Organizational health and independent sector healthcare organizations
File(s)
Accepted version
Author(s)
Williams, Stephen P
Purkayastha, Sanjay
Chaturvedi, Sankalp
Darzi, Ara
Type
Journal Article
Abstract
With an increasing proportion of UK healthcare delivered by independent sector providers (ISPs) it is important that performance data is reviewed with a similar rigour as within the public sector. However, there is a relative paucity of work considering quotients of performance in the independent healthcare sector. This study sets out to measure organizational health within ISPs in the UK and juxtapose this with contemporaneous data taken from public sector NHS organizations. Survey data was tested for construct validity with fit of the existing factor structure of the Healthcare-OH survey examined using confirmatory factor analysis (CFA). Multiple-group CFA was used to establish measurement invariance to permit comparison of latent sum scores between ISP and NHS organizations. Measurement invariance analysis evaluated the fit of sequential invariance models, proceeding iteratively to establish partial metric and scalar invariance. Latent sum scores comparisons demonstrated ISPs outperformed NHS trusts across all elements of organizational health. This is the first time organizational health has been measured in ISPs explicitly for comparison with results in the public sector. Comparative measurement and analysis in this way is novel and has the potential of fostering a two-way learning process for the ultimate benefit of both NHS and ISP organizations.
Date Issued
2022
Date Acceptance
2020-12-26
Citation
International Journal of Healthcare Management, 2022, 15 (3), pp.196-203
ISSN
2047-9719
Publisher
Taylor and Francis
Start Page
196
End Page
203
Journal / Book Title
International Journal of Healthcare Management
Volume
15
Issue
3
Copyright Statement
© 2021 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in International Journal of Healthcare Management on [date of publication], available online: https://doi.org/10.1080/20479700.2020.1870352
Sponsor
Imperial College Healthcare NHS Trust
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000610368400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
72100-74250
Subjects
Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Health Care Sciences & Services
Surveys
quality measurement
organisational theory
health services research
Publication Status
Published
Date Publish Online
2021-01-15