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- Xiuzhu Gu
- Department of Industrial Engineering and Economics, Tokyo Institute of Technology School of Engineering Tokyo Japan
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- Kenji Itoh
- Department of Industrial Engineering and Economics, Tokyo Institute of Technology School of Engineering Tokyo Japan
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説明
<jats:title>SUMMARY</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>This study from Japan extracted performance measures for dialysis unit management and investigated their characteristics from professional views.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Two surveys were conducted using self‐administered questionnaires, in which dialysis managers/staff were asked to rate the usefulness of 44 performance indicators. A total of 255 managers and 2,097 staff responded.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Eight performance measures were elicited from dialysis manager and staff responses: these were safety, operational efficiency, quality of working life, financial effectiveness, employee development, mortality, patient/employee satisfaction and patient‐centred health care. These performance measures were almost compatible with those extracted in overall healthcare settings in a previous study. Internal reliability, content and construct validity of the performance measures for the dialysis setting were ensured to some extent. As a general trend, both dialysis managers and staff perceived performance measures as highly useful, especially for safety, mortality, operational efficiency and patient/employee satisfaction, but showed relatively low concerns for patient‐centred health care and employee development. However, dialysis managers’ usefulness perceptions were significantly higher than staff.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Important guidelines for designing a holistic hospital/clinic management system were yielded. Performance measures must be balanced for outcomes and performance shaping factors (PSF); a common set of performance measures could be applied to all the healthcare settings, although performance indicators of each measure should be composed based on the application field and setting; in addition, sound causal relationships between PSF and outcome measures/indicators should be explored for further improvement.</jats:p></jats:sec>
収録刊行物
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- Journal of Renal Care
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Journal of Renal Care 44 (1), 52-59, 2017-12-14
Wiley