The influence of organizational culture on healthcare delivery: A qualitative study of expatriate clinics in public hospitals in Beijing, China

by Chen, Xiao-Ning, Ph.D., CAPELLA UNIVERSITY, 2007, 145 pages; 3284075


The purpose of this research is to explore Chinese public hospital administrators' perceptions of healthcare delivery to expatriates in expatriate clinics; the influence of hospital organizational culture on healthcare delivery and administrators' orientation toward change concerning healthcare delivered to expatriates in large, urban public hospitals in Beijing, China. Because there is little to no research concerning this topic, a qualitative, descriptive exploratory study was conducted to determine "what is." The qualitative design employed a triangulated data collection strategy. The sample consisted of 11 Chinese public hospital administrators from large urban public hospitals in Beijing, China. This study focused on three variables associated with healthcare service to expatriates in China: (a) informants' perceptions of healthcare delivery (referring to outpatient service procedure design), (b) culture, and, (c) change. Key findings from the research questions included informants' perceptions that the quality of expatriate health care is a quality and valued service, a lack of familiarity and application of term of "organizational culture"; however, an understanding of associated intangible artifacts: state system, human resource management (HRM) system, incentive system, and relationships or "Guanxi", as well as informants' positive orientations towards change. Recommendations for future research included investigating relationships between hospital administrators' knowledge of organizational culture and the quality of healthcare delivery at expatriate clinics and investigating relationships between the hospital administrators' perceptions of tangible and intangible artifacts and hospital administrators' change orientation.

AdviserMichael P. Williams
Source TypeDissertation
SubjectsCultural anthropology; Management; Health care management
Publication Number3284075

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