Exploring the key elements for the successful management of primary otolaryngologic clinics in Taiwan

IF 1.8 4区 医学 Q2 OTORHINOLARYNGOLOGY American Journal of Otolaryngology Pub Date : 2024-08-05 DOI:10.1016/j.amjoto.2024.104455
Wei Chen Chang , Wan Zi Lin , Tai Yueh Chen , Ching-Ter Chang
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Abstract

Aim

This study aims to investigate the key elements for successful operation and management of primary otolaryngologic clinics in Taiwan amidst a declining birth rate and increasing competition among clinics. It employs the Innovation Through Tradition (ITT) theory as a theoretical framework to develop an operational model for effective management strategies.

Methods

This research utilized the triangulation method to identify key elements crucial for the operation and management of primary otolaryngologic clinics. Five key elements were identified, namely service attitude, medication efficacy, diagnostic and treatment procedures, treatment costs, and operating hours. Outpatient satisfaction was analyzed using Donabedian's structure-process-outcomes model to assess the impact of these elements on patient experience.

Results

Analysis revealed that service attitude significantly influences outpatient visits, indicating its paramount importance in clinic management. Patient satisfaction was highest in the service outcome dimension, emphasizing the significance of effective treatment outcomes. However, satisfaction was lowest in the service structure dimension, indicating potential areas for improvement in clinic infrastructure and organization.

Conclusion

Understanding these key elements and enhancing outpatient satisfaction can drive improvements in the quality of medical services, contributing to the overall success of primary otolaryngologic clinics.

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探讨台湾基层耳鼻喉科诊所成功管理的关键因素。
目的:本研究旨在探讨在出生率下降、诊所间竞争加剧的情况下,台湾基层耳鼻喉科诊所成功运营和管理的关键因素。研究采用传统创新(ITT)理论作为理论框架,建立有效管理策略的运作模式:本研究采用三角测量法来确定基层耳鼻喉科诊所运营和管理的关键要素。研究确定了五个关键要素,即服务态度、药物疗效、诊断和治疗程序、治疗费用和营业时间。门诊患者满意度采用多纳比德结构-过程-结果模型进行分析,以评估这些要素对患者体验的影响:分析结果表明,服务态度对门诊就诊量有很大影响,这表明服务态度在诊所管理中至关重要。患者在服务结果维度上的满意度最高,强调了有效治疗结果的重要性。然而,服务结构维度的满意度最低,这表明诊所的基础设施和组织有可能需要改进:结论:了解这些关键因素并提高门诊患者的满意度可推动医疗服务质量的改善,从而促进基层耳鼻喉科诊所的整体成功。
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来源期刊
American Journal of Otolaryngology
American Journal of Otolaryngology 医学-耳鼻喉科学
CiteScore
4.40
自引率
4.00%
发文量
378
审稿时长
41 days
期刊介绍: Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.
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