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| Title: | 醫療結果品質影響因素之實證研究－以某醫學中心為例
An Empirical Study of Quality Performance Drivers-Evidence From a Medical Center |
| Authors: | 許馨文
Hsu, Hsing-Wen |
| Contributors: | 吳安妮
Wu, Anne
許馨文
Hsu, Hsing-Wen |
| Keywords: | 醫療結果
品質影響因素
medical outcomes
quality performance driver |
| Date: | 2000 |
| Issue Date: | 2016-03-31 13:26:49 (UTC+8) |
| Abstract: | 醫療品質對於醫院管理而言，是一重要且應關心的議題。醫療品質所涵蓋的層面十分廣泛，本研究以醫療品質專家Donabedian（1988）的靶心模式中，位於靶心的醫療技術為本研究中有關醫療品質的定義，來探討醫療品質的影響因素。
Quality of health care is an important performance measure for hospitals. In this paper, I investigate the drivers of quality performance of cataract surgery at medical center. I regard some factors as the drivers of quality performance. Quality performance of cataract surgery is measured by medical outcomes: 1.the visual acuity after surgery, 2.the complication rate, 3.the operation time and 4.the recovery time. Three groups of factors are included in this paper: 1.service agent factors (e.g. the long term experience of doctors, the short term experience of doctors and the employment status of doctors), 2.service factors (e.g. the operation methods) and 3.customer factors (e.g. the age of the patients and the co-existence of other ophthalmalogic diseases of the patients). |
| Reference: | 一、國外文獻
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2. Brinkley J. U.S. Releasing Lists of Hospitals With Abcdrmal Mortality Rates. New York Times, Feb.13, 1986, p. 38.
3. Cronin JJ., Taylor J. and SA. Taylor 1992. Measuring Service Quality: A Reexamination and Extension. Journal of Marketing 56(July):55-68.
4. Dandona L., Dandona R , Naduvilath TJ, McCarty CA., Mandal P., Srinivas M., NandaＡ. And GN. Rao 1999. Population-Based Assessment of the Outcome of Cataract Surgery in an Urban Population in Southern India. American Journal of Ophthalmology 127(6): 650-658.
5. Datar, S., S. Kekre, T. Mukhopadhyay and K. Srinivasan. 1993. Simulation Estimation of Cost Drivers. The Accounting Review 68(3):602-614.
6. Donabedian A. 1980. Explorations in Quality Assessment and Monitoring. Volume I: The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI. Health Administration Press.
7. --- 1988. The Quality of Care – How Can It Be Assessed ? Journal of American Medical Association 260(12):1743-1748.
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9. Lam, Simon S.K. 1997. SERVQUAL: A Tool for Measuring Patients’ Opinions of Hospital Service Quality In Hong Kong. Total Quality Management 8(4): 145-152.
10. Maryland Hospitals Association 1998. Quality Indicator Project Implementation Manual: Acute Care Indicators. The Association of Maryland Hospitals & Health Systems.1998.
11. McAlexander J.H., D.O. Kaldenberg, H.F. Koenig 1994. Service Quality Measurement. Journal of Health Care Marketing 14(3): 34-40.
12. Nandakumar P., Datar SM. and R. Akella 1993. Models for Measuring and Accounting for Cost of Conformance Quality. Management Science 39(1): 1-16.
13. O’Leary D. The joint Commission Looks to the Future (editorial). Journal of the American Medical Association 270(8): 951-952.
14. Parasuraman A. Zeithaml VA. and LL.Berry 1985. A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing 49(Fall):41-50.
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16. Powe, N.R., Schein O.D., Gieser S.C., Tielsch J.M., Luthra R.Javitt J., and Steinberg E.P. 1994. Synthesis of the Literature on Visual Acuity and Complications Following Cataract Extraction With Intraocular Lens Implantation. Arch Ophthalmology 112(2): 239-252.
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18. Sedatole, K. 1999. An Empirical Analysis of Performance Drivers in Service Firms: Field Research in Laser Eye Surgery Firm. Working Paper, University of Michigan Business School.
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二、國外文獻
1. 陳玉寧、醫院評鑑對醫療品質之影響，私立高雄醫學院公共衛生研究所未出版之碩士論文，民國八十六年。
2. 楊雯媛，醫學中心眼科醫療品質保證評估指標建立之研究—以白內障手術為例，私立高雄醫學院公共衛生研究所未出版之碩士論文，民國八十一年。
3. 鄭博文、林尚文，以品質機能展開推行醫療品質，國科會研究計劃，民國八十五年。 |
| Description: | 碩士
國立政治大學
企業管理學系
86355040 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#A2002002013 |
| Data Type: | thesis |
| Appears in Collections: | [企業管理學系] 學位論文
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