Work climate in Mexican hemodialysis units: a cross-sectional study

Area of Science:

• Healthcare Management
• Occupational Health
• Nephrology

Background:

• Work climate significantly impacts healthcare provider performance and patient care quality.
• Chronic kidney disease (CKD) management, particularly hemodialysis, is critical for patient quality of life.
• Increasing CKD prevalence in Mexico strains limited hemodialysis resources.

Purpose of the Study:

• To compare work climate perceptions across public, private, and social security hemodialysis units in Mexico.
• To validate a tool for measuring work climate in hemodialysis units.
• To identify factors influencing work climate in Mexican hemodialysis settings.

Main Methods:

• Surveyed 372 professionals across 84 hemodialysis units in 27 Mexican states.
• Utilized a questionnaire assessing work climate, quality of care, and unit structure/organization.
• Compared variables based on institution type and professional roles.

Main Results:

• Strong correlations found between work climate and quality of care indicators.
• Significant differences in work climate perception across unit types were observed.
• Private hemodialysis units reported better work climate perceptions than public or social security units.

Conclusions:

• Work climate perception is linked to institutional organization, planning, and infrastructure.
• Social Security hemodialysis units in Mexico require enhancements in organization and infrastructure.
• Improving these areas is crucial for fostering a more positive work climate in Social Security units.