title: Internal and external environmental factors affecting the performance of hospital-based home nursing care.
abstract: BACKGROUND
  Numerous studies on HNC services have been carried out by signifying their needs, efficiency and effectiveness. However, no study has ever been performed to determine the critical factors associated with HNC's positive results despite the deluge of positive studies on the service.
  
  
  METHODS
  This study included all of the 89 training hospitals that were practising HNC service in Korea as of November 2006. The input factors affecting the performance were classified as either internal or external environmental factors. This analysis was conducted to understand the impact that the corresponding factors had on performance. Data were analysed by using multiple linear regressions.
  
  
  RESULTS
  The internal and external environment variables affected the performance of HNC based on univariate analysis. The meaningful variables were internal environmental factors. Specifically, managerial resource (the number of operating beds and the outpatient/inpatient ratio) were meaningful when the multiple linear regression analysis was performed. Indeed, the importance of organizational culture (the passion of HNC nurses) was significant.
  
  
  CONCLUSIONS
  This study, considering the limited market size of Korea, illustrates that the critical factor for the development of hospital-led HNC lies with internal environmental factors rather than external ones. Among the internal environmental factors, the hospitals' managerial resource-related factors (specifically, the passion of nurses) were the most important contributing element.
authors.affiliation: Department of Health Care Management, College of Health Industry, Eulji University, Seongnam, Korea.
authors.forename: J-W
authors.initials: JW
authors.lastname: Noh
authors.forename: Y-D
authors.initials: YD
authors.lastname: Kwon
authors.forename: S-J
authors.initials: SJ
authors.lastname: Yoon
authors.forename: J-I
authors.initials: JI
authors.lastname: Hwang
mesh_terms: D018575:Home Care Services, Hospital-Based / Q000458:organization & administration / Q000592:standards; D006739:Hospital Administration; D006784:Hospitals, Teaching; D006801:Humans; D015279:Organizational Culture; D011787:Quality of Health Care; D056910:Republic of Korea; D016526:Workload