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Taiwan quality indicator project and hospital productivity growth

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  • Chang, Shyr-Juh
  • Hsiao, Hsing-Chin
  • Huang, Li-Hua
  • Chang, Hsihui

Abstract

The Taiwan Quality Indicator Project (TQIP) is a quality management program that measures and monitors the healthcare quality of hospitals in Taiwan. This paper examines the impact of TQIP participation on hospital productivity growth with the application of the Malmquist productivity change index based on data envelopment analysis (DEA). Analyzing operations data from 31 TQIP regional hospitals over the period 1998-2004, we find that TQIP hospitals improved their productivity in the post-TQIP period. This improvement is attributable to quality change and relative efficiency progress. The simultaneous enhancement in both quality and relative efficiency coincides with the philosophy of total quality management (TQM) spirit, and confirms the efficiency improvement and quality assurance functions of TQIP.

Suggested Citation

  • Chang, Shyr-Juh & Hsiao, Hsing-Chin & Huang, Li-Hua & Chang, Hsihui, 2011. "Taiwan quality indicator project and hospital productivity growth," Omega, Elsevier, vol. 39(1), pages 14-22, January.
  • Handle: RePEc:eee:jomega:v:39:y:2011:i:1:p:14-22
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    References listed on IDEAS

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    Cited by:

    1. Duen-Yian Yeh & Ching-Hsue Cheng, 2016. "Performance Management of Taiwan’s National Hospitals," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 15(01), pages 187-213, January.
    2. Varabyova, Yauheniya & Blankart, Carl Rudolf Berchtold & Schreyögg, Jonas, 2016. "Using nonparametric conditional approach to integrate quality into efficiency analysis: Empirical evidence from cardiology departments," hche Research Papers 2016/11, University of Hamburg, Hamburg Center for Health Economics (hche).
    3. Chen, Li-Fei, 2012. "A novel approach to regression analysis for the classification of quality attributes in the Kano model: an empirical test in the food and beverage industry," Omega, Elsevier, vol. 40(5), pages 651-659.
    4. repec:spr:annopr:v:261:y:2018:i:1:d:10.1007_s10479-017-2628-7 is not listed on IDEAS
    5. Ramón, Nuria & Ruiz, José L. & Sirvent, Inmaculada, 2011. "Reducing differences between profiles of weights: A "peer-restricted" cross-efficiency evaluation," Omega, Elsevier, vol. 39(6), pages 634-641, December.
    6. Karmann, Alexander & Roesel, Felix, 2016. "Hospital policy and productivity: Evidence from German states," CEPIE Working Papers 07/16, Technische Universität Dresden, Center of Public and International Economics (CEPIE).
    7. Fallah-Fini, Saeideh & Triantis, Konstantinos & Rahmandad, Hazhir & de la Garza, Jesus M., 2015. "Measuring dynamic efficiency of highway maintenance operations," Omega, Elsevier, vol. 50(C), pages 18-28.
    8. repec:kap:hcarem:v:20:y:2017:i:4:d:10.1007_s10729-016-9372-4 is not listed on IDEAS
    9. Kao, Chiang & Liu, Shiang-Tai, 2014. "Multi-period efficiency measurement in data envelopment analysis: The case of Taiwanese commercial banks," Omega, Elsevier, vol. 47(C), pages 90-98.
    10. Partovi, Fariborz Y., 2011. "Corporate philanthropic selection using data envelopment analysis," Omega, Elsevier, vol. 39(5), pages 522-527, October.
    11. Kanghwa Choi & DonHee Lee & David Olson, 2015. "Service quality and productivity in the U.S. airline industry: a service quality-adjusted DEA model," Service Business, Springer;Pan-Pacific Business Association, vol. 9(1), pages 137-160, March.
    12. Lin, Rung-Chuan & Sir, Mustafa Y. & Pasupathy, Kalyan S., 2013. "Multi-objective simulation optimization using data envelopment analysis and genetic algorithm: Specific application to determining optimal resource levels in surgical services," Omega, Elsevier, vol. 41(5), pages 881-892.
    13. Harun Taşkin & Ünal Atakan Kahraman & Cemalettin Kubat, 0. "Evaluation of the hospital service in Turkey using fuzzy decision making approach," Journal of Intelligent Manufacturing, Springer, vol. 0, pages 1-12.
    14. Mehmet Gok & Erkut Altındağ, 2015. "Analysis of the cost and efficiency relationship: experience in the Turkish pay for performance system," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(5), pages 459-469, June.
    15. Xu, Jiuping & Li, Zongmin, 2012. "A review on Ecological Engineering based Engineering Management," Omega, Elsevier, vol. 40(3), pages 368-378.
    16. repec:gam:jsusta:v:10:y:2017:i:1:p:74-:d:124840 is not listed on IDEAS
    17. Yang, Jinqiu & Zeng, Wu, 2014. "The trade-offs between efficiency and quality in the hospital production: Some evidence from Shenzhen, China," China Economic Review, Elsevier, vol. 31(C), pages 166-184.
    18. Robinson, Stewart & Radnor, Zoe J. & Burgess, Nicola & Worthington, Claire, 2012. "SimLean: Utilising simulation in the implementation of lean in healthcare," European Journal of Operational Research, Elsevier, vol. 219(1), pages 188-197.
    19. Maenhout, Broos & Vanhoucke, Mario, 2013. "An integrated nurse staffing and scheduling analysis for longer-term nursing staff allocation problems," Omega, Elsevier, vol. 41(2), pages 485-499.
    20. Grigoroudis, E. & Orfanoudaki, E. & Zopounidis, C., 2012. "Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard," Omega, Elsevier, vol. 40(1), pages 104-119, January.
    21. Dulá, J.H. & López, F.J., 2013. "DEA with streaming data," Omega, Elsevier, vol. 41(1), pages 41-47.

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