The Role of Organizational Culture in Managerialdecision Making in Public Hospital Units in Romania

The national and global economy, as well as the health status of the population, areinfluenced and in turn influence hospital units. Thus, managers of public hospital units inRomania must manage the most efficient use of available resources, with beneficial effectson society. Aspects such as high quality of care at the lowest and most competitive cost, ahigh degree of performance, medical services similar to hospitals abroad, with theconstraint of often insufficient material resources, the involvement of the political factor,uncertainties in the economic field, as well as an arsenal of rules and regulations thatdetermine lengthy procedures, organizational culture, are factors that put pressure onmanagerial decision making. The interest in addressing this topic was generated by theimportance of cultural elements and how they can influence the effectiveness of employeesand thus the institution. We believe that the performance of hospital activity is influencedby the way the manager makes decisions as well as by the organizational culture.Therefore, considering the need to emphasize the importance of organizational culture inpublic hospital units in Romania that can provide the basis for the development of a theoryof orientation of managerial decision-making towards performance, this article aims to:(1) review the literature in this field, (2) highlight the link between organizational cultureand performance, and (3) develop the factors that influence managerial decision-making.