Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow

博士 === 國立成功大學 === 企業管理學系碩博士班 === 92 === ABSTRACT Strategies have recognized knowledge as a key source of competitive advantage. No where is it more important than in knowledge-intensive firms like healthcare organizations, where resources are almost exclusively knowledge-based. In another aspect,...

Full description

Bibliographic Details
Main Authors: Sho-fang Chang, 張碩芳
Other Authors: Chinho Lin
Format: Others
Language:en_US
Online Access:http://ndltd.ncl.edu.tw/handle/18797349193871729612
id ndltd-TW-092NCKU5121015
record_format oai_dc
spelling ndltd-TW-092NCKU51210152016-06-17T04:16:39Z http://ndltd.ncl.edu.tw/handle/18797349193871729612 Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow 以知識流觀點探索醫療知識分享、醫療知識整合與醫療品質影響因子之研究 Sho-fang Chang 張碩芳 博士 國立成功大學 企業管理學系碩博士班 92 ABSTRACT Strategies have recognized knowledge as a key source of competitive advantage. No where is it more important than in knowledge-intensive firms like healthcare organizations, where resources are almost exclusively knowledge-based. In another aspect, the uncertainty of medical care, the “school of thought” between physicians and the development of clinical specialties as well as sub-specialties all lead to the variability of medical care, which could hurt medical quality. Consequently, the most imperative issues for healthcare industry are the diffusion and incorporation of medical knowledge into patterns of treatment recommended by physicians. Two models are proposed in this study. The first model reveals the influencing factors of medical knowledge sharing and medical knowledge integration through exploring the barriers of knowledge flow. The second model further discusses the associations between medical knowledge sharing, medical knowledge integration, medical decision-making quality and medical quality. Since literature regarding these issues is rare, this research is with exploratory and qualitative nature. The study consists of three phases. In Phase I study, literature review and in-depth interviews were conducted to explore medical knowledge flow barriers. In Phase II study, a questionnaire was developed and a case study using a survey approach was employed. It aims to test the model established in Phase I study, and meanwhile to construct an extended model, which integrates the prior model with medical decision making quality and medical quality. In Phase III study, a Delphi method was used for validating and probing the generazability of the extended model. The results basically support the two proposed models. Medical knowledge flow is composed of five factors including knowledge source, knowledge receiver, knowledge transferred, knowledge flow context and organizational context. These factors are correlated with each other, and they greatly affect medical knowledge sharing, medical knowledge integration, medical decision-making quality and medical quality. Furthermore, a third model was constructed according to the findings regarding how the individual medical knowledge flow barrier affects other research constructs. Human factors including knowledge source and knowledge receiver largely influence medical decision-making quality, while contextual factors including knowledge flow context and organizational context affect medical quality most. For those healthcare managers who are carrying out knowledge management, our models can be adopted as a tool for examining the implementation performance. For those who are interested in studying or introducing knowledge management in healthcare industry, this research is expected to provide a comprehensive framework and serve as an essential reference for the academy and the practice. Chinho Lin Bertram Tan 林清河 譚伯群 學位論文 ; thesis 288 en_US
collection NDLTD
language en_US
format Others
sources NDLTD
description 博士 === 國立成功大學 === 企業管理學系碩博士班 === 92 === ABSTRACT Strategies have recognized knowledge as a key source of competitive advantage. No where is it more important than in knowledge-intensive firms like healthcare organizations, where resources are almost exclusively knowledge-based. In another aspect, the uncertainty of medical care, the “school of thought” between physicians and the development of clinical specialties as well as sub-specialties all lead to the variability of medical care, which could hurt medical quality. Consequently, the most imperative issues for healthcare industry are the diffusion and incorporation of medical knowledge into patterns of treatment recommended by physicians. Two models are proposed in this study. The first model reveals the influencing factors of medical knowledge sharing and medical knowledge integration through exploring the barriers of knowledge flow. The second model further discusses the associations between medical knowledge sharing, medical knowledge integration, medical decision-making quality and medical quality. Since literature regarding these issues is rare, this research is with exploratory and qualitative nature. The study consists of three phases. In Phase I study, literature review and in-depth interviews were conducted to explore medical knowledge flow barriers. In Phase II study, a questionnaire was developed and a case study using a survey approach was employed. It aims to test the model established in Phase I study, and meanwhile to construct an extended model, which integrates the prior model with medical decision making quality and medical quality. In Phase III study, a Delphi method was used for validating and probing the generazability of the extended model. The results basically support the two proposed models. Medical knowledge flow is composed of five factors including knowledge source, knowledge receiver, knowledge transferred, knowledge flow context and organizational context. These factors are correlated with each other, and they greatly affect medical knowledge sharing, medical knowledge integration, medical decision-making quality and medical quality. Furthermore, a third model was constructed according to the findings regarding how the individual medical knowledge flow barrier affects other research constructs. Human factors including knowledge source and knowledge receiver largely influence medical decision-making quality, while contextual factors including knowledge flow context and organizational context affect medical quality most. For those healthcare managers who are carrying out knowledge management, our models can be adopted as a tool for examining the implementation performance. For those who are interested in studying or introducing knowledge management in healthcare industry, this research is expected to provide a comprehensive framework and serve as an essential reference for the academy and the practice.
author2 Chinho Lin
author_facet Chinho Lin
Sho-fang Chang
張碩芳
author Sho-fang Chang
張碩芳
spellingShingle Sho-fang Chang
張碩芳
Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
author_sort Sho-fang Chang
title Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
title_short Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
title_full Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
title_fullStr Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
title_full_unstemmed Exploring the Influencing Factors Associated with Medical Knowledge Sharing, Medical Knowledge Integration and Medical Quality- from the Perspective of Knowledge Flow
title_sort exploring the influencing factors associated with medical knowledge sharing, medical knowledge integration and medical quality- from the perspective of knowledge flow
url http://ndltd.ncl.edu.tw/handle/18797349193871729612
work_keys_str_mv AT shofangchang exploringtheinfluencingfactorsassociatedwithmedicalknowledgesharingmedicalknowledgeintegrationandmedicalqualityfromtheperspectiveofknowledgeflow
AT zhāngshuòfāng exploringtheinfluencingfactorsassociatedwithmedicalknowledgesharingmedicalknowledgeintegrationandmedicalqualityfromtheperspectiveofknowledgeflow
AT shofangchang yǐzhīshíliúguāndiǎntànsuǒyīliáozhīshífēnxiǎngyīliáozhīshízhěnghéyǔyīliáopǐnzhìyǐngxiǎngyīnzizhīyánjiū
AT zhāngshuòfāng yǐzhīshíliúguāndiǎntànsuǒyīliáozhīshífēnxiǎngyīliáozhīshízhěnghéyǔyīliáopǐnzhìyǐngxiǎngyīnzizhīyánjiū
_version_ 1718308076407226368