de-Pablos-Heredero Carmen, Fernández-Renedo Carlos, Medina-Merodio Jose-Amelio
School of Social Sciences, Universidad Rey Juan Carlos, PO Box 28032, Madrid 28032, Spain.
Castilla and Leon Transplant Coordination Office, National Health System, León 24071, Spain.
Int J Environ Res Public Health. 2015 May 5;12(5):4869-88. doi: 10.3390/ijerph120504869.
Mixed methods research is interesting to understand complex processes. Organ transplants are complex processes in need of improved final performance in times of budgetary restrictions. As the main objective a mixed method approach is used in this article to quantify the technical efficiency and the excellence achieved in organ transplant systems and to prove the influence of organizational structures and internal processes in the observed technical efficiency. The results show that it is possible to implement mechanisms for the measurement of the different components by making use of quantitative and qualitative methodologies. The analysis show a positive relationship between the levels related to the Baldrige indicators and the observed technical efficiency in the donation and transplant units of the 11 analyzed hospitals. Therefore it is possible to conclude that high levels in the Baldrige indexes are a necessary condition to reach an increased level of the service offered.
混合方法研究对于理解复杂过程很有意思。器官移植是复杂过程，在预算受限时期需要提高最终绩效。作为主要目标，本文采用混合方法来量化器官移植系统中的技术效率和卓越程度，并证明组织结构和内部流程对所观察到的技术效率的影响。结果表明，利用定量和定性方法来实施不同组成部分的测量机制是可行的。分析表明，在11家被分析医院的捐赠和移植单位中，与波多里奇指标相关的水平与所观察到的技术效率之间存在正相关关系。因此，可以得出结论，波多里奇指数的高水平是提高服务水平的必要条件。
