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當醫管由總務“升”為企劃-韓氏檢視表及其設計理念

On Setting Hospital Management Object and Objectives-A Proposal

摘要


醫院大都界定自己的任務為診療、教學及研究,這當然也是醫院管理的大方向。但是如何訂定管理的具體目標去完成這些任務,各個醫院一直是依照本院傳統或管理者心法自行摸索。醫院因為性質與規模之不同,追求自己的任務目標固然不免各行其是,但可不可以建立一套多數醫院都能執行或選擇執行的目標準則,以供主事者參考或初學者學習,是業界常見的問題。本文作者依據多年教學與實務經驗,綜合當前進步醫院管理重點內容,提供一個“醫院高層管理任務目標檢視表”(韓氏檢視表)回應這一需求,作為醫院管理當局及幕僚人員檢視年度施政或計劃作業之參考,並作為學界對於這一主題進一步研究之基礎。本文界定醫院管理五大任務目標為提升醫療水準,提升病人照顧品質,促進民眾健康與醫政革新,提升行政管理效能及加強社區關係。另於5大任務目標下,分擬17項完成任務之工作目標及執行層面之具體目標。檢視表力求項目之周延完備,也努力使“目標”作有系統的排列及在數目上不要太多太繁,以使日理萬機之高層管理人員容易吸收或作業。本表也可作為醫管教學之用,幫助學生從整體上認識醫院日常工作內容;醫管教師亦可參照本表,配合主題目標之閥值開發,標準設定或量化統計,指導學生學習醫院高層管理。

並列摘要


Hospital has three missions-to provide good patient care, to keep abreast of itself with the current advancement of medicine, and to help promoting community health. ”Medical diagnosis and treatment, teaching and research” is defined the goals by most of the hospitals in Taiwan. Hospital directors and ranking officers, however, need more concret statement to provide guidance to their day-to-day work. The author, cultivated and enriched by long time teaching and practicing hospital administration in Taiwan, proposed a Han Aproach of a five-goals, seventeen-objects and due-objectives tabulation for hospital overall management guidance. The five goals are named: upgrade diagnosis and treatment ability, specifically the medical staff; upgrade the quality of patient care; help promoting community health; reinforce the efficiency and effectiveness of administrative performance; and promote relationship with the community. The 17-objects and due-objectives were then consequently identified according to the real world practice of most hospitals in Taiwan. The Han Tabulation can also serve as a checklist for the administrators to programming his or her annual work plan. It can serve, too, as teaching material for the hospital administration faculties.

被引用紀錄


林沛均(2010)。以主管認知角度探討新設醫院策略執行與營運績效〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831%2fTMU.2010.00137
沈嵩程(2013)。ISO 9000系列全院驗證對地區醫院經營策略之影響-以陽明醫院為例〔碩士論文,國立中正大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0033-2110201613545802

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