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 |
a not normally distributed variables. Central tendency measure: Median; Dispersion measure: Interquartile range (IR); Statistical test: Mann Whitney U
bnormally distributed variable. Central tendency measure: Mean; Dispersion measure: Standard Deviation (SD); statistical test: Student’s t
c categorical (binomial) variable. Statistical test: Chi-square