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Research on Current Execution of Knowledge Management in Taiwan's Medical Organizations  

Tien, Shiaw-Wen (Graduate Institute of Management of Technology Chung-Hua University)
Liu, Chiu-Yen (Graduate Institute of Management of Technology Chung-Hua University)
Chung, Yi-Chan (Department of Industrial Engineering and Management Ta-Hwa Institute of Technology)
Tsai, Chih-Hung (Department of Industrial Engineering and Management Ta-Hwa Institute of Technology)
Chen, Ching-Piao (Department of Industrial Engineering and Management Ta-Hwa Institute of Technology)
Publication Information
International Journal of Quality Innovation / v.9, no.3, 2008 , pp. 29-56 More about this Journal
Abstract
Since the execution of National Health Insurance system in Taiwan, the competition of medical industry is becoming more and more severe. The ways the hospital operate knowledge management (KM) concept, combine current human resources and professional knowledge by information techniques and upgrade the competitiveness through reinvention of organizational culture have become the important issues. This research is based on the relationship between KM and organizational operation, integrates the characteristic of medical institutions and framework of medical knowledge cycle and starts the research subject by questionnaires from three dimensions: current situation of KM construction in medical organizations, executive effect of KM activities and the challenges faced by KM; subsequently, from qualitative interview, this research attempts to understand how a medical organization executes and adjusts in the consideration of theory and reality as well as quality and costs when actually operates the organization. This research accesses to KM system application of medical institutions and the empirical executive benefits and difficulties through questionnaires. The research results are as follows: (1) having initial understanding toward current KM establishment of medical institutions; (2) confirming the most important items of KM establishment of medical organizations; (3) understanding the most difficulty which the medical organizations encounter when executing KM; (4) establishing medical knowledge cycle figure of the hospitals receiving interviews. Through case interview, this research profoundly accessed to the actual operation of KM application of medical organizations. The target hospitals intended to try many medical KM measures; however, during to complicated hospital organizations and cultural characteristics, the promotion was not successful and the results were not apparent. The most difficulty was to change the employees’ behavior. The targets believed that only the continuous promotion of KM can allow it to be an important aspect of organizational culture and the competitiveness could constant be upgraded.
Keywords
Medical Organization; Knowledge Management; Competitiveness;
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  • Reference
1 Bhatt, G. D.(2001), "Knowledge Management in Organizations: Examining the Interaction between Technologies, Techniques, and People," Journal of Knowledge Management, Vol. 5, No. 1, pp. 68-75   DOI   ScienceOn
2 Jackson, R. and Feder, G.(1998), "Guidelines for clinical guidelines," British Medical Journal, Vol. 317, pp. 427-428   DOI   ScienceOn
3 Johnson, S.(1998), "Integrated care pathways," British Medical Journal, Vol. 316, pp. 133-137   DOI   ScienceOn
4 Neame, R. and Olson, M.(1998), "How can sharing clinical information be made to work?," Medinfo, Vol. 9, No. 1, pp. 315-318
5 Ruggles, R.(1998), "The State of the Notion: Knowledge Manage in Practice," California Management Review, Vol. 40, No. 3, pp. 80-89   DOI   ScienceOn
6 Sackett, D. L.(1996), "Evidence-based medicine: what it is and what it isn't," British Medical Journal, Vol. 312, pp. 71-72   DOI   ScienceOn
7 Shortell, S. M.(1995), "Assessing the impact of continuous quality improvement/total quality management: concept versus implementation," Health Services Research, Vol. 30, No. 2, pp. 377-401
8 Simpson, K. and Gordon, M.(1998), "The anatomy of a clinical information system," British Medical Journal, Vol. 318, pp. 1655-1658
9 Bayless, T.(1996), "The preservation of good medicine is dependent on information," Journal of the Florida Medical Association, Vol. 83, No. 9, pp. 639-642
10 Eysenbach, G.(2000), "Consumer health informatics," British Medical Journal, Vol. 320, pp. 1713-1716   DOI
11 Shekelle, P. G.(1999), "Clinical guidelines: developing guidelines," British Medical Journal, Vol. 318, pp. 593-596   DOI   ScienceOn
12 Liebowitz, J.(1999), "Key Ingredients to the Success of an Organization's Knowledge Management Strategy," Knowledge and Process Management, Vol. 6, No. 1, pp. 37-40   DOI   ScienceOn
13 Rector, A.(2001), "From an Information Poor to an Information Rich Health Environment," The UK Institute of Health Informatics
14 OECD(1997), "Proposed Guidelines for Collecting and Interpreting Technological Innovation Data," Manual Oslo, Eurostat
15 Nonaka, I. and Takeuchi, H.(1995), "The Knowledge Creating Company," New York: Oxford University Press
16 Weir, C. R.(1998), "Linking information needs with evaluation: the role of task identification," Proceedings/American Medical Investigator's Association Annual Symposium, pp. 310-314
17 Altman, D. G.(1994), "The scandal of poor medical research," British Medical Journal, Vol. 308, pp. 283-284   DOI   ScienceOn
18 Wiig, K.(1993), "Knowledge Management Foundation," Arlington: Schema Press
19 Friedman, C. P.(1999), "Information technology leadership in academic centers: a tale of four cultures," Academic Medicine, Vol. 74, No. 7, pp. 795-799   DOI   ScienceOn
20 Schneider, E. C.(1999), "Enhancing performance measurement- NCQA's Road Map for a Health Information Framework," Journal of the American Medical Association, Vol. 282, No. 12, pp. 1184-1190   DOI   ScienceOn