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  • 學位論文

署立醫院採購人員對「共同供應契約電子採購系統」認知之研究

The Cognition of Provincial Hospital Purchasing Representatives toward the Cooperative Supply Contract Electronic Procurement System

指導教授 : 黃萬傳 陳朝鍵
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摘要


署立醫院處於競爭白熱化的醫療市場,又受限政府行政制度限制,致經營較過去困難。共同供應契約電子採購系統提供具標準化、規格化之勞物、財物採購,署立醫院利用集中大量採購經濟規模,縮短採購作業程序並降低採購成本。而採購人員對「共同供應契約電子採購系統」的看法,將影響共同供應契約電子採購系統使用程度。 本研究利用Kelly 發展出角色構念測驗,運用Logit迴歸方式,探究署立醫院採購人員對「共同供應契約電子採購系統」的看法,其摘要如下: 一、 以2005年全國署立醫院28家(綜合醫院21家、精神、癩病療養院及胸腔病院7家)之採購人員為調查主要目標;共發出問卷署立醫院家數28家130份,有效問卷回收27家117份回收比率90%。共同供應契約電子採購系統運用情形和人口基本變數一樣,綜合醫院及非綜合醫院於人數比率上和顯示差異不大。 二、 共同供應契約電子採購系統,各署立醫院的執行結果,平均每家醫院分別為2003年採購金額154萬元,2004年採購金額337萬元,2005年採購金額467萬元,顯示利用電子採購,有逐年增加之趨勢。 三、 在「共同供應契約電子採購系統」使用上:各署立醫院採購人員上網查詢願意及購買意願高,查詢及購買品項以各項事務設備及共通性之電腦設備用品居多,採購人員半數以上受過「共同供應契約電子採購系統」教育訓練,也認為教育訓練是足夠他操作該系統,並且大部份人已取得採購證照。 四、 各署立醫院採購人員對「共同供應契約電子採購系統」認知均趨向於正向,以上網能力認知最高、效益認知次之;系統認知、商品認知採購人員給的認知程度最低,主要為對產品退貨不易、說明部份不詳盡及規格太少顯示不滿意。 五、 運用Logit迴歸分析統計,採購人員對共同供應契約電子採購系統認知部分,受教育訓練及年資等因素影響,其服務年資分佈呈兩極化有明顯斷層的現象,而採購年資年輕化,顯示採購經驗之不足,所以持續不斷的教育訓練,以提昇採購人員對共同供應契約系統、商品、效益及上網能力等方面之認知是必要的。

並列摘要


It is getting difficult to manage and operate a provincial hospital due to highly competitive hospital market and the restriction of government administrative system. Cooperative supply contract electronic procurement system provides standardized and normalized system for the labor and property purchases, the provincial the hospital can shorten the purchase procedure and lower the cost by aggregating purchasing economic scale. Purchasing representatives’ opinion toward cooperative supply contract electronic procurement system will affect the level of their practice. This paper uses Kelly concept to develop a role test and applies Logit Model to observe purchasing representatives’ opinion toward cooperative supply contract electronic procurement system, the abstract is as follows. The application of cooperative supply contract electronic procurement system is the same as the population variable; therefore, the user rate is not much different from general hospital and the non-general hospital. Objectives are purchasing representatives from 28 provincial hospitals in year 2005, including 21 general hospitals and seven other psychiatric, leprosy and chest hospitals. 130 surveys distributed in 28 hospitals and 117 effective questionnaires were returned from 27 hospitals, returned rate 90 %. The implementation result of the cooperative supply contract electronic procurement system gradually increases year by year. The average purchase amount for one hospital is 1.54 million NT in year 2003, 3.37 million NT in year 2004, and 4.67 million NT in year 2005. As for the use of cooperative supply contract electronic procurement system, purchasing representatives from each provincial hospital show high will to inquiry and purchase online, which are mostly office equipment, computer, and computer accessories. Over half of the representatives attend the cooperative supply contract electronic procurement system training secession; they think the training offers the sufficient knowledge for handling the system and most of these representatives has received purchasing certification. Provincial hospital purchasing representatives hold positive cognition toward the cooperative supply contract electronic procurement system. The most two positive cognitions are online accessibility and efficiency. The negative parts are cognition of system and merchandise, especially for goods return policy, instruction unclear and insufficient product models. Analyzing the cognition of purchasing representatives toward the cooperative supply contract electronic procurement system by using Logit Model, the research shows the training and service year effect the cognition differently. The purchasing representatives’ age is getting younger; therefore, the ongoing training to make up the insufficient purchasing experiences is the key and necessity to raise the representatives’ cognitions of the cooperative supply contract electronic procurement system, merchandise, effect and ability to surf on internet.

參考文獻


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被引用紀錄


林森照(2014)。品質與工作-技術配適對藥品物料聯合訂購網系統使用滿意度之影響〔碩士論文,朝陽科技大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0078-2611201410184045

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