Abstract
BackgroundThis study is based on competitive dynamics theory, and discusses competitive actions (including their implementation requirements, strategic orientation, and action complexity) that influence hospitals’ performance, while also meeting the requirements of Taiwan’s “global budget” insurance payment policy.MethodsIn order to investigate the possible actions of hospitals, the study was conducted in two stages. The first stage investigated the actions of hospitals from March 1 to May 31, 2009. Semi-structured questionnaires were used, which included in-depth interviews with senior supervisors of 10 medium- and large-scale hospitals in central Taiwan. This stage collected data related to the types of actions adopted by the hospitals in previous years. The second stage was based on the data collected from the first stage and on developed questionnaires, which were distributed from June 29 to November 1, 2009. The questionnaires were given to 20 superintendents, deputy superintendents, and supervisors responsible for the management of a hospital, and focused on medical centers and regional hospitals in central Taiwan in order to determine the types and number of competitive actions.ResultsFirst, the strategic orientation of an action has a significantly positive influence on subjective performance. Second, action complexity has a significantly positive influence on the subjective and the objective performance of a hospital. Third, the implementation requirements of actions do not have a significantly positive impact on the subjective or the objective performance of a hospital.ConclusionManagers facing a competitive healthcare environment should adopt competitive strategies to improve the performance of the hospital.
Highlights
This study is based on competitive dynamics theory, and discusses competitive actions that influence hospitals’performance, while meeting the requirements of Taiwan’s “global budget” insurance payment policy
The purpose of the global budget policy was to control the expenses of the entire medical care reimbursement system
This study is based on competitive dynamics theory, and explores the competitive actions that influence hospitals’ performance, while meeting the requirements of Taiwan’s global budget insurance payment policy
Summary
Performance, while meeting the requirements of Taiwan’s “global budget” insurance payment policy. Insurance (NHI) system, Taiwan’s National Health Insurance Administration (NHIA) faced financial pressure due to increasing medical expenses. In 2002, it implemented a healthcare insurance payment policy called the “global budget,” which replaced the existing “fee-for-service” policy. Full list of author information is available at the end of the article limited healthcare budget, the policy increased competition among hospitals within the same domain, prompting hospital managers to reform their operation models. These policy changes were successful in decelerating hospital revenues and expenditures [1]. Hospital managers face the challenge of taking appropriate competitive actions
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