The Relationships among Hospital Characteristics, Transformational Leadership, Safety Culture and Accreditation Status of Community Hospitals under the Office of the Permanent Secretary, Ministry of Public Health

Abstract

This study aims to investigate the relationship among hospital characteristics, transformational leadership, safety culture and accreditation status of community hospitals under the Office of the Permanent Secretary, Ministry of Public Health. The sample included 536 participants who were in charge of quality management. Data were collected via questionnaires and analyzed using descriptive statistics, chi-square test statistics, and binary logistic regression to assess the relationships and influences of hospital characteristics, transformational leadership and safety culture and the accreditation status of community hospitals. The results indicated that directors of community hospitals scored highly in inspirational leadership (Mean = 4.05, S.D. = 0.69), and community hospitals demonstrated a high level of safety culture (Mean = 3.67, S.D. = 0.37). Both hospital level and safety culture were positively associated with the accreditation status of community hospitals (adjOR = 17.837, 6.189, p value = 0.000, 0.004). The F3-level hospitals were 17.837 times more likely to fail accreditation compared to hospitals at other levels (95%CI: 8.152, 39.025). Accredited hospitals were shown to have a safety culture that is 6.189 times higher than that of non-accredited hospitals (95%CI: 1.816, 21.095).