Healthcare organizational performance: Why changing the culture really matters

Elena Azzolini, Walter Ricciardi, Muir Gray

Research output: Contribution to journalReview articlepeer-review


An organization may be considered as having three components: a structure, systems and culture. Culture is the most difficult part of the organization to affect. After all, culture has the key role in impacting and improving organizational performance. The leadership of an organization and its key operations are paramount in shaping the culture. Leadership and organizational culture are inextricably intertwined. They are two sides of the same coin. Culture is a medium through which leadership travels and impacts organizational performance. If leaders are to fulfil the challenges of the 21st century, they must first understand the dynamics of culture and their role as sculptors through behavioural and cognitive ways.

Original languageEnglish
Pages (from-to)6-8
Number of pages3
JournalAnnali dell'Istituto Superiore di Sanita
Issue number1
Publication statusPublished - Jan 1 2018
Externally publishedYes


  • Cultural change
  • Healthcare performance management
  • Leadership
  • Organizational culture

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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