Antonio Vera1, Ludwig Kuntz. 1. Department of Healthcare Management, University of Cologne, Albertus-Magnus-Platz, Germany. vera@wiso.uni-koeln.de
Abstract
BACKGROUND: The central idea of process-based organization design is that organizing a firm around core business processes leads to cost reductions and quality improvements. PURPOSES: We investigated theoretically and empirically whether the implementation of a process-based organization design is advisable in hospitals. METHODOLOGY: The data came from a database compiled by the Statistical Office of the German federal state of Rheinland-Pfalz and from a written questionnaire, which was sent to the chief executive officers (CEOs) of all 92 hospitals in this federal state. We used data envelopment analysis (DEA) to measure hospital efficiency, and factor analysis and regression analysis to test our hypothesis. FINDINGS: Our principal finding is that a high degree of process-based organization has a moderate but significant positive effect on the efficiency of hospitals. PRACTICE IMPLICATIONS: The main implication is that hospitals should implement a process-based organization to improve their efficiency. However, to actually achieve positive effects on efficiency, it is of paramount importance to observe some implementation rules, in particular to mobilize physician participation and to create an adequate organizational culture.
BACKGROUND: The central idea of process-based organization design is that organizing a firm around core business processes leads to cost reductions and quality improvements. PURPOSES: We investigated theoretically and empirically whether the implementation of a process-based organization design is advisable in hospitals. METHODOLOGY: The data came from a database compiled by the Statistical Office of the German federal state of Rheinland-Pfalz and from a written questionnaire, which was sent to the chief executive officers (CEOs) of all 92 hospitals in this federal state. We used data envelopment analysis (DEA) to measure hospital efficiency, and factor analysis and regression analysis to test our hypothesis. FINDINGS: Our principal finding is that a high degree of process-based organization has a moderate but significant positive effect on the efficiency of hospitals. PRACTICE IMPLICATIONS: The main implication is that hospitals should implement a process-based organization to improve their efficiency. However, to actually achieve positive effects on efficiency, it is of paramount importance to observe some implementation rules, in particular to mobilize physician participation and to create an adequate organizational culture.
Authors: Leti Vos; Sarah E Chalmers; Michel La Dückers; Peter P Groenewegen; Cordula Wagner; Godefridus G van Merode Journal: Implement Sci Date: 2011-01-19 Impact factor: 7.327
Authors: Kosta Shatrov; Camilla Pessina; Kaspar Huber; Bernhard Thomet; Andreas Gutzeit; Carl Rudolf Blankart Journal: PLoS One Date: 2021-09-10 Impact factor: 3.240
Authors: Junetae Kim; Yura Lee; Sanghee Lim; Jeong Hoon Kim; Byungtae Lee; Jae-Ho Lee Journal: J Med Internet Res Date: 2017-10-18 Impact factor: 5.428
Authors: Per Magnus Mæhle; Ingrid Kristine Small Hanto; Sigbjørn Smeland Journal: Int J Environ Res Public Health Date: 2020-12-09 Impact factor: 3.390