Organizational Culture and Adherence to Diabetic Guideline

What is it about?

This study aim at identifying the predominant culture within the Palestinian Primary Healthcare centers of the Ministry of Health (PHC-MoH) and the Primary Healthcare centers of the United Nations Relief and Works Agency for Palestine Refugees (PHC-UNRWA) using the Competing Values Framework (CVF), and examine its influence on the adherence to the Clinical Practice Guideline (CPG) for DM.The overall adherence level to the diabetic guideline was disappointingly suboptimal 51.5% (47.3% in the PHC-MoH and 55.5% in the PHC-UNRWA) p<0.001. In the PHC-MoH, the clan/group culture was the most predominant (mean=41.13; SD=8.92), followed by hierarchical (mean=33.14; SD=5.96), whilst in the PHC-UNRWA, hierarchical was the prevailing culture (mean= 48.43; SD=12.51), followed by clan/group (mean=29.73; SD=8.37). Although a positively significant association between the adherence to CPG and the rational culture, and a negatively association with the developmental archetype were detected in the PHC-MoH, no any significant associations were found in the PHC-UNRWA.

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Why is it important?

Our study demonstrates that the Organizational Culture (OC) has a marginal influence on the adherence to diabetic guideline. Future research should preferably mix quantitative and qualitative approaches, and explore the use of instruments more sensitive to measure such a complex construct and its effects on guidelines adherence in small sized clinics.

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