醫學中心營運競爭力指標群建立之研究

Building a Comprehesive Competitiveness Indicators Set for Medical Center Category Hospital

張力平(Li-Ping Chang)

指導教授 ： 黃崇興

國立臺灣大學/管理學院/商學研究所/碩士(2004年)

https://doi.org/10.6342/NTU.2004.00031

摘要

關於醫療機構的績效評估，有許多研究從醫療品質、財務狀況等方面切入，然而經由相關文獻的整理，不難發現從單一角度著眼的衡量，常會有所偏頗，無法達到仔細衡量其績效之目的。因此本研究試圖從競爭力的觀點來對醫療機構的組織進行探討，並將焦點鎖定於醫學中心或大型醫療院所，透過對醫學中心競爭力的詳細探討，瞭解醫學中心的競爭力究竟為何，進而發展一套適當的競爭力指標，以確切衡量醫學中心的競爭力。

本研究共分為兩大部分，一為競爭力指標之建立，一為競爭力指標之權重分析。首先，利用吳炯鋒於2003所提出之『國家競爭力模型套用在醫院競爭力評估之適用性研究』的初步轉換指標，輔以專家座談與問卷調查，透過專家座談整理相關的指標並與競爭力構面做適當之配對，建立適當之競爭力指標；透過問卷之發放，檢驗指標之適切性，刪除不合適之指標。

其次是建立醫院競爭力的層級架構，利用層級分析法，並藉由問卷的方式，由醫院管理者排列出乘對關係矩陣，求出各構面、類型指標與細項指標間的權重關係。

研究結果顯示，醫學中心或大型醫療院所最重視經營管理構面（22.60%），其後依序為人力資源構面（22.18%）、總生產力構面（20.14%）、財務管理構面（19.19%）、基礎建設構面（15.90%）。

關鍵字

層級分析法 ； 醫院績效評估 ； 醫院競爭力 ； 醫學中心

並列摘要

About performance measurement of infirmaries of administrative departments in the hospitals, there are many studies based on medical quality, financial statement and so on. However, through the integration view of these references, we know that one-way measurement would be often biased. For the reason, this research would attempt to explore the measurement based on hospital competitiveness, and we will focus on medical center category hospital. We expect to realize what competitiveness of medical center category hospital is and develop a set of proper competitiveness indicators to measure competitiveness of medical center category hospital precisely.

This research includes two parts. One is the establishment of competitiveness indicators, and the other is the weightiness analysis of competitiveness indicators. First, we use initial transferred indicators proposed by “Assessment of the Adaptability Study of Hospital Competitiveness for the World Competitiveness Model” ,written by Wu in 2003, integrate relative indicators according to expert informal discussion meeting, and map them with relative competitiveness dimensions. Using the questionnaire approach, we exam the appropriateness of the indicators and dismiss inappropriate ones.

Second, we build hierarchical structure of hospital competitiveness. We adopt the AHP approach and make the questionnaire by visiting the hospital management to configure the relational matrix and weigh the dimensions, criteria, and indicators of the competitiveness.

The result of this research shows us that the competitiveness of medical center category hospital place importance on “Operate management dimension” (22.60%). And the others are in the following order: “Human resource dimension” (22.18%), “Aggregate production dimension” (20.14%), “Finance management dimension” (19.19%), “Infrastructure dimension” (15.90%).

並列關鍵字

Medical Center ； Hospital Competitiveness ； Analytic Hierarchy Process ； Performance Measurement in Hosiptal

參考文獻

6.承立平（1996），「提升國家競爭力的基礎與基礎建設」，經濟前瞻雙月刊，台灣的競爭力專號，財團法人中華研究院出版，頁44-48。

15.陳佩妮、鄭守夏、鍾國彪、林王美園（1997），台灣地區醫療品質指標適用性之探討，中華衛誌，16卷（2），頁133-142。

25.韓揆（1994），「醫療品質管理及門診服務品質定性指標」，中華衛誌，13卷。

11.袁素萍（2003），企業轉型成功關鍵因素之研究，成功大學高階管理碩士在職專班碩士論文。

1.Buckley et al., “Measure of International competitiveness : A Critical Survey,” Journal of Marketing Management, 1988