Modeling the relationship between organizational culture, clinical governance, and organizational performance: A case study of Tamin Ejtemaee hospitals in Mazandaran Province, Iran

Background: The quality of clinical services is one of the main concerns around the world. Clinical governance as a new approach to improving the quality of care provided by the health care system plays a major role in the provision of higher quality health care services. The success of this approach depends on the existence of a strong and suitable organizational culture. The aim of this study was modeling the relationship between organizational culture, clinical governance, and organizational performance. Materials and Methods: The purpose of this study is practical and its data collection is descriptive, but as a result it is an empirical study. This study was a correlative study based on structural equation modeling (SEM). The statistical population of this study consisted of all managers, supervisors, educational and clinical supervisors, and nurses of Tamin Ejtemaee (social security) hospitals in Mazandaran Province, Iran. Due to the limitation of the study, all individuals in the target population were selected as the study subjects. Thus, 124 questionnaires were distributed among them, and, 113 questionnaires were received. Data analysis was performed using SPSS and LISREL software. For data analysis, the Pearson correlation coefficient test and confirmatory factor analysis were used for precise measurement of the model. Results: The results show that there is a significant and positive relationship between the components (P < 0.01). The role of organizational culture in establishing clinical governance estimation is desirable and the results have identified its relationship with organizational performance. Conclusions: With the improvement of organizational culture, the establishment of clinical governance will increase and it will achieve optimal performance by continuation and localization.