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.
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