| Summary: | 碩士 === 國立中山大學 === 醫務管理研究所 === 92 === Research Objective
The purpose of this study is to profile market factors and organizational characteristics associated with community hospitals’ vertical integration into a nursing facility through the lens of resource dependence.
Data Sources
Data for this study were drawn from three sources: the 2002 secondary data collected by Taiwan Community Hospital Association (TCHA) on a regular yearly basis; the 2001 secondary data compiled by Taiwan Association of Long-Term Care Professionals (TALTCP); and the 2002 area-based population data gathered by Department of Budget, Accounting, and Statistics (DOBAS) in local governments respectively.
Study Design
This study is a one-year cross-sectional design with community hospitals as the unit of analysis. A sample of 248 community hospitals was the focus of this study. Since the dependent variable is dichotomous, the logistic procedure was used to fit the regression. The analysis was performed using the statistics software, SPSS 10.0.
Findings
A higher ratio of the elderly, a high degree of competition, and the provision of dialysis and home care services spur community hospitals on to vertical integration into a nursing facility. Occupancy rate, the rehabilitative service, respiratory care service, high technology, the ratio of MDs to staffed beds, as well as the ratio of RNs and LPNs to staffed beds bear no reference to community hospitals’ vertically integrating a nursing facility.
Conclusion
Not all community hospitals are equally good candidates for stepping into the avenue to nursing facility. Given the environmental factors, community hospitals situated in highly competitive district areas with a higher ratio of the elderly are more likely to vertically integrate a nursing facility. In terms of organizational factors, the provisions of dialysis service and home care service have a significant relationship with the likelihood of vertical integration.
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