{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T12:47:47Z","timestamp":1763988467759,"version":"build-2065373602"},"reference-count":87,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Introduction\u2014Health system (HS) health organizations are complex and are in constant dynamic interaction with multiple elements, including political, environmental, societal, legal, and organizational factors, along with human components, such as human resources, patients, and other stakeholders. Objective\u2014This research aimed to study three HS organizations, identifying and characterizing the elements of health organizations and the factors related to professionals, determining their influence on economic and financial performance results, as well as results related to the professionals and to the patients comprising the institutions. Method\u2014A quantitative study was conducted in which data were collected through questionnaires from various sources to better understand and characterize the factors related to organizations, professionals, and patients (470 health professionals and 768 patients). To test the integrated evaluation model for health organizations, path analysis was used. Results\u2014The results reveal that the organizational culture (OC) presents a positive relationship between the professional\u2019s quality of life (QL) and the performance management (PM) of the professionals, along with a negative relationship with the psychosocial work risks (PWR). There is also a relationship between the OC and patient satisfaction (PS), professional job satisfaction (PJS), and economic and financial results (EFR). In the relationship between the processes and the results, there are significant relationships between PM and PJS and PWR and PJS. In terms of the results, there is a significant relationship between the EFR and the PS. Conclusions\u2014This study contributes to a deeper knowledge of the factors that influence the quality of health organizations and their results and produces recommendations for health organizations to address the current challenges.<\/jats:p>","DOI":"10.3390\/healthcare11202744","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T08:32:57Z","timestamp":1697445177000},"page":"2744","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Health Management: Evaluating the Relationship between Organizational Factors, Psychosocial Risks at Work, Performance Management, and Hospital Outcomes"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9616-0441","authenticated-orcid":false,"given":"T\u00e2nia","family":"Gaspar","sequence":"first","affiliation":[{"name":"Digital Human-Environment Interaction Labs (HEI-LAB), Universidade Lus\u00f3fona, 1749-024 Lisbon, Portugal"},{"name":"Institute of Environmental Health (ISAMB), Lisbon University, 1649-028 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4651-0439","authenticated-orcid":false,"given":"Diego","family":"Gomez-Baya","sequence":"additional","affiliation":[{"name":"Department of Social, Developmental and Educational Psychology, Universidad de Huelva, 21004 Huelva, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8291-1921","authenticated-orcid":false,"given":"F\u00e1bio Botelho","family":"Guedes","sequence":"additional","affiliation":[{"name":"Institute of Environmental Health (ISAMB), Lisbon University, 1649-028 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2040-8412","authenticated-orcid":false,"given":"Manuela Faia","family":"Correia","sequence":"additional","affiliation":[{"name":"Institute of Environmental Health (ISAMB), Lisbon University, 1649-028 Lisbon, Portugal"},{"name":"COMEGI\u2014Centro de Investiga\u00e7\u00e3o em Organiza\u00e7\u00f5es, Mercados e Gest\u00e3o Industrial, Lusiada University, 1349-001 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"ref_1","first-page":"13","article-title":"System theories: An overview of various system theories and its application in healthcare","volume":"2","author":"Cordon","year":"2013","journal-title":"Am. 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