An assessment of organisational values culture and performance in Cape Town's primary healthcare services

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dc.contributor.authorMash, R J
dc.contributor.authorGovender, S
dc.contributor.authorIsaacs A A
dc.contributor.authorDe Sa, A
dc.contributor.authorSchlemmer, A
dc.date.accessioned2016-04-19T09:19:17Z
dc.date.available2016-04-19T09:19:17Z
dc.date.issued2013
dc.date.updated2016-04-19T06:54:22Z
dc.description.abstractObjectives: Improving the quality of primary health care in South Africa is a national priority and the Western Cape Department of Health has identified staff and patient experience as a key component. Its strategic plan, Vision 2020, espouses caring, competence, accountability, integrity, responsiveness and respect as the most important organisational values. This study aimed to measure the personal values of staff, as well as current and desired organisational values. Design: A cross-sectional survey used the cultural values assessment tool. Data were analysed by the Barrett Value Centre. Setting and subjects: Staff and managers at five community health centres in the Cape Town Metropole. Outcome measures: Personal values, current and desired organisational values, organisational entropy and organisational scorecard. Results: In total, 154 staff members completed the survey. Participants reported personal values that are congruent with a move towards more patient-centred care. The top 10 current organisational values were not sharing information, cost reduction, community involvement, confusion, control, manipulation, blame, power, results orientation, hierarchy, long hours and teamwork. Desired organisational values were open communication, shared decision-making, accountability, staff recognition, leadership development and professionalism. Organisational entropy was high at 36% of all values. Only teamwork and community involvement were found in both the current and desired culture. The organisational scorecard showed a lack of current focus on finances, evolution and patient experience. Conclusion: The organisational culture of the Metro District Health Services is currently not well aligned with the values expressed in Vision 2020, and the goal of delivering patient-centred care.en_ZA
dc.identifierhttp://dx.doi.org/10.1080/20786204.2013.10874396
dc.identifier.apacitationMash, R. J., Govender, S., , De Sa, A., & Schlemmer, A. (2013). An assessment of organisational values culture and performance in Cape Town's primary healthcare services. <i>South African Family Practice</i>, http://hdl.handle.net/11427/18953en_ZA
dc.identifier.chicagocitationMash, R J, S Govender, , A De Sa, and A Schlemmer "An assessment of organisational values culture and performance in Cape Town's primary healthcare services." <i>South African Family Practice</i> (2013) http://hdl.handle.net/11427/18953en_ZA
dc.identifier.citationMash, R. J., Govender, S., Isaacs, A. A., De Sa, A., & Schlemmer, A. (2013). An assessment of organisational values, culture and performance in Cape Town’s primary healthcare services. South African Family Practice, 55(5), 459-466.en_ZA
dc.identifier.issn2078-6190en_ZA
dc.identifier.ris TY - Journal Article AU - Mash, R J AU - Govender, S AU - Isaacs A A AU - De Sa, A AU - Schlemmer, A AB - Objectives: Improving the quality of primary health care in South Africa is a national priority and the Western Cape Department of Health has identified staff and patient experience as a key component. Its strategic plan, Vision 2020, espouses caring, competence, accountability, integrity, responsiveness and respect as the most important organisational values. This study aimed to measure the personal values of staff, as well as current and desired organisational values. Design: A cross-sectional survey used the cultural values assessment tool. Data were analysed by the Barrett Value Centre. Setting and subjects: Staff and managers at five community health centres in the Cape Town Metropole. Outcome measures: Personal values, current and desired organisational values, organisational entropy and organisational scorecard. Results: In total, 154 staff members completed the survey. Participants reported personal values that are congruent with a move towards more patient-centred care. The top 10 current organisational values were not sharing information, cost reduction, community involvement, confusion, control, manipulation, blame, power, results orientation, hierarchy, long hours and teamwork. Desired organisational values were open communication, shared decision-making, accountability, staff recognition, leadership development and professionalism. Organisational entropy was high at 36% of all values. Only teamwork and community involvement were found in both the current and desired culture. The organisational scorecard showed a lack of current focus on finances, evolution and patient experience. Conclusion: The organisational culture of the Metro District Health Services is currently not well aligned with the values expressed in Vision 2020, and the goal of delivering patient-centred care. DA - 2013 DB - OpenUCT DP - University of Cape Town J1 - South African Family Practice LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 SM - 2078-6190 T1 - An assessment of organisational values culture and performance in Cape Town's primary healthcare services TI - An assessment of organisational values culture and performance in Cape Town's primary healthcare services UR - http://hdl.handle.net/11427/18953 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/18953
dc.identifier.urihttp://www.tandfonline.com/doi/abs/10.1080/20786204.2013.10874396
dc.identifier.vancouvercitationMash RJ, Govender S, , De Sa A, Schlemmer A. An assessment of organisational values culture and performance in Cape Town's primary healthcare services. South African Family Practice. 2013; http://hdl.handle.net/11427/18953.en_ZA
dc.languageengen_ZA
dc.publisherSouth African Academy of Family Physiciansen_ZA
dc.publisher.departmentDivision of Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-Noncommercial-No Derivative Works 2.5 South Africa License*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/za/en_ZA
dc.sourceSouth African Family Practiceen_ZA
dc.source.urihttp://www.safpj.co.za/index.php/safpj
dc.subject.otherprimary care
dc.subject.otherorganisational culture
dc.subject.othervalues
dc.subject.otherstaff experience
dc.subject.otherpublic sector
dc.subject.othercultural values
dc.titleAn assessment of organisational values culture and performance in Cape Town's primary healthcare servicesen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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