scholarly journals Hospital Efficiency Under Global Budgeting: Evidence from Taiwan

2016 ◽  
Author(s):  
Hung-pin Lai ◽  
Meng-Chi Tang
Keyword(s):  
Hospital Efficiency ◽  
Global Budgeting

scholarly journals Hospital efficiency under global budgeting: evidence from Taiwan

2017 ◽  
Vol 55 (3) ◽  
pp. 937-963 ◽  
Author(s):  
Hung-pin Lai ◽  
Meng-Chi Tang
Keyword(s):  
Hospital Efficiency ◽  
Global Budgeting

The Effect of IT Capital on Hospital Efficiency

2007 ◽  
Author(s):  
Michael Gene Housman ◽  
Lorin M. Hitt ◽  
Kinga Z. Elo ◽  
Nicolas Beard
Keyword(s):  
Hospital Efficiency

Quality Assessment of Ethics in Health Care: The Accountability Revolution

1994 ◽  
Vol 20 (1-2) ◽  
pp. 105-128
Author(s):  
Susan M. Wolf
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Quality Assessment ◽  
Central Place ◽  
World War ◽  
New Era ◽  
The Third ◽  
Cost Cutting ◽  
Global Budgeting

Writing in 1988, Arnold Relman heralded the dawning of the “third revolution“ in medical care. The first revolution, at the end of World War II, had inaugurated an Era of Expansion, with an explosion of hospitals, physicians, and research. Medicare and Medicaid were passed, and medicine experienced a golden age of growth. Inevitably, according to Relman, this yielded to an Era of Cost Containment starting in the 1970s. The federal government and private employers revolted against soaring costs, brandishing the weapons of prospective payment, managed care, and global budgeting. Yet these blunt instruments of cost-cutting eventually produced concern over how to evaluate the quality of health care, to promote the good while trimming the bad. Thus Relman announced the arrival of the Era of Assessment and Accountability.This chronology helps explain the current importance of quality. Quality assessment and more recently, quality improvement techniques, occupy a central place in this new era.

Hospital efficiency and patient satisfaction

2003 ◽  
Vol 16 (1) ◽  
pp. 24-38 ◽  
Author(s):  
G. H. Pink ◽  
M. A. Murray ◽  
I. McKillop
Keyword(s):  
Patient Satisfaction ◽  
Religious Affiliation ◽  
Cost Model ◽  
Hospital Efficiency ◽  
Small Hospital ◽  
Hospital Size ◽  
Patient Dissatisfaction ◽  
Teaching Status ◽  
Underlying Causes ◽  
Using Data

The objective of this study was to investigate the relationship between efficiency and patient satisfaction for a sample of general, acute care hospitals in Ontario, Canada. A measure of patient satisfaction at the hospital level was constructed using data from a province-wide survey of patients in mid-1999. A measure of efficiency was constructed using data from a cost model used by the Ontario Ministry of Health, the primary funder of hospitals in Ontario. In accordance with previous studies, the model also included measures of hospital size, teaching status and rural location. Based on the results of this study, at a 95% confidence level, there does appear to be evidence to suggest that an inverse relationship between hospital efficiency and patient satisfaction exists. However, the magnitude of the effect appears to be small. Hospital size and teaching status also appear to affect satisfaction, with lower satisfaction scores reported among non-teaching and larger hospitals. This study did not find any evidence to suggest that hospital location (rural versus urban) or religious affiliation contributed to reports of patient satisfaction in any way not explained by the other measures included in the study. The findings imply that low patient satisfaction cannot be explained by excessive management concentration on efficiency. Managers should analyse some of the underlying causes of patient dissatisfaction before reconfiguring resources. It may be beneficial in larger hospitals to study the aspects of care that patients have reported they prefer in small hospitals.

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