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.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0218111-021028 |
| Date | 18 February 2011 |
| Creators | Chen, Ying-Chieh |
| Contributors | Yuan Yi Chia, Yi-Hsin Elsa Hsu, Ying-Chun Li, Shu-Chuan Jennifer Yeh |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0218111-021028 |
| Rights | withheld, Copyright information available at source archive |
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