頁籤選單縮合
題 名 | 醫院採行合作經營方案之研究=A Study on Hospitals Adoption of Cooperative Operation Alternatives |
---|---|
作 者 | 張音; 楊澤泉; 張瓊文; | 書刊名 | 臺大管理論叢 |
卷 期 | 12:2 2002.06[民91.06] |
頁 次 | 頁211-239 |
分類號 | 419.2 |
關鍵詞 | 醫院; 合作經營; 全民健保; 經營策略; 組織文化; Hospital; Cooperative operation; National health insurance; Operation strategy; Organizational culture; |
語 文 | 中文(Chinese) |
中文摘要 | 1995年3月1日起台灣實施全民健保,醫療環境巨變,醫院的經營策略亦面臨調整。本研究使用定量方法調查合格醫院以探討醫院採行之合作經替方案及其影響因素,研究結果發現:(1)、國內醫院現行合作經營方案,仍以正式合作和服務共享等居多,但隨環境競爭激烈,醫院採行策略聯盟或連鎖經營有逐漸增加的趨勢。(2)、全民健保制度對地區醫院產生的衝擊最大,但地區醫院採行合作經營程度,卻不及醫學中心及區域醫院。(3)、組織文化及特性會影響醫院對合作經營方案之採行程度,組織目標越明確、成員組織認同越高者,對合作經學接受程度越大。(4)、經營策略會影響醫院對合作經營方案之採行程度,採探勘者與分析者策略的醫院,對合作經替之態度較為積極。(5)、合作經營可為醫院與所在地區帶來不同程度的效益,但注重醫院效益群之採行程度略高於注重地區效益群者。(6)、公立醫院在「非正式合作」、「正式令作」、「服務共享」及「策略聯盟」等合作方素上,平均採行程度均顯著高於財團法人醫院及私立醫院,而財團法人醫院在採行「連鎖經營」方案上則顯著較高。此外,醫院規模越大者對合作經營方案之採行程度亦越高。 |
英文摘要 | Since National Health Insurance (NHI) implemented in 1995, the dramatic changes of medical environment in Taiwan have forced many hospitals to adjust their operation strategies. The study investigates eligible hospitals with quantitative method and explores the adoption of inter-hospital cooperative operation alternatives as well as its influence factors. The study finds that: (1) Most hospitals in Taiwan still adopt "formal affiliations" and "shared or cooperative services" arrangements at present. But the increasing tendency of "strategic alliance" and "operational chain" arrangement becomes obviously. (2) Even NHI has more impact on local hospitals, the adoption degree of local hospital's cooperative operation is lower than those of medical centers and regional hospitals. (3) The organizational culture and characteristics may influence the adoption degree of hospital cooperative operation. The more precise organizational objective and commitment are, the higher the adoption degree of cooperative operation is. (4) Operation strategies may influence the adoption degree of hospital cooperative operation. Hospitals with "prospector" or "analyzer" strategy have more proactive attitudes toward inter-hospital cooperation. (5) Cooperative operations may bring benefits both for hospitals and their located areas. Hospitals with higher expected benefits for themselves have slightly higher adoption degree than those for their located areas. (6) Public hospitals have higher adoption degree of cooperative operations, such as "informal affiliations", "formal affiliations", "shared or cooperative services" and "strategic alliance", than those of juridical and private hospitals. And juridical hospitals have higher adoption degree of "operational chain". The larger the hospital size is, the higher the adoption degree of cooperative operation is. |
本系統中英文摘要資訊取自各篇刊載內容。