國軍醫院醫療人力資本對其績效之影響

The Effect of Medical Human Capital on the Performance of Military Hospitals

陳俊鋐(Chuan-Hong, Chen)

指導教授 ： 葉金成

淡江大學/管理學院/會計學系碩士在職專班/碩士(2009年)

https://doi.org/10.6846/TKU.2009.00492

摘要

我國國防部因役男人數逐年減少、兵役役期縮短等原因，因而推動「募兵制」，且將裁軍7.5萬人，以20萬兵力為目標，這些變革將影響國軍醫院之人力。另醫療產業在健保制度履經變革及競爭者眾之壓力下，醫院經營者一再以收入不敷成本理由，而有減少醫事專業人力之議。然醫院是一個大部分由專業人員組成的知識型組織，更是知識密集產業，其醫事專人力是否為關鍵競爭資源？是否為影響國軍醫院績效之因素？有待釐清。國內探討醫療人力資本的文獻不多，本研究以91-96年9家續存國軍醫院之財務報表及醫療能量之資料庫，經由實證以瞭解國軍醫院醫療人力資本對其績效之影響。實證結果顯示：(1)國軍醫院醫療人力以醫師為關鍵人力。（2）國軍醫院中醫療人力資本高者，其營運服務、財務及醫療品質績效愈好。（3）國軍醫院中病患獲得之照護量對其門診及住院之醫療收入有不同效果之影響。

關鍵字

國軍醫院 ； 醫療人力 ； 績效

並列摘要

The Ministry of National Defence, R.O.C（MND, R.O.C.）is going to imply “the mercenary system” as the military service system and disarm 75,000 people take 200,000 military strength as the goal, because of reduction of the draftee population and military service time. Meanwhile, the medical industry is facing the pressure of transformation of the payment of National Health Insurance and growing competitors, therefore all the hospitals reduced practice of medical specialized manpower due to the income is insufficient for cost. However, a hospital is not only a knowledgeable organization mostly consisting of professionals, but also a knowledge intensive industry. Its’ the practice of medical specialist strength whether for key competition resources? Whether affect the performance? So far, there are not many literatures about medical human capitals of military hospitals in Taiwan. Therefore, this research shall explore the effect of the medical human capital on the performance of military hospitals by the data of the 9 military hospitals consisting of 2002~2007. The conclusions of this study are as follow:
1.Empirical resuls of regression indicate that doctors are the core human capital of the medical human power.
2.Empirical result of regression indicate that the medical human capital are positively correlated with the performance of the service, financial and medical quality performance of the military hospitals.
3.Empirical result of regression indicate that the quantity of medical care of patients affect the income of department of outpatient and admission separately.

並列關鍵字

Military hospitals ； Medical human capital ； performance

參考文獻

吳肖琪、吳義勇、朱慧凡、林嘉彥、李鐘祥、張錦文、藍忠孚（2002），「我國醫院醫療品質指標使用之情形」，醫療品質雜誌，第2卷第2期，PP 1-14。

葉燉煙、鄭景俗、彭群堂（2006），「模糊績效評估模式-以住院醫師為例」，人力資源管理學報，第六卷第二期，PP 071-087。

闕廷諭，劉瓊文（2004），「醫院特質、人力資本對醫院經營績效影響之研究」，健康管理學刊，第二卷第二期，PP 177-193。

李文福、王媛慧（2006），「台灣醫療產業生產力與效率實證研究之回顧與展望」，輔仁醫學期刊2006；4；215~230。

祝道松（1997），「管理控制系統對醫院部門效能影響之探討-以台灣區區域級以上財團法人為例」，中山大學企業管理研究所博士論文。