Organizational Determinants of Quality Surgical Care

Factors which affected the delivery of high quality surgical care to individual patients who received biliary surgery in a stratified random sample of 17 U.S. hospitals were investigated in this study. A causal model was developed to examine the organizational attributes which affected the quality of care delivered by individual surgeons and surgical staffs which incorporated hypotheses from the professional model and experience curve model. Two mechanisms of professional self-regulation proposed by the professional model were expected to affect surgeons' performance: (1) selection of staff members based on their professional qualifications and (2) peer review of ongoing performance. The experience curve model proposes that higher levels of clinical experience (assessed as current volume of cases treated and years of practice experience) of individual surgeons and surgical staffs would promote better performance.

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Sociology

Grantor

University of Illinois at Urbana-Champaign

Year dc:date

2014

Author dc:creator

• Sharp, Kimberly

• Sociology, General
• Health Sciences, Health Care Management

Identifier

(UMI)AAI8711877

OAI identifier oai:identifier

oai:www.ideals.illinois.edu:2142/71018