醫院麥當勞化了嗎？

醫院和麥當勞一樣都是屬於服務業，都是以人服務人的行業。麥當勞可以成功的成為全世界最大的連鎖企業之一，必有所獨特的管理方式。本篇籍由麥當勞的成功例子，將醫院的特性與其相比較，並試著探討是否可以利用麥當勞的成功管理方式－科學管理，帶入醫院之中。另外，在醫院中有其獨特的特性是其他服務業所沒有的，例如：高度專業人員及醫療管理和行政管理的並行方式，因此並非全醫院的各部門管理均可以利用麥當勞的管理方式，因此本篇也將探討在醫院中不同部門的應用科學管理程度。經由本篇的分析中可見：由於目前醫院的經營管理一直朝向著有效率的管理，以達到資源有效利用，故麥當勞的管理方式已經可以在醫院中隱約可見，最明顯的即是DRG's的出現，然而如此的利用科學管理方式，對醫院、病患及醫療資源三方面是否達到一定的效果仍是一個值得探討的問題。

關鍵字

科學管理；醫院管理；麥當勞

並列摘要

A hospital and a McDonald Family Restaurant (McDonald’s) are service industries, and they are labour-intensive industries. That the McDonald's can become one of the biggest chains has its own specially managing art. The paper is going to introduce hospitals' characters by comparing with the McDonald's. Moreover, it tries to bring the scientific management theory into hospitals, which is successfully used in the McDonald's. However, hospitals have the characteristics which are different from other industries, such as highly specialized and the triumvirate. Therefore, the scientific management theory cannot be applied on all departments of a hospital. This paper is also discussing the different applications in different departments of a hospital. In short, having an efficient management is one purpose of a hospital management. Hence, the health resources can be used better. Many part of hospitals' management are having the same management way as the McDonald's, such as DRG's. However, that the use of the scientific management in hospitals is good or bad for hospitals and patients is still a question mark.