Recently, the health care services in Taiwan have rocket booming both in scale and in quantity. The competition among these health care service organizations are forging these facilities into cost effective systems through, promoting various quality control programs, elevating clinic & treatment capabilities, and improving quality of health care services. This study is to investigate how the medical staffs¡¦ recognitions are, and at what priority to initiate proper actions, while promoting Taiwan Quality Indicator Project in a medical center in southern Taiwan and its relative influences in clinic quality. The method is to conduct a survey of four hundred and twenty eight (428) clinic personnel from six (6) departments ¡V Emergency Dept., Surgery Dept., Intensive Care Unit, Obstetric & Gynecology Dept., Nursing Dept. and, Psychlogical Dept. - of the sampled medical center. A total of 428 copies of inquires were released to the sampled clinic personnel on April 1st, 2007; and those were collected back with a returning rate of 86.9%, on April 30th, 2007. Software package SPSS is applied to analyze the distribution of this survey. And methods of chi-square test, ANOVA are used to investigate the influence to health care quality caused by various different personnel characteristics. Conclusions are as follows: 1.The results demonstrate that 52.4% clinic personnel do not fully understand about TQIP. And among them, Nurses, Resident Doctors and, Chief Doctors are the most. While the clinic personnel completely understand TQIP are mostly Registered Nurses and, Attending Physicians. Obvious differences of understanding about TQIP exist, apparently, per different job titles. 2.The importance of TQIP given by the sampled persons is 4.08, categorized as ¡¥important¡¦. Without discrimination, same importance is indicated by all clinic personnel of different job titles. 3.The index/indicators of TQIP are accepted as capable to evaluate health care quality of their unit/department by 64.1% of the sampled personnel. Thus, the index/indicator chosen are adequate and proper. 4.69.4% of sampled clinic personnel agree that quality improvement policies are prepared and are realized in their unit/department. The results of TQIP in those units/departments illustrate positive quality improvements of health care service. 5.On the whole, after participating TQIP, the sampled hospital finds quality improvement in health care. The positive influences in health care are, sequentially from more to less, elevating concept of quality control, understanding quality status of the hospital, assessing quality problem of clinic service unit/department, improving health care service quality, improving capabilities in problem solving, improving operation processes & procedures, improving in methods of data collection, better team work, accelerating information computerization in the hospital, better communication and coordination among unit/department. 6.The sampled hospital standardized the ¡§Monitoring & Testing Procedures of Health Care Quality Index/Indicators¡¨. The details of operation procedures are posted on the intra-net for unit/department¡¦s inquiring and following. Annual data of index/indicators collected are to be introduced in the hopistal¡¦s MIS System for top managements¡¦ inquiry and references. Five (5) recommendations after analyses: 1.The sampled hospital is graded as medical center hospital holding the responsibilities in education. The education in quality control shall be promoted and continuously initiate improving programs in health care quality, due to in depth knowledge affects the attitude and behavior in health care quality performed. 2.Clinic personnel have heavy work loads. Computerized Index/Indicator related information should be easy to access on the information system. Thus, the programmer/engineer of the information center shall simplify the procedures/ processes as year planning even the resources are limited. 3.Unit/department requires specific person to handling index /indicator. Thus, the department management can lead daily jobs down to the ground, actively involving in quality improvement programs within the unit/department. 4.One of the opinions of ¡¥not important¡¦ category is that ¡¥no solid benefit for doctors following up index/indicators. The suggestion to top management is to elevate the morale by rewarding the participants with monetary efficiency bonus instead of just merits. 5.It is very complicated about how to increase knowledge and consensus in health care quality. Besides sufficient communication with clinic personnel, man-power integration, and continuous education and on job training, problem solving and quality improvement programs are necessary. Learning from the successful experience of other health care facilities, within the country or from foreign countries, is also an efficient method.

Traditional familial care has been challenged due to the reduction of family size and increased mobility of the Chinese population. Institutional elder care is increasingly becoming an alternative to familial care. This study explores the relationship between ownership of elder care home and care quality, using data collected in 2010 from 157 homes in Tianjin. Two hypotheses were proposed for the study: 1) There is a difference between government and non government-owned facilities in facility characteristics; 2) Government-owned facilities have better care quality outcomes. The t-test results showed that government-owned elder care homes had advantages in economic resources, staffing and the availability of services. Government-owned facilities reported lower mortality rate compared to non government-owned facilities. Multi-variant regression analysis showed that economic resources—whether funding from the government or high payments from care-recipients in private facilities--are important factors predicting higher levels of care quality. These results indicate that the Chinese government continues to play an important role in institutional long term care; in the meantime, private market is increasing its prominence in the long term care market.

Typescript. / Thesis (D.P.H.)--University of Hawaii at Manoa, 1984. / Bibliography: leaves [171]-177. / Photocopy. / xi, 177 leaves bound ill. 29 cm

Thesis (Ph. D.)--University of Hong Kong, 2009. / Includes bibliographical references (leaves 242-260). Also available in print.

Thesis (M.S.)--University of Michigan, 1996.

Thesis (Ph.D.)--Virginia Commonwealth University, 2010. / Prepared for: Dept. of Health Administration. Title from title-page of electronic thesis. Bibliography: leaves 158-177.

Thesis (Ph.D.)--Virginia Commonwealth University, 2010. / Prepared for: Dept. of Health Administration. Title from title-page of electronic thesis. Bibliography: leaves 133-143.

Thesis (Ph. D.)--Case Western Reserve University, 2006. / [School of Medicine] Department of Epidemiology and Biostatistics. Includes bibliographical references. Available online via OhioLINK's ETD Center.

The quality of a child care setting is believed by many child care researchers to have an impact on the development of children in child care. While a considerable amount of research has been done regarding the impact of child care quality on child outcomes, an examination of literature reviews on the topic reveals that there is a lack of consensus in the field on the question of whether child care quality has a substantial impact on children's development. The present study assessed the impact child care quality has on child outcomes. A dataset from the NICHD Early Child Care Study involving 878 subjects was used. Analyses utilizing structural equation modeling indicated that child care quality has a substantial impact on children's development, even when the influence of demographic and family variables is taken into account.

No description available.