Hospital Superintendents’ Perceptions of Ethics of Health Care Administration in Taiwan

• Main Authors: Ying-Chieh Chen, 陳映潔
• Other Authors: Yi-Hsin Elsa Hsu
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/33558442889212870984

碩士 === 國立中山大學 === 醫務管理研究所 === 99 === After Taiwan National Health Insurance implemented in 1995, health care management systems of hospitals in Taiwan had gradually turned in financial-oriented. On the other hands, people had paid less attention and little mention to basic ethics-oriented topics. Ethics of Health Care Administration (EHA) combined business ethics and medical ethics and extended a broader connotation within it. Except general guidelines of medical ethics, EHA was extended to considerations for management and policy conducts. This research has surveyed the EHA implementation in hospitals in Taiwan and influenced investigated the relationships amoung the differences of hospitals characteristics, the superintendents’ characteristics, and the superintendents’ perceptions toward EHA. A cross-sectional study with structured self-completion questionnaires had been done. Questionnaires were distributed during May and August, 2009, and 135 were returned, with a response rate of 27.89%. Responses were gathered from superintendents of hospitals at a district level or higher. Results delivered by two sections in this research: Quantitative Section: 1. Superintendents with different hospitals characteristics had positive attitude and identifications toward the EHA implementation degree in hospitals. 2. Superintendents with older age or deeper experiences had higher appraisal of the EHA implementation degree in hospitals. 3. Responses for the EHA implementation degree in hospitals, the scores in themselves-hospitals were higher than the scores in others-hospitals. 4. Responses with higher satisfaction with present health care environment could with a higher EHA implementation degree in their hospitals. Qualitative Section: 1. Responses for the perceptions of internal operations in health care institutions were more focused on positive ways of operational management in health care institutions, included the agreements of human-based management, health care quality, cost control, sustainable development under the specific operating model by a certain hospital. 2. Responses for the perceptions of external environment of health care institutions were more focused on policies and systems within medical or health care field included the regard for the possibility of health care policies’ and health care insurances’ reforms. Ethics of health care administration can be implemented with a well conduct health care infrastructure and policy supported management system.