5 research outputs found
Exploring Internal Conflicts and Collaboration of a Hospital Home Healthcare Team: A Grounded Theory Approach
No full textAn aging society is on the rise, leading to a variety of caregiving issues. The Taiwanese government has been implementing a home healthcare integration plan since 2015, aimed at integrating and forming interdisciplinary care teams with medical institutions. This study explores the internal conflict factors among hospital home healthcare team members at a district teaching hospital in Taichung, Taiwan, and it seeks a better collaboration model between them. Semi-structured in-depth interviews were conducted with seven hospital home healthcare team members. Data analysis was based on grounded theory, with research quality relying on the triangulation and consistency analysis methods. The results show that “work overload”, “resource overuse”, “inconsistent assessment”, “limited resources”, “communication cost”, and “lack of incentives” are the major conflicts among the team. This study proposed the following collaboration model, including “identifying the internal stakeholders of a home healthcare team” and “the key stakeholders as referral coordinators”, “patient-centered resource allocation”, and “teamwork orientation”. The study recommends that within a teamwork-oriented home healthcare team, its members should proactively demonstrate their role responsibilities and actively provide support to one another. Only through patient-centered resource allocation and mutual respect can the goal of seamless home healthcare be achieved. The content of the research and samples were approved by the hospital ethics committee (REC108-18)
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A Structural Equation Model of Information Systems Development and Supply Chain Management
No full textThis paper employees structural equation modeling to analyze the effects of information system development and supply chain management on manufacturing objective and organizational performance. Survey data of middle managers from Taiwan s computer and electronics industries was used to test the relationships between the constructs in the model. In general, the survey results supported the proposed structural equation model. It is observed that information system development facilitates supply chain management practice and manufacturing objective attainment. In addition, there are significant relationships between supply chain management and manufacturing objective, as well as between manufacturing objective and organizational performance. However, the impacts of information system development and supply chain management on organizational performance were not supported by the data. The study concludes that information system development and supply chain management does not lead to better organizational performance directly. Introducing supply chain management through information system development helps to achieve manufacturing objective, and finally improves organizational performance
Exploring the Social Network Structure of Dementia-Friendly Communities in Rural Taiwan: A Qualitative Study
No full textBackground/Objectives: The rising prevalence of dementia presents significant emotional, psychological, and economic challenges for families. Dementia-friendly communities (DFCs) aim to alleviate these burdens by fostering social inclusion and mutual support for people with dementia (PWD) and their caregivers. This study explores the social network structures within DFCs in rural Taiwan, utilizing social network theory as its framework. Methods: A qualitative design was employed, involving semi-structured interviews with eleven participants, including eight caregivers and three case managers. Data were analyzed using grounded theory. Results: The results indicate that the DFC social network is grounded in reciprocal relationships and mutual support between families, workplaces, and neighborhoods. Durability depends on stable relationships, sustained support systems, and the preservation of local culture. Cultural alignment and engagement reduce stigma and foster understanding, while diverse activities strengthen social bonds and participation. Conclusions: The study highlights the importance of government policy, infrastructure, and public awareness in sustaining dementia-friendly environments. The results offer valuable insights for enhancing community design and policy to better support PWD and their families
