Correlation between Market Orientation Correlation between Market Orientation and Patient Safety Climate in Taiwan Hospitals

• Main Authors: Jung-Chien Chen, 陳容仟
• Other Authors: Rhay-Hung Weng
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/14620993140431784928

碩士 === 嘉南藥理科技大學 === 醫療資訊管理研究所 === 98 === Background and Objectives: Recently, facing to the extreme competition of medical market and frequent medical disputes, hospitals must make rapid and accurate responses to market changes and make medical environment more safe to maintain competitive advantages and improve business performances. Therefore, this study selected hospital staffs as samples and tried to clarify the correlations between the dimensions of market orientation (customer orientation, competitor orientation, and inter-functional coordination) and patient safety climate (safety procedures, perceived managerial patient safety practice, safety information flow, and priority of patient safety). Methods: The study was based on cross-sectional design and selected hospital staff nurses from two regional hospitals as samples in Taiwan. In all 343 valid samples were obtained. We adopted descriptive analysis, confirmatory factor analysis (CFA), Student’s t-test, One-Way ANOVA, Pearson correlation, multiple regression, and path analysis to analyze the data. Results: The findings indicated that customer orientation, one dimension of market orientation, has positive effects on each dimensions of patient safety climate and overall patient safety climate, and it has the most influence on the climate of patient safety procedures (β=0.47). However, competitor orientation only has a positive effect on the climate of patient safety information flow (β=0.17). In addition, hospital support for staffs also has the positive effect on overall patient safety climate, and has the most influence (β=0.43) on the climate of patient safety information flow. Based on the result of correlation matrix analysis, we found that hospital support for staffs has a positive effect on three dimensions of market orientation, especially on competitor orientation and inter-functional coordination. Therefore, we further used path analysis to explore the mediating effect of hospital support for staffs. Results of path analysis showed that competitor orientation and inter-functional coordination would affect patient safety climate positively through mediating effect of hospital support for staffs. Conclusions: Hospitals should implement the concepts of customer orientation to create patient-centered perspective and ask staffs of hospital to improve medical service design and delivery according this perspective. Then, a better of patient safety climate would be built. In addition, although competitor orientation and inter-functional coordination would not affect patient safety climate directly, hospital still could effectively strengthen supports for staffs to engage in patient-centered activities and further improve patient safety climate. Therefore, when hospitals are committed to improving patient safety climate, three dimensions of market orientation should not be ignored.