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Table 2 Type of competitive actions of hospitals and the dimensions use to assess implementation requirements of action

From: Identifying competitive strategies to improve the performance of hospitals in a competitive environment

Competitive actions

Implementation requirements of actions (mean)a

implementation requirements of actions dimensions

Procurement of new medical equipment

3.9000

High capital should be invested when executing the action.

The management should make significant efforts when executing the action.

Personnel, system or process should be reconfigured when executing the action.

The support of external stakeholders is required when executing the action.

Senior supervisors should announce the execution of the action.

The action should be significantly reported in the internal journals.

Main stakeholders are the targets for responsibility and duty in the execution of the action.

The equipment should be reorganized when executing the action.

High level of cross-department integration is not required when executing the action.

After the execution of the action, the levels of the organizations and authority should have high level of commitment.

Senior supervisors should approve the execution of the action.

Once the action is not executed, the related resources cannot be transferred to other actions.

Enhancement of medical quality

3.9000

Merger and acquisition

3.8625

Development of featured medical service

3.8417

Development of innovative medical service

3.8250

Expansion of service areas

3.7875

Development of medical items upon customers’ expenditure

3.7333

Service improvement/enhancement

3.6875

Change of organizational structure

3.6292

Participation in community service

3.6125

Alliance

3.5917

Acquisition of fair payment of medical cost

3.4958

Share of financial responsibility

3.4792

Different industry cooperation

3.4375

Change of cost structure

3.4208

Delegation affairs unrelated to NHI

3.3917

Medical business outsourcing

3.3542

Price cutting/promotion

3.3083

Non-medical business outsourcing

3.2958

Same industry cooperation

3.2125

Bargaining of procurement

3.1917

  1. aRespondents rated each dimension on five-point scale (1, very low; 5, very high) for each competitive action. The index is mean