Table 2 Statements in the CG-Questionnaire, rubricated in accordance with the Kralewski dimensions (* adapted statements from/** added statements to the original Kralewski questionnaire)
From: Quantifying culture gaps between physicians and managers in Dutch hospitals: a survey
| Kralewski dimension | 1-20 | In our hospital... |
|---|---|---|
| Collegiality | 1 | There is a great deal of informal consultation. |
| 7 | There is a close collegial relationship among the physicians. | |
| 12 | There is a strong sense of belonging to the group. | |
| Information emphasis | 2 | We rely heavily on computer-based information when seeing a patient. |
| 8 | We have very good methods to assure that our physicians change their practices to include new technologies and research findings. | |
| Quality emphasis | 4 | We encourage internal reporting of patient care adverse events. |
| 9 | There is an open discussion about clinical failures. | |
| 13 | We emphasize patient satisfaction. | |
| Management style | 5 | The business office and administration are considered to be a very important part of our hospital. |
| 16 | We expect our administrators to obtain and provide us with information that helps us improve the cost-effectiveness of our patient care. | |
| Cohesiveness | 10 | There is widespread agreement about most moral/ethical issues. |
| 14 | A rapid change occurs in clinical practice among our physicians when studies indicate that we can improve quality/reduce costs. | |
| Business emphasis | 15* | When purchasing medical equipment, financial considerations are an important factor. |
| 17** | We only hire an extra physician if he/she is cost-effective. | |
| Organizational trust | 3 | Our compensation plan rewards physicians who work hard for our hospital. |
| 18** | There is a high degree of trust in the decisions made by the board of directors. | |
| Innovativeness | 11 | Innovations by our medial doctors are highly publicized. |
| 19** | Our policy plans always mention innovative health care items. | |
| Autonomy | 6 | There is a feeling that physicians are autonomous but practice in the same organization for support services |
| 20** | The professional autonomy of physicians is an important condition for the quality of health care. |