- 期刊
探討以醫院為基礎之社區夥伴關係
An Exploration of the Hospital-Based Community Partnership
摘要
目的：WHO建議之公私夥伴關係並非單一概念或形式，它需要組織或機構彼此之間的協力；本研究欲了解以台北市公立醫院為基礎之社區夥伴關係，醫院與社區不同程度之整合，對於夥伴關係之內在指標是否有所差異，以作為團隊政策修正之參考。方法：本研究由台北市立聯合醫院各院區申請長照計畫之負責人自行填寫社區夥伴關係問卷。總共回收33個份問卷。夥伴關係問卷之主要構面包括尊重、溝通、信任、承諾與能力。結果：本研究顯示與社區僅有少量合作與基本合作夥伴關係之醫院，雙方合作時間較短。醫院自覺與社區夥伴關係之內部指標部分，其雙方資訊交換管道暢通性有進步空間，社區據點無法完全回應醫院需求，醫院內團結度有提升空間以及醫院內無法提供充足的資源。結論：公、私部門文化與價值的差異，特別是醫院與社區是相當不同的文化與組織，導致形成夥伴關係時，可能會面對諸多的限制。所以兩者勢必要經過相互摸索、試探、瞭解、學習與適應之階段，以融合與認同彼此，才可能形成緊密的合作夥伴關係。
並列摘要
Objective: The public-private partnership recommended by the WHO is not a single concept. It requires the cooperation of organizations or institutions. This study intended to understand if the degrees of integration of the hospital and the community are related to any difference of internal indicators of the community partnership built by the Taipei public Hospital, as a reference for further correction of the policy. Methods: We distributed a questionnaire to community leaderswho were responsible for long-term care planning atthe Taipei City Hospital. The five facets of the partnership questionnaire include respect, communication, trust, commitment and ability. Results: A total of 33 questionnaires were collected. Results: Hospitals which had only little cooperation and basic partnership with the community had shorter cooperation period. The internal indicators of hospital and community partnershipindicated a space to improve for the smoothness of information exchange pipeline and cohesion within the hospital, an deficient of full response of community sites to hospital demands, and insufficient of resource supports within the hospital. Conclusion: The public and private sectors which are different in culture and values, especially the hospital and the community which are two entities quite different in culture and structure, are facing various limitations when they intend to form a partnership. Therefore, the two are bound to go through the stages of mutual groping, testing, understanding, learning and adaptation to integrate, identify each other, and form a close cooperative partnership.