Identifying competitive strategies to improve the performance of hospitals in a competitive environment
| Autor: | Yafang Tsai, Yu-Ching Chiao, Chuan-Hui Chang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Budgets
medicine.medical_specialty Competitive dynamics media_common.quotation_subject Performance Taiwan Type of hospital action Global budget system Efficiency Organizational Health informatics Health administration 03 medical and health sciences National health insurance 0302 clinical medicine Nursing Health care Medicine Humans Operations management 030212 general & internal medicine Economics Hospital media_common Quality of Health Care Motivation Economic Competition business.industry 030503 health policy & services Health Policy Nursing research Public health lcsh:Public aspects of medicine lcsh:RA1-1270 Payment Quality Improvement Hospitals Action (philosophy) Order (business) Health Expenditures 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research, Vol 17, Iss 1, Pp 1-10 (2017) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-017-2699-9 |
| Popis: | Background This study is based on competitive dynamics theory, and discusses competitive actions (including their implementation requirements, strategic orientation, and action complexity) that influence hospitals’ performance, while also meeting the requirements of Taiwan’s “global budget” insurance payment policy. Methods In order to investigate the possible actions of hospitals, the study was conducted in two stages. The first stage investigated the actions of hospitals from March 1 to May 31, 2009. Semi-structured questionnaires were used, which included in-depth interviews with senior supervisors of 10 medium- and large-scale hospitals in central Taiwan. This stage collected data related to the types of actions adopted by the hospitals in previous years. The second stage was based on the data collected from the first stage and on developed questionnaires, which were distributed from June 29 to November 1, 2009. The questionnaires were given to 20 superintendents, deputy superintendents, and supervisors responsible for the management of a hospital, and focused on medical centers and regional hospitals in central Taiwan in order to determine the types and number of competitive actions. Results First, the strategic orientation of an action has a significantly positive influence on subjective performance. Second, action complexity has a significantly positive influence on the subjective and the objective performance of a hospital. Third, the implementation requirements of actions do not have a significantly positive impact on the subjective or the objective performance of a hospital. Conclusion Managers facing a competitive healthcare environment should adopt competitive strategies to improve the performance of the hospital. |
| Databáze: | OpenAIRE |
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