國軍醫療機構經營模式轉型策略研究

A Study on the Transformation Strategy of Business Model for Military Hospital

黃建寧(Chien-Ning Huang)

指導教授 ： 顧志遠

中原大學/商學院/企業管理研究所/碩士(2011年)

https://doi.org/10.6840/cycu201100789

摘要

全民健保開辦以來，台灣醫療產業規模急遽成長，趨向大型化及經營成本逐漸攀高，健保給付制度一直不斷改革，自付總額制度與新制醫院評鑑實施後，使醫院面臨重大競爭壓力與更狹小的生存空間，進而影響醫院經營行態。醫療機構所提供的醫療服務雖與民眾健康息息相關，但其產業背景卻是充滿著瞬息萬變，隨時可能因為一個政策或市場環境改變，影響醫院未來發展。
本研究是依據Gary Hamel所主張的經營模式及整理台北地區三家軍事醫療機構內部提供的相關資料，加以分析出各個案醫院差異性、策略觀點與核心競爭力等，並藉由專家的深度訪談、綜觀總體環境及透過SWOT分析後，歸納出軍事醫療機構在競爭環境下的優勢與劣勢、機會與威脅，再綜合BCG策略環境矩陣、差異化策略等幾項策略模式，以研擬出可創新經營業建構具有競爭優勢的經營策略，最後就三家軍事醫療機構轉型類型分析比較找出最佳轉型方案。
本研究最後獲得之結論，認為三家軍事醫療機構維持競爭優勢與致勝關鍵因素為：合併才能改進價值網路構面、針對不同社區民眾提供差異化服務、以三軍總醫院得天獨厚的核心資源移植國軍松山總醫院及國軍北投醫院等3項，也就是整體策略是朝向社區推廣、合併、垂直及水平整合等；另建議各軍醫院戮力擺脫仰賴軍方編制引進民間企業管理理念、密切與國內外知名學術機構或專科醫學中心交流合作、各軍醫院聯合採購模式等3項建議；如此全新整合的國軍醫療體系定足以應付大時代的變化，甚而在經營績效上交出亮眼的成績單。

關鍵字

經營模式 ； 競爭優勢 ； 轉型策略

並列摘要

The scale of healthcare industry in Taiwan reports rapid growth since the National Health
Insurance is released, which becomes bigger with operation cost increased from time to time. The compensation system of National Health Insurance also faces incessant reform and leads to competition between various hospitals especially and indirectly affect behavior of hospital operation when global budget system and new hospital assessment are implemented. The services and products that healthcare industry provide are closely linked with health and welfare of the public, with background of related industries to vary from minute to minute and may affect the vision and future development of hospital because of a change in policy and market environment anytime.
The differences, strategic viewpoints and core competences of various hospitals were analyzed in this study upon the business model claimed by Gary Hamel and related data provided by 3 military medical institutions in Taipei, with strength, weakness, opportunity and threat of this study further are summarized through in-depth expert interview, comprehensive view of macro environment and SWOT analysis, along with BCG Growth-Share Matrix, differentiation strategy and other strategy models to draft business strategies with competitive
advantages that help innovate business model, lastly, to find out optimal transformation option
through analysis of transformation analysis of 3 military medical institutions.
According to the conclusions of this study derived in the last, the key success factors for these 3 military medical institutions to sustain competitive advantages are : only merger improves value network perspective, provide differentiated services to different community residents, transplant the exceptionally gifted core resources of The Tri-Service General Hospital to SongShan Armed Forces General Hospital and Beitou Armed Forces Hospital, i.e., with overall strategies to move toward community promotion, merger, vertical and horizontal integrations etc; also, joint forces of various hospitals to get rid of dependence on armed forces with business management concept introduced from private sectors, a close collaboration and sharing with local/overseas noted academic institutions and medical centers, joint acquisition model among various armed forces hospital are recommended, therefore such novel and integrated medical system of armed forces is certainly capable enough to tackle with change of the times and even report bright results in terms of business performance.

並列關鍵字

transformation strategy ； competitive advantage ； business model

參考文獻

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