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The effects of knowledge management on surgeon behavior
Clifford F Melick1, Dale Buchbinder, David P Coll
1Department of Surgery at Greater Baltimore Medical Center, Baltimore, MD, USA.
Journal of Health Care Finance
|April 9, 2005
Summary
Transferring performance efficiency knowledge to surgeons did not significantly change practice patterns. Individualized motivation strategies and medical opinion leaders are likely needed for improvement.
Area of Science:
- Healthcare Management
- Surgical Practice Improvement
- Knowledge Management in Medicine
Background:
- Effective knowledge management impacts organizational behavior and performance in healthcare.
- Understanding the influence of knowledge transfer on surgeon practice patterns is crucial for healthcare administration.
- Performance efficiency in surgery is a key metric for quality and cost management.
Purpose of the Study:
- To examine the behavioral effects of transferring performance-efficiency knowledge to hospital-based surgeons.
- To assess the impact of this knowledge transfer on surgeons' professional accountability and practice patterns.
- To determine if knowledge of performance efficiency motivates significant changes in surgical practice.
Main Methods:
- Defined surgeon performance efficiency based on length of stay and hospital charges for specific procedures.
- Communicated individual performance efficiency data and benchmarked best practices to surgeons.
- Measured and compared surgeon performance efficiency one year after knowledge transfer.
Main Results:
- Observed differences in performance efficiency, but not in consistent or statistically significant directions.
- Surgeons with initially low efficiency levels did not show improvement after one year.
- Knowledge transfer alone was insufficient to motivate consistent, significant changes in surgical practice.
Conclusions:
- Transferring performance-efficiency knowledge alone does not sufficiently motivate surgeons to alter practice behaviors.
- Medical opinion leaders and individualized motivation strategies may enhance the effectiveness of knowledge transfer systems.
- Future interventions should integrate personalized approaches to improve surgeon performance efficiency.