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Data · dataset · 2004

The Cost-benefit and Cost-effectiveness Analysis of Quality Management Activities in Hospitals

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The main purpose of this study is to explore the relationship between imple-mentation model, incremental cost, subjective expected and realized effects of quality control circle(QCC) and clinical pathway.

Description

A census was done by mailing questionnaires to 131 hospitals accredited above district teaching hospitals. The response rate is a little more than thirty percent.

The adoption rate for clinical pathway is 73 percent in sample hospitals with average length of duration of 12.4 months. Most hospitals collect length of stay and total charge data. Normal Virginal Delivery and Cesarean Section are adopted by more than 90 percent of sample hospitals.

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Average, hospitals adopt 14.5 kinds of pathways. The average incremental cost is about 150,000 NT dollars each year and is negatively correlated with the length of implementation. The accreditation status is associated with number of pathways that hospitals adopt.

The adoption rate of QCC is 73 percent where 52.8 percent of hospitals are limited in specific department and 36 percent of hospitals are implemented hospital-wide. The length of implemen -tation for QCC is 25.5 months. There are average 33 QCC teams in imple-mented hospitals in which most of them come from nursing department.

It is about 610,000 NT dollars for education and training and about 880,000 NT dollars for overall expenses each year. The incremental cost is negatively related with average education and training cost, average other expenses and average overall expenses each year. There is marginally significant relation between the length of implementation of QCC and subjective realized total effects(p<.10).

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Provenance · 1 source records, 5 field assertions
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Harvard Dataversedoi:10.6141/TW-SRDA-E87172-115 d agoJSON v1
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updated_datesource · Harvard Dataverseconnector:dataverse@1.0.0