The Relationship Between the Operating Performance and Quality Performance of Medical Services of Hospitals Accredited with the New Accreditation Model
| Autor: | Yun-Hui Kuo, 郭蘊慧 |
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| Rok vydání: | 2009 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 97 In the condition of limited medical resources and increasing medical care utilization, those hospitals improve their efficiency could make more effective application and disposition for medical resources. Therefore, improving the operating performance and the quality of hospitals become important issues that the competent authority and top managers of the hospitals pay more attention to. In order to examine hospitals’ performance in medical services and its related factors, the main purposes of this study were to probe into the operating performance and quality performance of medical services of hospitals accredited with the new accreditation model and to examine the association with hospital characteristics (i.e. ownership and level of hospital accreditation). Further more, this study will look into the relationship between the operating performance and quality performance. This study identified indicators of operating and quality performance of hospitals through literature review. The study materials were extracted from the database of new accreditation model information system. All of the hospitals accredited in 2005 to 2007 were included as study samples. Because the research used secondary data analysis, study variables were relatively limited. Therefore, 4 input and 5 output variables were identified to analyze the operating performance; 4 input and 2 output variables for the quality performance were selected. Totally 125 hospitals had enough information to evaluate their operating performance and 106 for quality performance. We analyzed the efficiency value of the 2 performances by Data Envelopment Analysis (DEA), and tested the hypotheses with Mann-Whitney U test and Kruskal-Wallis test. Results show that public hospitals were relatively inefficient in terms of the operating and quality performance. By level of hospital accreditation, hospitals graded good or excellent were less efficient than those graded pass or non-pass in terms of operating performance. In some efficiency of quality performance, hospitals graded excellent were less efficient than those graded good or pass. Hospitals graded good or excellent were less efficient than those graded pass. Hospitals with higher level of hospital accreditation were not necessarily more efficient than those with lower level. In addition, the operating performance and quality performance were significantly positively correlated in pure technical efficiency and scale efficiency. The limitations of this study include limited generalization caused by excluding hospitals of smaller scale and those did not provide child delivery services. Also the results might be affected because the output variables couldn’t be appropriately adjusted from the secondary data. Keywords: operating performance of hospital, quality performance, new accreditation model, data envelopment analysis |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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