醫院貴重儀器投資及更新之決策模式

A Model for Precious Medical Equipment Investment and Replacement Decision Making

楊明璧(Mirng-Bih Yang) ； 吳信宏(Shin-Hong Wu)

《醫務管理期刊》 3卷3期 (2002/09) Pp. 81-103

https://doi.org/10.6174/JHM2002.3(3).81

摘要

醫療業者在面對業界激烈競爭及現有健保給付制度的壓力下，對各種長短期支出的控制會越來越嚴格；其中貴重儀器的投資與更新費用很高，對醫院的財務影響非常深遠，因此如何做出正確的貴重儀器投資與更新決策，是每位醫院經營者必需深思的議題。本研究提出一套應用多從屬性決策的方法－分析層級程序法(AHP)來幫助醫院作貴重儀器投資與更新決策，使得設備投資能符合醫院的需求，並具有最高效益性。最後並以某中區大型醫院更新貴重儀器案例來說明如何應用此模式。

關鍵字

醫療業 ； 貴重儀器投資及更新 ； 分析層級程序法

並列摘要

Hospitals in Taiwan are tightening up their spending due to unprecedented competition in medical industry and the new medical insurance payment policy. Since medical equipment in hospital is very expensive, its effect on financial position of the hospital is enormous. Thus it becomes a serious issue of making capital investment and equipment replacement decisions. This study proposes a systematic approach, which applies a multiple criteria decision model-Analytical Hierarchy Process, to help decision makers of hospitals in making appropriate capital investment decision. At the end we use a real case to demonstrate how this systematic approach is applied.

並列關鍵字

Medical Industry ； Precious equipment investment and replacement ； Analytical Hierarchy Process AHP

參考文獻

挽救健保財務，應從改革制度著手

嘉榮醫訊

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蕭文(1993)。醫院管理。書華出版社。

論西醫組額預算制的實施