Table 2 Comparative assessment of context factors in accredited (cases) vs. non-accredited (controls) hospitals
Context Factor (variable) | Cases | Controls | P-value | ||
|---|---|---|---|---|---|
Median or Average | IR or SD | Median or Average | IR or SD | ||
Environment | |||||
External incentives/market a | 2.00 | 2.50 | 3.50 | 2.00 | 0,03 |
Board of Trustees/ directors strategic decision c | 100% | 73.7% | 0,02 | ||
External sponsorship for QI projects a | 1.00 | 2.50 | 1.00 | 2.00 | 0,96 |
Institutional prestige a | 4.00 | 2.00 | 4.00 | 1.00 | 0,06 |
Macrosystem | |||||
Management leadership for QI a | 5.00 | 0.00 | 4.00 | 1.00 | 0,002 |
Existence of Director or quality Manager a | 5.00 | 0.00 | 5.00 | 0.00 | 0,34 |
Culture for QI in the Organization b | 4.33 | 0.47 | 3.70 | 0.77 | 0,004 |
Organizational maturity for QI a | 5.00 | 0.00 | 4.00 | 1.00 | 0,004 |
Priority for development of human talent QI b | 4.13 | 0.66 | 3.31 | 0.77 | 0.0005 |
Availability of resources for QI a | 5.00 | 1.00 | 3.00 | 2.00 | 0.0000 |
Information systems support for QI a | 4.00 | 1.00 | 3.00 | 2.00 | 0,002 |
Employment stability a | 4.00 | 1.50 | 3.00 | 2.00 | 0,01 |
Microsystem | |||||
Leadership for QI in the Microsystem a | 4.67 | 0.67 | 4.17 | 1.00 | 0,004 |
Motivation for QI a | 5.00 | 1.00 | 4.00 | 0.00 | 0,0009 |
Skills for utilization of tools for QI a | 5.00 | 1.00 | 4.00 | 2.00 | 0.0002 |
Culture for QI in the Microsystem b | 4.33 | 1.00 | 4.00 | 1.00 | 0,0004 |
Involvement of physicians a | 4.00 | 2.50 | 2.00 | 1.00 | 0,0025 |
Quality Improvement team | |||||
Leadership for managing quality a | 5.00 | 0.00 | 5.00 | 1.00 | 0,015 |
Diversity of quality team a | 5.00 | 0.00 | 4.00 | 1.00 | 0,009 |
Experience and specific knowledge on QI a | 5.00 | 1.00 | 5.00 | 1.00 | 0,37 |
Teamwork a | 4,75 | 0,38 | 4,50 | 0,75 | 0,014 |
Skills in techniques and procedures for QI a | 5.00 | 0.00 | 5.00 | 1.00 | 0,68 |
Stability of the quality team a | 5.00 | 1.00 | 4.00 | 1.00 | 0,003 |