頁籤選單縮合
題名 | 部立醫院行政法人化之芻議=The Transition to Non-departmental Public Bodies--A Preliminary Study of Hospitals Affiliated with Taiwan's Ministry of Health and Welfare (MOHW) |
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作者 | 李天申; Li, Tien-shen; |
期刊 | 臺灣公共衛生雜誌 |
出版日期 | 20160600 |
卷期 | 35:3 2016.06[民105.06] |
頁次 | 頁294-303 |
分類號 | 419.2 |
語文 | chi |
關鍵詞 | 部立醫院; 署立醫院; 行政法人; MOHW-affiliated hospitals; DOH-affiliated hospitals; Non-departmental public bodies; NDPBs; |
中文摘要 | 目標:本研究探討署立醫院改制行政法人未成功的原因,以及針對部立醫院(原署立醫院)未來行政法人化提出建議。方法:本研究採用深度訪談,對象包括5位署立醫院高階主管,5位行政院與衛生署官員,1位立法委員。結果:當年行政法人化未成功的主因為:第一,政治氛圍不利於行政法人化;第二,員工抗拒行政法人化;第三,部分醫院擔憂行政法人化後財務更困難。結論:衛生福利部應從行政、法律、政治等面向,個別評估各家部立醫院改制為行政法人的可行性。針對適合行政法人化者,衛生福利部應積極向立法院遊說推動組織法案,以及向醫院員工充份宣導行政法人化的工作權益事項。 |
英文摘要 | Objectives: This study determined the reasons for failed transformation of DOH- affiliated hospitals into non-departmental public bodies (NDPBs). Suggestions are proposed for the future transformation of MOHW-affiliated hospitals into NDPBs. Methods: Five senior officers in DOH-affiliated hospitals, five political appointees and senior officers in the Executive Yuan and the Department of Health, and one member of the Legislative Yuan were interviewed. Results: There are three main reasons for failed transformation of DOH- affiliated hospitals into NDPBs. First, the political atmosphere was unfavorable for the transformation. Second, the hospital staff declined the transformation. Third, some hospitals feared that the transformation might result in a worsening financial condition. Conclusions: We suggest that transforming MOHW-affiliated hospitals into NDPBs can be evaluated individually based on the administrative, legal, and political feasibility by the MOHW. For hospitals which are well-suited for transformation into a NDPB, the MOHW should actively lobby the Organizational Act Reform, and communicate the working benefits of the transformation to the hospital staff. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。