醫院引進及擴張新醫療科技之影響因素與結果

羅萱

doi:10.6288/TJPH2005-24-05-02

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P385 - 393

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6288/TJPH

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醫院引進及擴張新醫療科技之影響因素與結果

Antecedents and Consequences of the Adoption and Expansion of New Medical Technology in Hospitals

羅萱(Hsuan Lo)

台灣公共衛生雜誌； 24卷5期 (2005 / 10 / 01) ， P385 - 393

繁體中文 DOI： 10.6288/TJPH2005-24-05-02

醫療科技；引進；擴張；效率； medical technology ； adoption ； expansion ； efficiency

Abstract │ Reference (47) │ Times Cited (11) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Objectives: The purposes of this study are to examine the effects of organizational and environmental factors on the adoption and expansion of new medical technology in hospitals and to examine the effects the adoption and expansion of new medical technology on hospitals’ performance. Methods: We analyzed a panel of hospitals in Taiwan between 1994 and 2002 and used the secondary data from the governmental archive. Negative binomial regression with the random effects model is used to examine the effects of organizational and environmental factors on the adoption or expansion of new medical technology. In addition, the random effects general regression model is used to examine the effects of the adoption and expansion of new medical technology on organizational efficiency. Results: Regression models showed that private hospitals, sizes, the number of specialties, and medical technology utilizations had positive impacts on the adoption and expansion of new medical technology, and the numbers of medical technology categories had a negative effect. However, increases in the adoption and expansion of new medical technology had a negative impact on organizational efficiency under controlling the categories of medical technology. Conclusions: Our study suggests that organizational factors are key determinants of the adoption and expansion of new medical technology, and that the greater the survival pressure (e.g., private hospitals), diversity of medical demand and the more capabilities and experience of the hospital (e.g., large size, more numbers of specialties, and high utility) the greater the likelihood the hospital will adopt and expand new medical technology. Further, we suggest that over-adoption and over-expansion of new medical technologies will reduce medical technology utilization unless the categories of medical technologies were also considered.

Reference ( 47 ) 〈TOP〉

蔡偉德、李一鑫(2002)。醫院非價格性競爭與市場結構－醫院購置高科技醫療儀器之實證研究。經濟論文，30，57-78。
連結：
Barley SR(1986).Technology as an Occasion for structuring: Evidence from observations of CT scanners and the social order of radiology departments
Barley SR.(1986).Technology as an Occasion for structuring: Evidence from observations of CT scanners and the social order of radiology departments..31,78-108.
Cameron AC, Trivedi PK(1990).Regression-based tests for overdispersion in the poisson model,46,347-64.
Cameron AC,Trivedi PK.(1990).Regression-based tests for overdispersion in the poisson model.46,347-64.

Times Cited ( 11 ) 〈TOP〉

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