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台湾地区医院创新的实施:制度理论与社会资本视角

Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital.

作者信息

Yang Chen-Wei

机构信息

Fooyin University, Department of Information Management, Kaohsiung County, Taiwan.

出版信息

Int J Health Plann Manage. 2015 Oct-Dec;30(4):403-25. doi: 10.1002/hpm.2248. Epub 2014 Apr 16.

DOI:10.1002/hpm.2248
PMID:24737217
Abstract

The main purpose of this study is to develop an innovation model for hospital organisations. For this purpose, this study explores and examines the determinants, capabilities and performance in the hospital sector. First, this discusses three categories of determinants that affect hospitals' innovative capability studies: (1) knowledge stock; (2) social ties; and (3) institutional pressures. Then, this study examines the idea of innovative hospital capabilities, defined as the ability of the hospital organisation to innovate their knowledge. Finally, the hospital evaluation rating, which identifies performance in the hospital sector, was examined. This study empirically tested the theoretical model at the organisation level. The findings suggest that a hospital's innovative capabilities are influenced by its knowledge stock, social ties, institutional pressures and the impact of hospital performance. However, in attempts to keep hospitals aligned with their highly institutionalised environments, it may prove necessary for hospital administrators to pay more attention to both existing knowledge stock and the process of innovation if the institutions are to survive. Finally, implications for theory and practitioners complete this study.

摘要

本研究的主要目的是为医院组织开发一种创新模式。为此,本研究探讨并考察了医院部门的决定因素、能力和绩效。首先,本文讨论了影响医院创新能力研究的三类决定因素:(1)知识存量;(2)社会关系;(3)制度压力。然后,本研究考察了创新型医院能力的概念,即医院组织创新其知识的能力。最后,对确定医院部门绩效的医院评估评级进行了考察。本研究在组织层面实证检验了该理论模型。研究结果表明,医院的创新能力受到其知识存量、社会关系、制度压力以及医院绩效影响的制约。然而,为使医院与其高度制度化的环境保持一致,医院管理者可能有必要更加关注现有知识存量和创新过程,以便机构能够存续。最后,本研究还阐述了对理论和从业者的启示。

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引用本文的文献

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A Multi-Level Model of Institutional Innovation and Knowledge Creation Capabilities: Insights From the Development of Taiwan's Nation Health Insurance.多层次的制度创新与知识创造能力模型:以台湾全民健康保险发展为例
Inquiry. 2024 Jan-Dec;61:469580241258902. doi: 10.1177/00469580241258902.
2
Organizational arrangements as a key to enhancing innovativeness and efficiency - analysis of a restructuring hospital in Finland.组织安排作为提高创新性和效率的关键——芬兰一家改组医院的分析。
BMC Health Serv Res. 2022 Aug 10;22(1):1022. doi: 10.1186/s12913-022-08376-6.
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Leadership for Innovation in Healthcare: An Exploration.
医疗保健创新领导力:探索。
Int J Health Policy Manag. 2019 Mar 1;8(3):138-144. doi: 10.15171/ijhpm.2018.122.
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Can Hospital Competition Really Affect Hospital Behavior or Not? An Empirical Study of Different Competition Measures Comparison in Taiwan.医院竞争真的会影响医院行为吗?台湾不同竞争措施比较的实证研究。
Inquiry. 2017 Jan;54:46958017690289. doi: 10.1177/0046958017690289.