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頁籤選單縮合
題名 | Restructuring the Organizational Culture of Medical Institutions: A Study on a Community Hospital in the I-Lan Area=醫療機構組織文化再造之研究--以宜蘭某社區醫院為例 |
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作者姓名(中文) | 陳玉枝; | 書刊名 | The Journal of Nursing Research |
卷期 | 16:3 2008.09[民97.09] |
頁次 | 頁211-219 |
分類號 | 419.2 |
關鍵詞 | 組織重建; 組織文化; 焦點團體; 反思性參與式觀察; Reengineering; Organizational culture; Focus groups; Reflective participant observation; |
語文 | 英文(English) |
中文摘要 | 台灣全民健康保險制度於1995年實施以來,醫院面臨經營的壓力,中小型醫院紛紛進行組織再造,以適應台灣醫療環境的急速變遷。本研究以宜蘭某社區醫院為例,期望瞭解醫院組織文化再造的過程。本研究探討組織文化再造過程包括:(1)以舊組織文化中的三個問題,分析醫院所面臨之困難;(2)以四種策略進行組織文化再造,並以前、後類實驗性研究設計進行成效評值。使用綜合資料收集方式包括四種質性資料收集法:半結構式訪談、焦點團體、反思性參與式觀察,及仔細研讀醫院中相關資料。評值結果顯示員工在組織再造前後對組織文化的看法有統計上顯著的差異,組織再造後員工所感受到的讚美及肯定的頻率比再造前高。研究結果展現一個成功協助醫院組織文化再造的過程,本研究所得的組織文化再造實證性資料,可提供其他醫院進行再造之參考。 |
英文摘要 | Launched in 1995, the National Health Insurance Program has imposed tremendous pressure on hospitals across Taiwan. As a result, most hospitals, especially those of small and medium scale, have gone to great lengths to restructure their organizations in order to continue operating under the new medical setting. Using a community hospital in I-Lan area as its focus, this study attempts to identify the process of organizational culture restructuring in medical institutions. This process includes the two phases of (1) analyzing difficulties faced, with particular emphasis on three problems associated with the existing organizational culture and (2) restructuring the organizational culture and evaluating the restructuring process, with emphasis on four strategies geared to modify the organizational culture and a pre-and-post quasi-experimental study to evaluate outcomes. This study uses a triangulated data collection approach comprising four qualitative data collection techniques that include semi-structured interviews, focus groups, reflective participant observation, and critical review of relevant organizational materials. The evaluation reveals a significant level of difference between employee perspectives on organizational culture before and after restructuring. In short, employees expressed that, after the restructuring, they feel more respected and recognized than before. Research results, based on an organization's cultural restructuring process, show the process by which a hospital successfully restructured its organizational culture. Empirical data derived from the restructuring process may serve as reference for other hospitals contemplating restructuring. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。