頁籤選單縮合
題 名 | 臺灣地區醫院總務部門外包利用及原因分析研究=An Analysis on Utilization and Causes of Contract Management by General Affairs Office of Hospital in Taiwan |
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作 者 | 陳惠芳; 黃慧娜; 楊美雪; | 書刊名 | 公共衛生 |
卷 期 | 25:4 1999.01[民88.01] |
頁 次 | 頁233-245 |
分類號 | 419.45 |
關鍵詞 | 外包管理; 合約管理; 合約服務; Outsourcing; Contract management; Contract service; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來,醫療院所面臨外在環境劇烈變遷,冀望能在成本控制下且顧及醫療品質 前題下尋求策略,因此外包策略因應而生。本研究目的在探討國內醫院外包利用程度,並 依醫院等級,病床規模及屬性比較外包項目差異及外包原因。本研究以普查方式,問卷郵寄 予 567 家醫院之總務部門主管填答,回收有效研究樣本為 231 家醫院,回收率為 40.7%。 資料經由頻率分析、卡方檢定,研究結果發現如下:醫院總務部門較常採用外包之項目為 廢棄物清運處理、電腦軟體設計與維護、清潔維護打臘、洗縫、醫療儀器設備維護等項目, 且醫院外包項目中多項與醫院等級、病床規模、屬性有關;而採用外包策略因素較偏重為藉 院外專業能力彌補院內不足,避免設備成本過度投資及解決人員流動率高及徵募困難之問題 。本文建議外包管理策略之運用應兼顧對外包公司品質理管,而結果有利於醫院管理決策者 及衛生單位制訂法令規章有規範可循。 |
英文摘要 | Contract management (CM) has been increasingly used to contain cost in hospitals. The objective of this research is to examine the structure and utilization of CM by hospitals in Taiwan. We sent a questionnaire to each head of General Affairs Offices of 567 accredited hospitals, and acquired two hundred thirty-one usable questionnaires with an overall response rate of 40.7%. Then we examine the significance of the relationships among the variables by chi-square analysis. CM used to be frequently utilized by hospitals for such services as waste disposal, computer software design/maintenance, and cleaning maintenance (including floor waxing) as well as laundry and medical equipment maintenance etc. The utilization of CM is significantly influenced by the hospital level, bed number, and ownership, and is usually due to the need to supplement lack of expertise, to reduce capital equipment cost investment, and to solve personnel problems. CM utilization is dependent on individual hospital's strategies and the quality of outside contractors. Government guidance of CM may enhance improved hospital operation. Results of this study may be useful in establishing hospital and government guidelines for hospitals. |
本系統中英文摘要資訊取自各篇刊載內容。