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

• Main Authors: Wen-Sheng Wang, 王文生
• Other Authors: 張東生
• Format: Others
• Language: en_US
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/a6y859

博士 === 國立中央大學 === 企業管理學系 === 106 === This study focuses on sustainable healthcare institutions based on Taiwan’s National Health Insurance System, which has been reformed by various health insurance programs. Sustainable development is considered the major achievement of sustainable healthcare institutions, and developing indicators to evaluate improvements to sustainable healthcare may ensure better quality of life and well-being. Data were collected using the Healthier Hospitals Initiative, the Global Reporting Initiative, and the Dow Jones Sustainability Index, which were integrated into the framework of sustainable healthcare institutions. The causal relationships among nineteen criteria were examined by the decision-making trial and evaluation laboratory method (DEMATEL). A team of fifteen experts, five from medical centers, five from government, and five from academic administration, participated in weighing the criteria. Furthermore, interviews were conducted with six experts. The results show that corporate governance is an important part of the business strategy of healthcare institutions and that co-payment may affect both healthcare implementation and sustainable development in healthcare institutions. The findings suggest a suitable co-payment system that complies with the medical triage system for therapy, which may increase the effective utilization of medical resources. Clinical performance is inevitably a major task for sustainable healthcare institutions in Taiwan. This study suggests that managers should consider the diversification of sustainable management. The results also identify specific social factors related to the developed indicators. The identification of these factors can contribute to more integrative social analyses to improve quality of life in relation to healthcare coverage under Taiwan’s National Health Insurance System.