Work climate in for-profit and non-profit hospitals: Implications for work attitudes and well-being
2007 (English)Conference paper (Refereed)
As market mechanisms are growing more widespread there is also a gradual restructuring of health care. The creation of quasi markets in order to achieve competition, increased cost consciousness, new managerial strategies (e.g., New Public Management), a focus on core processes rather than peripheral functions, and an intense work with the issue of service quality represent some of the characteristics of this trend. In Sweden, like in many other countries, the changes in the health care sector have also concerned the owner structure, and several health care organizations have been transformed into non-profit as well as for-profit stock companies. However, despite a widespread optimism concerning such ownership reforms, there is a lack of research addressing similarities and differences in work practices between hospitals with different ownership. The objectives of this study are (1) to compare the levels of demands and resources at work for employees at hospitals with different ownership, and (2) to analyze the implications of the work climate for employee work attitudes and well-being. The study is based on questionnaire data from the staff of three Swedish acute care hospitals – one privatized for-profit company, one non-profit company, and one that has remained a public administration unit. The differences between hospitals shed light on how ownership changes may affect health care workers, and contribute to the understanding of best work practices in health care. They also provide important insights to policy makers, health care management and researchers concerning the advantages and disadvantages of transforming public administration hospitals into publicly owned (non-profit) and privatized (for-profit) companies.
Place, publisher, year, edition, pages
IdentifiersURN: urn:nbn:se:su:diva-22021OAI: oai:DiVA.org:su-22021DiVA: diva2:188548
The XIIIth European Conference of Work and Organizational Psychology, EAWOP, Stockholm, Sweden, May 9-12, 2007