Innovations and its Impact on the Performance of Acute Care Hospitals in Germany - an Investigation Containing Empirical Research and Software Development

• Autorzy: Manuel Heurich , Claudio Vignali
• Języki publikacji: EN

Abstrakty

EN

Objectives: Innovations are the basis for economic progress and development in every society. Nevertheless, not many scientific studies exist about the influence of innovations on the hospital performance in the German health care sector. The purpose of this paperis to evaluate the impact of innovations on the performance of acute care hospitals in Germany. Based on this scientific foundation a software programme shall be developed to give hospitals, researchers, consultancies and other stakeholders the possibility to evaluate their innovative activity, to benchmark their hospitals against their peer group and to give individualized suggestions for improving the performance. The software programme is to be developed in cooperation with the software start-up company BinDoc as a web-based tool. Accordingly, this paper follows an approach of combining scientific work with practical software application. Methods: The paper offers a short literature review of the influence of innovations on the performance of hospitals and demonstrates the relevance of software applications in health care business. In addition an introduction to data base development and web-based software is provided. Thereafter, key figures for measuring the influence of innovations on the performance of hospitals are evaluated. For the empirical part a sample of 30 acute care hospitals was analysed. For each hospital of the sample a number of approx. 240 variables was gathered to create a sufficiently sized database for the investigation. Results: Hospitals in private ownership show a significantly higher performance in the financial key figures as well as a higher performance in patient satisfaction than hospitals in public ownership. On the other hand there is a slightly higher performance in the innovative key figures among public hospitals, however most of them not at statistically significant level. Some significant correlations between innovations and performance were identified, but not all indicators suggest that the performance is positively influenced by innovations. Conclusion: The results of the investigation can be interpreted as follows: Due to some significant correlations between innovations and financial and quality performance it is not possible to provide a clear statement about the impact of innovations on the performance of acute care hospitals so far. Because of this further research is needed to validate the findings and expand the investigation. Follow-up research should also investigate whether there are enough incentives for hospitals to be innovative or whether regulation has to be changed. (original abstract)

Słowa kluczowe

EN

Hospital service; Innovations; Health care protection; Enterprise development; Public hospitals

PL

Szpitalnictwo; Innowacje; Ochrona zdrowia; Rozwój przedsiębiorstwa; Szpitale publiczne

• Czasopismo: Economics & Sociology
• Rocznik: 2015
• Tom: 8
• Numer: nr 4
• Strony: 149--164

Twórcy

autor

Manuel Heurich

• CIRCLE International, Tübingen, Germany

autor

Claudio Vignali

• Virtual College, The University of Vitez, University of Gloucestershire, Cheltenham, United Kingdom

Bibliografia

• Augurzky, B. (2013), Krankenhaus Rating Report 2013 - Krankenhausversorgung zwischen Euro-Krise und Schuldenbremse, medhochzwei Verlag, Heidelberg.
• Basu, S., Hassenplug, J. (2012), Patient Access to Medical Devices - A Comparison of U.S. and European Review Processes, The New England Journal of Medicine, Vol. 367, No. 6, 485 ff.
• Bryman, A. and Bell, E. (2011), Business research Methods (Third edition), New York, Oxford University Press.
• Cash, J., Earl, M., Morison, R. (2008), Teaming Up to Crack Innovation and Enterprise Integration, Harvard Business Review, Nov., pp. 90-100.
• Deming, Edwards W. (1990), Deming - Sampel Design in Business Research, Wiley Classics Library, John Wiley & Sons, Inc., Hoboken.
• Eiff, W. (2000), Der Krankenhaus Betriebsvergleich: Controlling-Instrumente fur das Krankenhaus-Management, Neuwied, Luchterhand Verlag.
• Fueglistaller, U., Müller, C., Volery, T. (2008), Entrepreneurship: Modelle- Umsetzung-Perspektiven, 2. Edition, GWV Fachverlag GmbH, Wiesbaden.
• Hollingsworth, B. (2003), Non-parametric and parametric applications measuring efficiency in health care, Health Care Management Science, Vol. 6, pp. 203-218.
• Inmon, W., Linstedt, D. (2014), Data Architecture: A Primer for the Data Scientist, Elsevier LTD, Oxford.
• Luftman, J., Kempaiah, R., Henrique, E. (2009), Key Issues for IT Executives 2008, MIS Quarterly Executive, Vol. 8, No. 3, pp. 152-159, University of Minnesota.
• Newman, I., Ridenour, C., Newman C., DeMarco, Jr. G. (2003), A typology of research purposes and its relationship to mixed methods, In: Handbook of Mixed Methods in Social & Behavioral Research edit by Tashakkori, A., Teddlie, C., London: Sage.
• Nunamaker, T. (1983), Measuring Routine nursing service efficiency: A comparison of cost per patient day and data envelopment analysis models, Health Services Research, Vol. 18, 2, pp. 183-205.
• Pai, J., Lee, G. (2005), Towards a strategic information architecture (SIA) and its initial application, Journal of Information Science, 31, 2, pp. 149-160.
• Röhmel, J. (2009), Effizienzmessung im Gesundheitswesen - Eine Analyse ostdeutscher Krankenhäuser, Verlag Dr. Kovac, Hamburg.
• Schneck, O. (2005), Lexikon der Betriebswirtschaft, 6. Aufl., Reutlingen.
• Schumpeter, J. A. (1939), Business Cycles. A Theoretical, Historical and Statistical Analysis of the Capitalist Process, McGraw-Hill Book Company Inc., New York, London.
• Schumpeter, J. A. (1934), The Theory of Economic Development: An Inquiry Into Profits, Capital, Interest, and Business Cycle, New Brunswick, Transaction Publishers.
• Schumpeter, J. A. (1942), Capitalism, Socialism and Democracy, Harper & Brothers, New York.
• Skinner, D., Tagg, C., Holloway, Jacky in Christopher Grey and Antnacopoulou, E. (2004), Essential Readings in Management Learning.
• Tallon, P. (2007), A Process-Oriented Perspective on the Alignment of Information Technology and Business Strategy, Journal of Management Information Systems, Vol. 24, No. 3, pp. 227-268.
• Trochim, W. M. (2006), The Research Methods Knowledge Base, 2nd Edition. Internet www page, at URL: <http://www.socialresearchmethods.net/kb/> (version current as of October 20, 2006).
• von Bandemer, S., Dahlbeck, E., Evans, M., Hilbert, J. (2014), Innovationen in der Gesundheitswirtschaft, In: Mai, M. (Hrsg.), Handbuch Innovationen - Interdisziplinare Grundlagen und Anwendungsfelder, Springer Fachmedien, Wiesbaden.
• Witt, H. (2001), Forschungsstrategien bei quantitativer und qualitativer Sozialforschung [36 Absatze], Forum Qualitative Sozialforschung / Forum Qualitative Social Research, 2(1), Art. 8, http://nbn-resolving.de/urn:nbn:de:0114-fqs010189.

Identyfikatory

DOI

10.14254/2071-789X.2015/8-4/11