Objectives: Organizational learning is used to being a very important topic about hospital management and even is identified as the source of a hospital's competitive strength. The study tries to explore the correlation between organizational learning and hospital accreditation awareness from the medical institution operation management's point of view. Methods: We designed the questionnaire based on the cross-section survey, which included a total of 498 hospitals throughout Taiwan as the subjects (1922 copies of questionnaire were distributed, 4 copies per hospital). As a result, 306 returned the questionnaire (995 copies of valid questionnaire), a valid response rate was 49.94%. Then, we conducted the multiple regression analysis. Results: The factors critical to the operations management accreditation awareness include age, hospital ownership, hospital lever and team learning (p < 0.001). The factors critical to the medical care accreditation awareness include age, education level and team learning (p < 0.001). The team learning will produce positive effect to the hospital accreditation awareness. Conclusions: The organizational continuous learning may enhance the team learning through hospital accreditation operations to ensure that the medical treatment system may provide safe, valid and reliable healthcare and found the hospitals' competitive strength.
Aim: The purpose of this study was to explore the impact of attributes of medical care organizations and patients on medical resource utilization by hemophilia (hemophilia A and hemophilia B; Hemophilia with musculoskeletal system and without). Methods: Hospitalization due to hemophilia (ICD9: 286.0 and 286.1) and hemophilia with musculoskeletal system (ICD9: 710.xx-739.xx) between 2001 and 2010 were identified from a national health insurance database. Calculated by patients and hospital characteristics, length of hospital stay, medical cost of hospitalization was analyzed. Results: Of the total of 2150 patients, a systemic analysis of the results showed a mean patient age of 30.2 and average medical costs per patient of NT $672,335 (US $21,010). We found the mean cost of cases being significantly higher during the hemophilia A that in the hemophilia B (NT $708,620 vs. NT $422,322, P < 0.001), and medical costs such as those for hemophilia with musculoskeletal system (NT $1,419,158) were significantly higher than comparison patients (NT $463,889) (P < 0.001). Conclusions: Taiwan operates a national insurance global budget payment system. Healthcare system budgetary pressures are exacerbated by increases in the costs of hemophilia treatment. Suggesting that Bureau of National Health Insurance (BNHI) should consider establishing official primary and secondary prophylaxis treatment and dose regimen (such as dose or tailored-dose) should consider establishing a more aggressive and comprehensive standard of care for hemophiliacs. It is believed that that will have a significant impact on future treatment for hemophiliacs in Taiwan.
Background: This study analyzed differences between transparency of information disclosure and related demands from the health service consumer’s perspective. It also compared how health service providers and consumers are associated by different levels of mandatory information disclosure. Methods: We obtained our research data using a questionnaire survey (health services providers, n = 201; health service consumers, n = 384). Results: Health service consumers do not have major concerns regarding mandatory information disclosure. However, they are concerned about complaint channels and settlement results, results of patient satisfaction surveys, and disclosure of hospital financial statements (p < 0.001). We identified significant differences in health service providers’ and consumers’ awareness regarding the transparency of information disclosure (p < 0.001). Conclusions: It may not be possible for outsiders to properly interpret the information provided by hospitals. Thus, when a hospital discloses information, it is necessary for the government to consider the information’s applicability. Toward improving medical expertise and information asymmetry, the government has to reduce the burden among health service consumers in dealing with this information, and it has to use the information effectively.
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