability to implement healthcare technologies and the number of quality improvement programs adopted. In addition, culture within a hospital served a mediating role in quality improvement programs adoption.

Conclusions

Healthcare technologies each have different levels of difficulty. As a consequence, hospitals need to understand their current level of capability before selecting a particular technology in order to assess the level of resources needed. Further the usage of quality improvement programs is related to the ability to implement technology and the culture within a hospital.