Introduction: The aim of this paper is to present the results of a case study carried out in the state of Hidalgo under a systemic model of analysis. This focused the organizational culture of health care services with the main purpose of studying these organizations and to understand their inner and outer dynamics. Method: A case study carried out under qualitative approach with the application of focus groups and interviews in communitarian health centers, physicians offices, sanatoriums and hospitals of the state of Hidalgo, Mexico. Results: The organizational culture in health care services was classified into 4 subsystems: human, technical-technological, functionalstructural and environmental macrosystem. Conclusion: An interrelation among the four subsystems was identified defining the dynamics of organizational culture of health care services in three transactions: interdynamics, intradynamics and outerdynamics
