醫療給付效益提升計畫之人力資源彈性運用－以屏東縣琉球鄉、泰武鄉、牡丹鄉為例

Workforce Flexibility in IDS's Operation-Examples from Lyiouciyiou, Taiwu, and Mwudan Township health center, Pingtung, Taiwan

扈克勛(Ke-Hsun Hu) ； 李維仁(Wei-Jen Lee) ； 康啟杰(Chi-Chieh Kang) ； 李建廷(Chien-Ting Lee) ； 陳秀敏(Shiu-Min Chen) ； 蘇清泉(Ching-Chyuan Su)

《東港安泰醫護雜誌》 10卷2期 (2004/06) Pp. 57-69

https://doi.org/10.7078/TSMHMNJ.200406.0057

摘要

健保局IDS 計畫之推展，提供了台灣山地離島鄉長期以來醫護人力、設備資源缺乏的有效解決方案之一，本文旨在以人力資源彈性類型之職能彈性、數量彈性、及薪資彈性運用角度，討論山地離島鄉IDS計畫執行業務內容的運作，其結果顯示，在管理機制健全的承作醫院積極運作下，藉著健保局所提供之薪資彈性可使各承作業務順利推動，而本執行經驗亦可為後續承作醫院推行業務與健保給付政策參考。

關鍵字

IDS計畫 ； 琉球鄉 ； 泰武鄉 ； 牡丹鄉 ； 人力資源彈性 ； 職能彈性 ； 數量彈性 ； 薪資彈性

並列摘要

The integrated health care delivery system (IDS) provided by Bureau of National Health Insurance is one of the effective way for solving the shortage of health care professionals and equipments in rural mountain and outlying islet areas in Taiwan. In this review, we use three types of workforce flexibilities, functional flexibility, numerical flexibility, and financial flexibility, to discuss about the special supportive programs in IDS's operation. The findings indicate that a supportive hospital with good management mechanism can offer satisfied health care services for rural areas residents by financial flexibility, and these findings also can be used by the next supportive hospitals and health insurance payment policies.

並列關鍵字

IDS ； Lyiouciyiou ； Taiwu ； Mwudan ； workforce flexibility ； functional flexibility ； numerical flexibility ； financial flexibility