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題名 | 省立醫院體制轉型評估--高階主管意見調查=The Transitions of the Taiwan Provincial Hospital--A Survey of High Ranking Officials |
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作者姓名(中文) | 郎慧珠; 李丞華; | 書刊名 | 臺灣公共衛生雜誌 |
卷期 | 20:1 2001.02[民90.02] |
頁次 | 頁15-26 |
分類號 | 419.4 |
關鍵詞 | 省立醫院; 轉型; 過程觀點; Kaluzny模式; Provincial hospital; Transition; Process perspective; Kaluzny model; |
語文 | 中文(Chinese) |
中文摘要 | 目標:本研究是以Kaluzny的轉型理論為基礎來瞭解臺灣省省立醫療機構之轉型,以了解省立醫療機構的轉型歷史及型態,並調查高階主管對轉型所持之態度。方法:研究對象為全省省立醫療院所之高階主管,以問卷調查之方式來收集所需的資料。問卷調查悉利用87年 10、11月間省府衛生處所舉辦之「省立醫院經營管理專案計劃」精進研習會之聚會時間,進行問卷調查。結果: 研究結果顯示轉型方案的優先權排序為(1)體制內改革,政府仍然繼續予以預算補助。(2)先朝體制內改革,以達自給自足之後,在適當時刻再轉變為公設財團法人醫院。(3)先朝體制內改革,以改變營 運體質並自負盈虧。結論: 省立醫院目前最適的轉型模式仍是以體制內的改革為優先考量,若是法令上的鬆綁的確無法解決,再行考量直接的組織再造,轉變為法人機構。 |
英文摘要 | Objectives: This study used Kaluzny's transition theory to analyze transitions in Taiwan's Provincial Hospital in order to determine medical, legal and historical implications. Methods: A survey of high ranking officials was performed to obtain data concerning their attitudes toward these transitions. The study surveyed high ranking officials at provincial medical organizations throughout Taiwan using a questionnaire. The questionnaires were distributed from October to November 1998 at the Provincial Depa rtment of Health's "Provincial Hospital Management Plan" seminar. Results: The results of the study indicate that the preferred modes of transition were: 1) Change within the existing system, with the government continuing to provide budgetary assistance; 2) Transition which promoted internal change first in order to reach self-sufficiency, with the aim of further transition to status as a public hospital corporation at a suitable later date. Conclusion: The results of this study indicate that change to an internal system model should be the first priority for most provincial hospitals. If a relaxation of legal ties fails to solve transition-related problems, then direct reorganization should be considered. This would involve changing the status of the hospital to a corporate entity. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。