2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia
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| copyright | Copyright©PWB2025 |
| country | Malaysia |
| date | 2023-07-06 |
| format | General Document |
| id | 15396 |
| institution | UniSZA |
| internalnotes | Sila masukkan subject wajib Dissertations, Academic. Terima kasih... |
| originalfilename | MODELI~1.PDF |
| person | Randa Yousef Khirfan |
| recordtype | oai_dc |
| resourceurl | https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15396 |
| sourcemedia | Server storage Scanned document |
| spelling | 15396 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15396 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Medicine English application/pdf 1.5 Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access Universiti Sultan Zainal Abidin 229 SAMBox 2.4.24; modified using iTextSharp™ 5.5.10 ©2000-2016 iText Group NV (AGPL-version) 2023-07-06 MODELI~1.PDF 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia Hospitals—Administration—Saudi Arabia Northern Border Region, Saudi Arabia Copyright©PWB2025 The global and national healthcare system is struggling to overcome challenges in cost containment and to maintain optimal expenditure levels for an efficient operation. This study aims to develop and validate questionnaires on healthcare quality (HQ), health information technology (HIT) usability, organizational empowerment (OE), and cost containment practices (CCP) measure the staff perception, and model the interrelationships between HQ, HIT, and OE towards the CCP in the hospitals setting. In addition, this study aims to examine the moderating effect of staff attitude (SA). This cross-sectional study involving hospitals staffs was conducted in two main phases. The first phase involved instrument development, translation, content, and face validity, and Exploratory Factor Analysis (EFA). The second phase involved the validation procedure using Confirmatory Factor Analysis (CFA), perception assessment through descriptive statistics, estimating the interrelationships among the constructs through Structural Equation Modelling (SEM), and moderation testing. Both analyses were performed using SPSS-AMOS 24.0. Literature review and expert discussion resulted in generating and modification of an instrument with 64 items, which was then translated into Arabic and back to English. A random sample of 170 consented subjects from two local hospitals utilized a ten points Likert Scale to answer the questionnaire online for a pilot study. The EFA analysis explored and assessed instruments. The procedure retained all items having satisfactory factor loading more than 0.60. The internal reliability (Cronbach's Alpha) for all constructs was achieved. Then, in the field study, a random sample of 247 respondents from another two hospitals was selected. The CFA procedure for each construct obtained acceptable fitness index values that reflect construct validity. The Average Variance Extracted (AVE) and Composite Reliability (CR) results exceeded their threshold values of 0.5 and 0.6 respectively. The results indicate both the Convergent Validity and Composite Reliability of the constructs were achieved. The Discriminant Validity assessment also indicates no multi-collinearity problem occurs in the model. The descriptive statistics revealed a mean score above 7 for all constructs except CCP which recorded 6.18. SEM output indicates the impact of two exogenous constructs, namely HIT and OE on CCP was significant. However, the impact of HQ on CCP was not significant. The Multi-Group Analysis was employed to test the moderation effect of SA and found full moderation occurred in the relationship between HIT and CCP, and partial moderation occurred in the relationship between OE and CCP. The study produced a valid and reliable instrument for measuring the four latent constructs in healthcare settings. Cross validation and expanding the study scope are recommended. The outcomes present an in-depth understanding of the performance of existing cost containment strategies in the study area. Local hospital administrators need to pay attention to the attitude and perception of staff in certain aspects to improve the implementation of CCP. The role of HIT and OE should be taken seriously in formulating a strategic plan to manage the rising cost issue in the Northern region of Saudi Arabia. Randa Yousef Khirfan Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Cost containment Practices Organizational Determinants Thesis |
| spellingShingle | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| state | Terengganu |
| subject | Hospitals—Administration—Saudi Arabia Dissertations, Academic |
| summary | The global and national healthcare system is struggling to overcome challenges in cost containment and to maintain optimal expenditure levels for an efficient operation. This study aims to develop and validate questionnaires on healthcare quality (HQ), health information technology (HIT) usability, organizational empowerment (OE), and cost containment practices (CCP) measure the staff perception, and model the interrelationships between HQ, HIT, and OE towards the CCP in the hospitals setting. In addition, this study aims to examine the moderating effect of staff attitude (SA). This cross-sectional study involving hospitals staffs was conducted in two main phases. The first phase involved instrument development, translation, content, and face validity, and Exploratory Factor Analysis (EFA). The second phase involved the validation procedure using Confirmatory Factor Analysis (CFA), perception assessment through descriptive statistics, estimating the interrelationships among the constructs through Structural Equation Modelling (SEM), and moderation testing. Both analyses were performed using SPSS-AMOS 24.0. Literature review and expert discussion resulted in generating and modification of an instrument with 64 items, which was then translated into Arabic and back to English. A random sample of 170 consented subjects from two local hospitals utilized a ten points Likert Scale to answer the questionnaire online for a pilot study. The EFA analysis explored and assessed instruments. The procedure retained all items having satisfactory factor loading more than 0.60. The internal reliability (Cronbach's Alpha) for all constructs was achieved. Then, in the field study, a random sample of 247 respondents from another two hospitals was selected. The CFA procedure for each construct obtained acceptable fitness index values that reflect construct validity. The Average Variance Extracted (AVE) and Composite Reliability (CR) results exceeded their threshold values of 0.5 and 0.6 respectively. The results indicate both the Convergent Validity and Composite Reliability of the constructs were achieved. The Discriminant Validity assessment also indicates no multi-collinearity problem occurs in the model. The descriptive statistics revealed a mean score above 7 for all constructs except CCP which recorded 6.18. SEM output indicates the impact of two exogenous constructs, namely HIT and OE on CCP was significant. However, the impact of HQ on CCP was not significant. The Multi-Group Analysis was employed to test the moderation effect of SA and found full moderation occurred in the relationship between HIT and CCP, and partial moderation occurred in the relationship between OE and CCP. The study produced a valid and reliable instrument for measuring the four latent constructs in healthcare settings. Cross validation and expanding the study scope are recommended. The outcomes present an in-depth understanding of the performance of existing cost containment strategies in the study area. Local hospital administrators need to pay attention to the attitude and perception of staff in certain aspects to improve the implementation of CCP. The role of HIT and OE should be taken seriously in formulating a strategic plan to manage the rising cost issue in the Northern region of Saudi Arabia. |
| title | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| title_full | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| title_fullStr | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| title_full_unstemmed | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| title_short | 2023_Modelind the Interrelationships of Selected Key Determinants on Cost Containment Practice as Perceived by Hospital Employees and Confirming Staff Attitudes as a Moderating Effect on The Relationship in The Northern Border of Saudi Arabia |
| title_sort | 2023_modelind the interrelationships of selected key determinants on cost containment practice as perceived by hospital employees and confirming staff attitudes as a moderating effect on the relationship in the northern border of saudi arabia |