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Author: | Li, L. Benton, W. C. |
Title: | Hospital capacity management decisions: emphasis on cost control and quality enhancement |
Journal: | European Journal of Operational Research
2003 : MAY, VOL. 146:3, p. 596-614 |
Index terms: | Health service Cost control Quality assurance |
Freeterms: | Workforce development Structural equation modeling |
Language: | eng |
Abstract: | In this research structural equation modelling (SEM) was used as the research vehicle. SEM modeling measurs multiple relationships among independent and dependent variables, thus accommodating aggregated dependent relationships simultaneously in one comprehensive model. Several managerial insights emerged from the research: (1) outpatient service, health care network, workforce competence, and information technology are identified as key indicators of hospital capacity resource management decisions in the current health care environment; (2) hospital cost control is influenced by equipment/technology and workforce decisions; (3) hospital quality performance is associated with equipment/technology decisions, and positively but not strongly related to workforce decisions; (4) location, size and service mix have a significant impact on hospital capacity decisions. |
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