Reducing patient mortality in hospitals: the role of human resource management

Michael A. West, James P. Guthrie, Jeremy F. Dawson, Carol S. Borrill, Matthew Carter

Research output: Contribution to journalArticle

Abstract

Developing effective health care organizations is increasingly complex as a result of demographic changes, globalization, and developments in medicine. This study examines the potential contribution of organizational behavior theory and research by investigating the relationship between systems of human resource management (HRM) practices and effectiveness of patient care in hospitals. Relatively little research has been conducted to explore these issues in health care settings. In a sample of 52 hospitals in England, we examine the relationship between the HRM system and health care outcome. Specifically, we study the association between high performance HRM policies and practices and standardized patient mortality rates. The research reveals that, after controlling for prior mortality and other potentially confounding factors such as the ratio of doctors to patients, greater use of a complementary set of HRM practices has a statistically and practically significant relationship with patient mortality. The findings suggest that managers and policy makers should focus sharply on improving the functioning of relevant HR management systems in health care organizations as one important means by which to improve patient care. Copyright © 2006 John Wiley & Sons, Ltd.
Original languageEnglish
Pages (from-to)983-1002
Number of pages20
JournalJournal of Organizational Behavior
Volume27
Issue number7
Early online date21 Sep 2006
DOIs
Publication statusPublished - Nov 2006

Fingerprint

human resource management
Hospital Mortality
Practice Management
mortality
health care
Delivery of Health Care
patient care
Mortality
Patient Care
human resource management system
Research
Organizations
behavior theory
Internationality
organizational behavior
Administrative Personnel
Nuclear Family
population development
England
Medicine

Keywords

  • effective
  • health care organizations
  • development
  • demographic changes
  • globalization
  • developments in medicine
  • organizational behavior theory
  • human resource management
  • HRM
  • patient care
  • hospitals
  • health care
  • patient
  • mortality rates

Cite this

West, Michael A. ; Guthrie, James P. ; Dawson, Jeremy F. ; Borrill, Carol S. ; Carter, Matthew. / Reducing patient mortality in hospitals : the role of human resource management. In: Journal of Organizational Behavior. 2006 ; Vol. 27, No. 7. pp. 983-1002.
@article{efd02bd2b07648e2bfa2f69d75285721,
title = "Reducing patient mortality in hospitals: the role of human resource management",
abstract = "Developing effective health care organizations is increasingly complex as a result of demographic changes, globalization, and developments in medicine. This study examines the potential contribution of organizational behavior theory and research by investigating the relationship between systems of human resource management (HRM) practices and effectiveness of patient care in hospitals. Relatively little research has been conducted to explore these issues in health care settings. In a sample of 52 hospitals in England, we examine the relationship between the HRM system and health care outcome. Specifically, we study the association between high performance HRM policies and practices and standardized patient mortality rates. The research reveals that, after controlling for prior mortality and other potentially confounding factors such as the ratio of doctors to patients, greater use of a complementary set of HRM practices has a statistically and practically significant relationship with patient mortality. The findings suggest that managers and policy makers should focus sharply on improving the functioning of relevant HR management systems in health care organizations as one important means by which to improve patient care. Copyright {\circledC} 2006 John Wiley & Sons, Ltd.",
keywords = "effective, health care organizations, development, demographic changes, globalization, developments in medicine, organizational behavior theory, human resource management, HRM, patient care, hospitals, health care, patient, mortality rates",
author = "West, {Michael A.} and Guthrie, {James P.} and Dawson, {Jeremy F.} and Borrill, {Carol S.} and Matthew Carter",
year = "2006",
month = "11",
doi = "10.1002/job.396",
language = "English",
volume = "27",
pages = "983--1002",
journal = "Journal of Organizational Behavior",
issn = "0894-3796",
publisher = "John Wiley and Sons Ltd",
number = "7",

}

Reducing patient mortality in hospitals : the role of human resource management. / West, Michael A.; Guthrie, James P.; Dawson, Jeremy F.; Borrill, Carol S.; Carter, Matthew.

In: Journal of Organizational Behavior, Vol. 27, No. 7, 11.2006, p. 983-1002.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reducing patient mortality in hospitals

T2 - the role of human resource management

AU - West, Michael A.

AU - Guthrie, James P.

AU - Dawson, Jeremy F.

AU - Borrill, Carol S.

AU - Carter, Matthew

PY - 2006/11

Y1 - 2006/11

N2 - Developing effective health care organizations is increasingly complex as a result of demographic changes, globalization, and developments in medicine. This study examines the potential contribution of organizational behavior theory and research by investigating the relationship between systems of human resource management (HRM) practices and effectiveness of patient care in hospitals. Relatively little research has been conducted to explore these issues in health care settings. In a sample of 52 hospitals in England, we examine the relationship between the HRM system and health care outcome. Specifically, we study the association between high performance HRM policies and practices and standardized patient mortality rates. The research reveals that, after controlling for prior mortality and other potentially confounding factors such as the ratio of doctors to patients, greater use of a complementary set of HRM practices has a statistically and practically significant relationship with patient mortality. The findings suggest that managers and policy makers should focus sharply on improving the functioning of relevant HR management systems in health care organizations as one important means by which to improve patient care. Copyright © 2006 John Wiley & Sons, Ltd.

AB - Developing effective health care organizations is increasingly complex as a result of demographic changes, globalization, and developments in medicine. This study examines the potential contribution of organizational behavior theory and research by investigating the relationship between systems of human resource management (HRM) practices and effectiveness of patient care in hospitals. Relatively little research has been conducted to explore these issues in health care settings. In a sample of 52 hospitals in England, we examine the relationship between the HRM system and health care outcome. Specifically, we study the association between high performance HRM policies and practices and standardized patient mortality rates. The research reveals that, after controlling for prior mortality and other potentially confounding factors such as the ratio of doctors to patients, greater use of a complementary set of HRM practices has a statistically and practically significant relationship with patient mortality. The findings suggest that managers and policy makers should focus sharply on improving the functioning of relevant HR management systems in health care organizations as one important means by which to improve patient care. Copyright © 2006 John Wiley & Sons, Ltd.

KW - effective

KW - health care organizations

KW - development

KW - demographic changes

KW - globalization

KW - developments in medicine

KW - organizational behavior theory

KW - human resource management

KW - HRM

KW - patient care

KW - hospitals

KW - health care

KW - patient

KW - mortality rates

UR - http://onlinelibrary.wiley.com/doi/10.1002/job.396/abstract

UR - http://www.scopus.com/inward/record.url?scp=33750196795&partnerID=8YFLogxK

U2 - 10.1002/job.396

DO - 10.1002/job.396

M3 - Article

VL - 27

SP - 983

EP - 1002

JO - Journal of Organizational Behavior

JF - Journal of Organizational Behavior

SN - 0894-3796

IS - 7

ER -