- 期刊
醫院高階主管對醫務管理師證照制度之看法
Professional Licensure of Hospital Administrator from the Views of Hospital Executives
摘要
目標：本研究為調查醫院高階主管對建立醫務管理師證照制度之態度及可行方式偏好之探討，做為衛生主管機關制度研擬之參考。方法：本研究於89年4月間針對86年至88年度醫院評鑑合格之醫院(扣除已停歇業計486家)以郵寄問卷對正(副)院長進行調查，計回收有效問卷224份，回收率46.1%。結果：(1)醫院高階主管對建立醫務管理師證照制度所具功能意義與反映醫管人員專業程度，普遍持正面態度。(2)多數醫院高階主管表示對醫管人員進用會優先考慮具證照者。(3)對醫務管理師證照制度之可行方式，多數醫院高階主管傾向由衛生署訂定辦法，無執業行為排他性，人員採廣義定義，配合繼續教育建立效期更新制度，證照取得以筆試為主，並採三級分級制度。(4)醫院高階主管普遍認為應於法規規範醫療機構應配置醫務管理師，且每100床配置一人。結論：由醫院高階主管角度，足見醫療機構對醫管人才需求的殷切，基於對專業尊重及素質提升，主管機關應慎重思考公正客觀的認證制度之建立，促使醫務管理專業的提昇。
並列摘要
Objectives: This study intends to provide a reference to the public health agency’s assessment regarding the approach to and feasibility of establishing the professional licensure of hospital administrator. Methods: This study conducted a mail survey in the year 2000 aimed at the chief executives and/or their deputies of all accredited hospitals (total 486 hospitals excluding those no longer in operation). 224 responses were received resulting in a response rate of 46.1 %. Results: Hospital executives are generally in favor of establishing a licensing system for hospital administrators due to its beneficial effects and the professionalism it reflects. Moreover, a majority of the executives indicated that they would give preference to licensed hospital administrators in their recruitments. With regard to the feasibility of such system, most executives believe that such licensing system should be established and administered by the Department of Health; the system should not exclude non-licensees from practicing hospital management; the licensees should be broadly defined; the renewal of licenses should be based on continuing education; a written examination should be made mandatory to obtain a license; and the license should be a three-tier system. Also, most executives believe that there should be rules governing the necessity of hospital administrators and one administrator per 100 beds is warranted. Conclusions: From the point of view of hospital executives, there is a special organizational need for hospital administrators that are manifested from the respect for professionalism and the desire for higher competency. Therefore, it behoves the relevant agency to establish this licensing system with serious consideration based on fairness and objectivity, in order to enhance the professionalism in hospital management.