Chu Hsuan-Lien, Wang Chen-Chin, Shiu Shu Fen
Department of Accounting, College of Commerce, at National Taipei University, Taipei, Taiwan.
J Health Care Finance. 2009 Summer;35(4):32-41.
To examine the effect of participating in Taiwan Quality Indicator Project (TQIP) on hospital efficiency and investigate why hospitals participate in TQIP.
Our sample consists of 417 private not-for-profit hospitals in Taiwan during the 2001-2007 period. A simultaneous-equation model was performed to examine if hospitals that participated in TQIP were more efficient than hospitals that did not and investigate which variables affected the probabilities of hospitals' participation in the project.
Our findings indicate that participating hospitals are more efficient than hospitals not participating in TQIP. In addition, hospital efficiency, hospital size, teaching status, and hospital age are positively related to participation in the project. These empirical results can be used as supporting evidence of success in improving performance through creating quality for hospitals that have participated in the project and offer insights into the value and strengths of the project. In addition, in recent years, reimbursement systems worldwide have partly moved payment methods to a pay-for-performance mechanism. In an attempt to control costs and improve quality, the policy makers should consider participating in Quality Indicator Project (QIP) as being one of the criteria to be reimbursed for performance.
探讨参与台湾质量指标项目（TQIP）对医院效率的影响，并调查医院参与TQIP的原因。
我们的样本包括2001 - 2007年期间台湾的417家私立非营利性医院。采用联立方程模型来检验参与TQIP的医院是否比未参与的医院更有效率，并调查哪些变量影响医院参与该项目的概率。
我们的研究结果表明，参与项目的医院比未参与TQIP的医院更有效率。此外，医院效率、医院规模、教学状况和医院年限与参与该项目呈正相关。这些实证结果可作为参与该项目的医院通过创造质量来提高绩效成功的支持证据，并为该项目的价值和优势提供见解。此外，近年来，全球范围内的报销系统已部分将支付方式转向绩效付费机制。为了控制成本和提高质量，政策制定者应考虑将参与质量指标项目（QIP）作为绩效报销的标准之一。
