Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

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Published: Mar 30, 2019
DOI: https://doi.org/10.1590/1982-7849rac2019170396
Keywords:
quality management, efficiency, hospital, interpersonal relationships

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Sérgio Almeida Migowski
Instituto Federal de Educação Ciência e Tecnologia do Rio Grande do Sul, Gestão e Negócios, Canoas, RS
https://orcid.org/0000-0002-8328-5368 orcid
Iuri Gavronski
Universidade do Vale do Rio dos Sinos, Programa de Pós-graduação em Administração, Porto Alegre, RS
https://orcid.org/0000-0002-5301-4954 orcid
Cláudia de Souza Libânio
Universidade Federal de Ciências da Saúde de Porto Alegre, Programa de Pós-graduação em Tecnologia da Informação e Gestão em Saúde, Porto Alegre, RS
https://orcid.org/0000-0002-4591-117X orcid
Eliana Rustick Migowski
Universidade Feevale e Faculdade de Desenvolvimento do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS
https://orcid.org/0000-0002-7584-342X orcid
Francisco Dias Duarte
Pontifícia Universidade Católica do Rio Grande do Sul, Faculdade de Biociências, Porto Alegre, RS
https://orcid.org/0000-0002-0707-4905 orcid

Abstract

Despite all quality management and integration literature prescriptions to implement strategies for a better organizational performance, healthcare organizations support a model that is inefficient, expensive, and unsustainable over time. This work aims to examine the interpersonal relationships in three large hospitals located in Southern Brazil and its relation with organizational efficiency. Through a qualitative and explanatory research, semi-structured interviews were applied to 32 professionals, in addition to a document analysis. The data analysis shows that integration occurs at the formal leadership level only in one of the organizations and does not involve the medical and operational professionals. Quality management seems not to be fully incorporated into care routines, and are related to efficiency losses. This scenario is probably related to the lack of integration among the professionals and the consolidation of trust, leadership, and communication.

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How to Cite
Migowski, S. A., Gavronski, I., Libânio, C. de S., Migowski, E. R., & Duarte, F. D. (2019). Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships. Journal of Contemporary Administration, 23(2), 207-227. https://doi.org/10.1590/1982-7849rac2019170396
Issue
Vol. 23 No. 2 (2019): Mar/Abr - 2019
Section
Articles

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