The Influence of Human Resource Management on Healthcare Performance – Using Total Quality Management and Total Relationship Management as Mediators

• Main Authors: HUANG,SHAN, 黃珊
• Other Authors: CHEN,SHUN-YU
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/5s9vdk

博士 === 長榮大學 === 經營管理研究所 === 104 === Since the change of policy of the National Health Insurance system of reimbursement and medical policies, coupled with competitive health care environment, resulting in operating medical institutions increasingly difficult to face this challenge and impact. There are facing major changes in prompting Taiwanese medical institutions operating environment, however, changing in this challenge environment and system with the operating performance of medical institutions became urgent medical issue attention. However, medical institutions only enhance operational efficiency, and improve the quality of medical services. In order to obtain a competitive advantage, image and reputation, the most important asset will be the staff agency. They need the ability to organize and construct major staffs. Which also accounted for nursing ratios, medical institutions, how effective in human resources management, improving nurses' willingness to work to improve the performance of the high quality of healthcare. Therefore, health care organizations should pay more attention to achieve the most efficient use of nursing human in response to environmental and policy changes. This study was to understand the medical institutions for protecting human resource management control performance impact, and explore the relationship between these three factors: medical institutions in the mediation and influence total quality management and overall management. Findings of this research would be useful and provide elaboration measures to enhance the effectiveness of the work of nurses, care and thus enhance performance to medical institutions upper management. The survey was conducted in “Chang Gung Medical Foundation nursing institutions” amount 483 completed questionnaires received for analysis. The effective recovery rate of 80.5%, in the structural equation model (SEM), the major three research finding are: (1) positive impact of healthcare performance between the construct in addition to human resources management; (2) human resources management in a Total relationship between the management or total quality management and performance with Mediation Effect; (3) impact of human resources management also controls in protection performance and Total quality management with full sequence of Mediation Effect in total relationship management. The findings of this study would benefit medical institutions operators in better understand the preferences interested in these issues and for further researchers’ references. Also, in different level of medical environment, medical institutions managers will improve human resources management in nursing healthcare performance and achieve competitive advantage substantive reference to implementation of practice QC in the future.