Factors influencing the success of rural cataract surgery programs in China: The study of hospital administration and relative productivity (SHARP)

Tianyu Liu, Ee Lin Ong, Xixi Yan, Xinxing Guo, Mingguang He, David S Friedman, Nathan Congdon

Research output: Contribution to journalArticle

Abstract

PURPOSE. To explore factors potentially influencing the success or failure of rural Chinese hospitals in increasing cataract surgical output and quality. METHODS. Focus groups (FGs, n = 10) were conducted with hospital administrators, doctors, and nurses at 28 county hospitals in Guangdong Province. Discussions explored respondents' views on increasing surgical volume and quality and improving patient satisfaction. Respondents numerically ranked possible strategies to increase surgical volume and quality and patient satisfaction. FG transcripts were independently coded by two reviewers utilizing the constant comparative method following the grounded theory approach, and numerical responses were scored and ranked. RESULTS. Ten FGs and 77 ranking questionnaires were completed by 33 administrators, 23 doctors, and 21 nurses. Kappa values for the two coders were greater than 0.7 for all three groups. All groups identified a critical need for enhanced management training for hospital directors. Doctors and nurses suggested reducing surgical fees to enhance uptake, although administrators were resistant to this. Although doctors saw the need to improve equipment, administrators felt current material conditions were adequate. Respondents agreed that patient satisfaction was generally high, and did not view increasing patient satisfaction as a priority. CONCLUSIONS. Our findings highlight agreements and disagreements among the three stakeholder groups about improving surgical output and quality, which can inform strategies to improve cataract programs in rural China. Respondents' beliefs about high patient satisfaction are not in accord with other studies in the area, highlighting a potential area for intervention.

Original languageEnglish (US)
Pages (from-to)266-273
Number of pages8
JournalInvestigative Ophthalmology and Visual Science
Volume54
Issue number1
DOIs
StatePublished - Jan 2013

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Hospital Administration
Patient Satisfaction
Cataract
China
Administrative Personnel
Nurses
Hospital Administrators
County Hospitals
Rural Hospitals
Fees and Charges
Focus Groups
Surveys and Questionnaires
Equipment and Supplies

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Cite this

Factors influencing the success of rural cataract surgery programs in China : The study of hospital administration and relative productivity (SHARP). / Liu, Tianyu; Ong, Ee Lin; Yan, Xixi; Guo, Xinxing; He, Mingguang; Friedman, David S; Congdon, Nathan.

In: Investigative Ophthalmology and Visual Science, Vol. 54, No. 1, 01.2013, p. 266-273.

Research output: Contribution to journalArticle

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