競爭與合作策略－我國醫院策略、結構及資源之內部配適

Competition and Cooperation-Internal Fits among Strategy, Structure, and Resource of Hospitals

陳柏元(Bo-Yuan Chen) ； 彭彥瑋(Yen-Wei Peng) ； 林金賢(Chin-Shien Lin) ； 黃銘章(Ming-Chang Huang) ； 彭朱如(Tzu-Ju Peng)

《醫務管理期刊》 6卷3期 (2005/09) Pp. 239-254

https://doi.org/10.6174/JHM2005.6(3).239

摘要

本文為一實證性研究，目的在探討我國醫院所採用的競爭與合作策略，同時了解此兩種不同的策略分別與組織結構及資源之內部策略配適，以及對醫院績效之影響。本研究採定量研究，以醫院為分析單位，針對全國醫院進行調查，共收集90份有效樣本，分別就競爭策略迴歸模型及合作策略迴歸模型進行分析，結果顯示資源對績效有正向顯著影響，策略與資源的內部配適對績效有正面影響，而機械式組織結構會減緩資源對績效的影響關係。本文期望從實證研究著手，以實務現象為依據提出對於理論觀點之解釋，並進能提供醫院決策者在策略作為上的參考。

關鍵字

競爭策略 ； 合作策略 ； 策略內部配適 ； 醫療產業

並列摘要

Conducting by empirical study, this article aims at exploring the competitive strategies as well as cooperative strategies in Taiwan healthcare industry. Drawing from the theoretical perspective of strategic internal fit, the alignments among strategy, structure, and resources were proposed and tested. As the unit of analysis at hospital level, quantitative survey was used to collect primary data. 90 valid samples were gathered including medical centers, regional hospitals, and district hospitals. The results of regression model demonstrated that: 1. Individually, resource has a positively significant effect on hospital performance. 2. The internal fit between strategy (either competitive or cooperative strategies) and resource has a positively significant effect on hospital performance. 3. The extent to which mechanical structure was adopted has a negatively significant effect on the relationship between resource and performance. Hopefully, the empirical results may provide the evidence for theoretical perspectives. As well, this article is expected to have practical implications for hospital executives in strategy formulation and implementation.

並列關鍵字

Strategic internal fit ； Competitive strategy ； Cooperative strategy ； Heathcare industry

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