Measuring Organizational Learning Rates Based on the Individual’s Learning Performance: A Case Study of Laparoscopic Cholecystectomy Surgery
Date Issued
2007
Date
2007
Author(s)
Chen, Po-Chien
DOI
en-US
Abstract
Laparoscopic Cholecystectomy (LC) is one of small but efficient surgeries. Patients receiving LC surgical method are not only benefited by its convenience of reducing the length of hospital stays but also having better health rehabilitation compared to the traditional Open Cholecystectomy (OC) procedures. According to Taiwan National Health Insurance agency, an average number of more than ten thousand people have received LC surgeries every year from 1998 to 2004, and this number has tendency to increase every year. In order to reduce medical resource usages for providing more LC surgical service to the publics, it is important to understand how well the hospitals could learn to manage their LC surgical cost reduction.An introduction of two research methods: Multiplicative and Panel models are applied to make cross organization learning rate comparison. Different from the conventional way of directly measuring the organization as a unique entity, we measure the organizational learning rates from nine medical centers based on the population of the organization members. This research method not only compares the organization’s learning performance but also feasible to insight the member’s learning behavior within the organization.Our empirical results show a better estimation of the panel method for controlling more variable characteristics ignored by the multiplicative model. Our model tells that junior surgeons could result in better learning performance for using less medical resources during the operations. Moreover, public medical centers indeed generate better learning outcomes than the private ones for learning to reduce more surgical expenses. However, our research also implies that the LC surgical methods are well implemented in Taiwan in regardless of the geographical difference.
Subjects
組織學習
學習率比較
學習曲線
內視鏡膽囊切除手術
手術成本評估
醫療能力
Organizational learning
Laparoscopic Cholecystectomy
Learning curve
learning rate comparison
Surgical cost assessment
Clinical competence
Type
thesis