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Table 2 Effects of the presence of organisational features to improve the quality of care at hospitals

From: The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis

 

Total comparisons

Inpatient

Outpatient

Organisational effect modifiers

n

OR (95%CI)

n

OR (95%CI)

n

OR (95%CI)

leadership

      

   management support

20

1.95 (1.26–3.03)

5

2.77 (0.90–8.51)

11

1.47 (0.83–2.62)

   no management support

61

2.20 (1.71–2.84)

24

1.98 (1.21–3.24)

30

2.66 (1.94–3.65)

learning environment

      

   Academic hospital

44

2.15 (1.62–2.86)

9

3.42 (2.25–5.19)

32

1.91 (1.41–2.59)

   non academic hospital

37

2.11 (1.49–2.98)

20

1.44 (0.95–2.19)*

9

3.90 (2.87–5.29)*

functional differentiation

      

   >1 medical speciality involved

23

1.57 (1.03–2.38)

13

1.79 (0.90–3.54)

5

1.33 (0.41–4.36)

   1 medical speciality involved

58

2.39 (1.87–3.06)

16

2.48 (1.39–4.41)

36

2.43 (1.80–3.27)

   more physician types

38

2.06 (1.53–2.79)

15

1.97 (1.15–3.37)

21

2.35 (1.52–3.61)

   one physician type

43

2.22 (1.61–3.06)

14

2.62 (1.20–5.76)

20

2.21 (1.46–3.34)

   multiprofessional task

14

1.64 (0.94–2.88)

3

1.46 (0.09–24.0)

9

1.86 (0.93–3.71)

   no multiprofessional task

67

2.25 (1.78–2.85)

26

2.25 (1.44–3.53)

32

2.41 (1.74–3.34)

local consensus

      

   own guideline

45

1.99 (1.49–2.65)

19

2.11 (1.24–3.60)

23

2.08 (1.41–3.06)

   external guideline

36

2.35 (1.68–3.30)

10

2.26 (0.99–5.18)

18

2.57 (1.63–4.06)

   own intervention

59

1.78 (1.36–2.32)

16

2.56 (1.56–4.21)

36

1.85 (1.32–2.60)

   external intervention

22

4.62 (2.82–7.57)**

13

1.37 (0.60–3.11)

5

12.7 (4.99–32.2)**

  1. n: number of comparisons; OR: Odds ratios (95% confidence interval)
  2. significant differences between presence or absence of possible moderators: * p < 0.05 ** p < 0.01