医疗机构的绩效反馈：问责措施和竞争的作用。

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-09-24 DOI:10.1016/j.socscimed.2024.117362

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引用次数: 0

摘要

本研究探讨了以绩效反馈为形式的问责安排对医疗机构组织行为的影响。具体而言，它评估了在韩国医疗机构实施的绩效管理计划的有效性，重点关注抗生素处方模式。研究提出了三个主要发现。首先，绩效明显改善的主要是绩效较低的医疗机构。其次，与私营医疗机构相比，公立医疗机构的绩效提升幅度更大。第三，当被评估的医疗机构之间竞争激烈时，组织对绩效反馈的反应更为明显。绩效管理与竞争环境之间的协同作用主要体现在私营机构中。

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Performance feedback in healthcare organizations: The role of accountability measures and competition

This study examines the impact of accountability arrangements in the form of performance feedback on organizational behaviors among healthcare organizations. Specifically, it evaluates the effectiveness of a performance management program implemented in South Korean healthcare settings, focusing on antibiotic prescription patterns. The study presents three key findings. First, significant performance improvement occurred mainly among low performing organizations. Second, public healthcare organizations exhibited greater performance enhancements compared to their private counterparts. Third, organizational responses to performance feedback were more pronounced when robust competition prevailed among the assessed healthcare institutions. This synergy between performance management and competitive environments was primarily evident in private organizations.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.