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Identifying Critical Factors of Sustainable Healthcare Institutions’ Indicators Under Taiwan’s National Health Insurance System

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  • Dong-Shang Chang

    (National Central University)

  • Wen-Sheng Wang

    (National Central University)

  • Rouwen Wang

    (National Central University)

Abstract

Taiwan’s healthcare institutions are increasingly being challenged under the various reforms undertaken by the National Health Insurance System in recent years. Aims to sustainable development is already considered as a major task for sustainable healthcare institutions, hence, identifying the indicators used in evaluation of the improvements towards sustainable healthcare is crucial in ensuring a better quality of life and well-being for Taiwan people. This research data were collected using the causal relationships among nineteen criteria and examined by decision-making trial and evaluation laboratory method. The method with an expert’s interview provides a clear and transparent approach to analyze the cause and effect findings within criteria. Findings show that the critical factor; corporate governance is a very important part of the business strategy and factor of clinical performance is in particular one of the key criteria for sustainable healthcare institutions. Results also indicated that employ a suitable co-payment system should comply with the medical triage system for therapy, which may increase the effective utilization of medical resources. These results identified specific social factors related to the developed indicators that managers should consider the diversification of sustainable management. The identification of these factors can contribute to more integrative social analyses to improve a better quality of life.

Suggested Citation

  • Dong-Shang Chang & Wen-Sheng Wang & Rouwen Wang, 2018. "Identifying Critical Factors of Sustainable Healthcare Institutions’ Indicators Under Taiwan’s National Health Insurance System," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 140(1), pages 287-307, November.
    • Handle: RePEc:spr:soinre:v:140:y:2018:i:1:d:10.1007_s11205-017-1761-7
    DOI: 10.1007/s11205-017-1761-7
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    as
    1. Gwo-Hshiung Tzeng & Chi-Yo Huang, 2012. "Combined DEMATEL technique with hybrid MCDM methods for creating the aspired intelligent global manufacturing & logistics systems," Annals of Operations Research, Springer, vol. 197(1), pages 159-190, August.
    2. Eli P. Fenichel & Simon A. Levin & Bonnie McCay & Kevin St. Martin & Joshua K. Abbott & Malin L. Pinsky, 2016. "Wealth reallocation and sustainability under climate change," Nature Climate Change, Nature, vol. 6(3), pages 237-244, March.
    3. Santanu Ray, 2014. "An Index of Maternal and Child Healthcare Status in India: Measuring Inter- and Intra-State Variations from Capability Perspectives," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 117(1), pages 195-207, May.
    4. Dong-Shang Chang & Sheng-Hung Chen & Chia-Wei Hsu & Allen H. Hu, 2015. "Identifying Strategic Factors of the Implantation CSR in the Airline Industry: The Case of Asia-Pacific Airlines," Sustainability, MDPI, vol. 7(6), pages 1-22, June.
    5. Ren, Jingzheng & Sovacool, Benjamin K., 2014. "Quantifying, measuring, and strategizing energy security: Determining the most meaningful dimensions and metrics," Energy, Elsevier, vol. 76(C), pages 838-849.
    6. Reeves, Aaron & McKee, Martin & Basu, Sanjay & Stuckler, David, 2014. "The political economy of austerity and healthcare: Cross-national analysis of expenditure changes in 27 European nations 1995–2011," Health Policy, Elsevier, vol. 115(1), pages 1-8.
    7. Marleen Smedt, 2013. "Measuring Subjective Issues of Well-Being and Quality of Life in the European Statistical System," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 114(1), pages 153-167, October.
    8. Bill Hopwood & Mary Mellor & Geoff O'Brien, 2005. "Sustainable development: mapping different approaches," Sustainable Development, John Wiley & Sons, Ltd., vol. 13(1), pages 38-52.
    9. Srivastava, Divya & McGuire, Alistair, 2015. "Patient access to health care and medicines across low-income countries," Social Science & Medicine, Elsevier, vol. 133(C), pages 21-27.
    10. United Nations, 2016. "The Sustainable Development Goals 2016," Working Papers id:11456, eSocialSciences.
    11. Mascia, Daniele & Angeli, Federica & Di Vincenzo, Fausto, 2015. "Effect of hospital referral networks on patient readmissions," Social Science & Medicine, Elsevier, vol. 132(C), pages 113-121.
    12. van den Heever, Alexander Marius, 2016. "South Africa's universal health coverage reforms in the post-apartheid period," Health Policy, Elsevier, vol. 120(12), pages 1420-1428.
    13. Khalid Zaman & Aqeel Ahmad & Tengku Adeline Adura Tengku Hamzah & Mariney Mohd Yusoff, 2016. "Environmental Factors Affecting Health Indicators in Sub-Saharan African Countries: Health is Wealth," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(1), pages 215-228, October.
    14. Cervero-Liceras, Francisco & McKee, Martin & Legido-Quigley, Helena, 2015. "The effects of the financial crisis and austerity measures on the Spanish health care system: A qualitative analysis of health professionals’ perceptions in the region of Valencia," Health Policy, Elsevier, vol. 119(1), pages 100-106.
    15. Burke, Sara Ann & Normand, Charles & Barry, Sarah & Thomas, Steve, 2016. "From universal health insurance to universal healthcare? The shifting health policy landscape in Ireland since the economic crisis," Health Policy, Elsevier, vol. 120(3), pages 235-240.
    16. Lee, Nancy S., 2015. "Framing choice: The origins and impact of consumer rhetoric in US health care debates," Social Science & Medicine, Elsevier, vol. 138(C), pages 136-143.
    17. Uzochukwu Amakom, 2016. "Nigeria’s Government Spending on Basic Education and Healthcare in the Last Decade: What has Changed After Reforms?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1085-1102, July.
    18. Yang, Jinqiu & Hong, Yongmiao & Ma, Shuangge, 2016. "Impact of the new health care reform on hospital expenditure in China: A case study from a pilot city," China Economic Review, Elsevier, vol. 39(C), pages 1-14.
    19. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    20. Qin, Paige & Chernew, Michael, 2014. "Compensating wage differentials and the impact of health insurance in the public sector on wages and hours," Journal of Health Economics, Elsevier, vol. 38(C), pages 77-87.
    21. Le Hai & Pham Hai & Pham Ha & Nguyen Ha & Ly Dai & Pham Hoa & Nguyen Huan & Lai Cam, 2014. "A System of Sustainability Indicators for the Province of Thai Binh, Vietnam," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 116(3), pages 661-679, May.
    22. Ko, Hansoo, 2016. "Unmet healthcare needs and health status: Panel evidence from Korea," Health Policy, Elsevier, vol. 120(6), pages 646-653.
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    1. Lee, Lung-Sheng & Lee, Yi-Fang & Wu, Ming-Jiuan & Pan, Ying-Ju, 2019. "A study of energy literacy among nursing students to examine implications on energy conservation efforts in Taiwan," Energy Policy, Elsevier, vol. 135(C).

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