Modeling the Biomedical Engineering Technicians’ Contribution to Hospital Quality with Donabedian’s Triad
Journal Title: Quarterly Journal of Business Studies - Year 2015, Vol 2, Issue 2
Abstract
Purpose: To determine the relationships among Donabedian’s Triad from a health support services perspective using the biomedical engineering technician (BMET), an underrepresented occupation in healthcare research, as the unit of analysis. Method: The Biomedical Engineering Interdepartmental (BEI) Survey (Cronbach Alpha = .905) created under Dillman's Tailored Design Methods, gathered national data on 317 respondents. A multivariate correlation analysis method— structural equation modeling (SEM), assessed the hypothesized relationships of structural and intervening process predictors and the study variable—Level of Quality. Findings: Leading observable scales of Structural Complexity (Uniform Standards, Coordination Evidence, and Inter-Professional Training) and Process Adequacy (Regular Meetings, Formal Equipment Training, Formal Department Information) represent key methods to addressing hospital quality through Clinical Engineering. Conclusion: Understanding the role of the BMET is valuable due to the systemic impact of their medical device maintenance duties. Multiple predictive factors of Structural Complexity (Organizational Culture, Level of Coordination, Interdepartmental Medical Device Management) and Process Adequacy (Interdepartmental Communication, Interdepartmental Teamwork, Interdepartmental Collaboration, Knowledge Management), on the Level of Quality can markedly improve Clinical Engineering Effectiveness (a key indicator of quality) by increasing job satisfaction, department contribution to organization objectives, and integrating services with other professions such as purchasing.
Authors and Affiliations
Beth Ann Fiedler, Thomas T. H. Wan, Stephen S. Sivo, Reid M. Oetjen, Roger A. Bowles
Keywords
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