地區醫院轉型長期照護機構經營策略之研究

The Study on Business Strategies of District Hospital Transformed to Long-term Care Facilities

黃啟聰(Chi-Tsung Huang)

指導教授 ： 陳瑾瑛

亞洲大學/管理學院/經營管理學系碩士班/碩士(2004年)

摘要

本研究嘗試從地區醫院的角度，去探討地區醫院轉型為長期照護機構的原因，以分析地區醫院在面臨醫療環境變化時，所採取的經營策略、轉型策略和轉型為長期照護機構之後所採取的經營策略。本研究訪談四家地區醫院和轉型的四家長期照護機構，並運用質性研究方法，探討地區醫院轉型為長期照護機構之經營策略，獲得下列結論1)地區醫院在面臨健保政策和醫療環境變化的壓力，造成經營上的困難，地區醫院都採增加收入和降低成本的因應策略。2)地區醫院選擇能幫助醫院增加業務量和收入的轉型應變策略，以長期照護機構為轉型的優先選擇。3)長期照護機構真的能幫助地區醫院增加業務量和收入，對地區醫院經營策略確有實際成效。4)地區醫院轉型為長期照護機構之經營策略，在組織和人力以精減人力和人員共用或相互支援為主；業務和行銷部份則以長期照護機構為病患來源的基礎，再積極拓展社區服務和長期照護機構周邊客源做為行銷主軸；在醫療服務管理部份，必須加強慢性病和老人相關疾病的醫療品質的提昇；在財務管控部份，地區醫院有更靈活的運用空間。我們可以從論文的分析中看到，地區醫院轉型為長期照護機構，確實對於地區醫院經營有很大的幫助，如醫療業務量、財務收入、人員的互動和社區關係等，國內的地區醫院可參考本研究結果，以提升醫院存活的機會。

關鍵字

地區醫院 ； 轉型 ； 長期照護機構 ； 經營策略

並列摘要

This study tried to investigate the causes of the transformation of district hospitals to long-term-care institutions. It analyzed the business strategies of district hospitals during the changing time. Four district hospitals and four long-term-care facilities transformed from hospitals were studies. The findings are:
1.District hospitals have adopted the method of increasing profits and reducing costs to cope with the difficulties and pressures resulted from the changes of national insurance policies and medical environment.
2.Long-term-care facilities have become the first priority of transforming a district hospital into a new type of management, when it comes to increasing the sales and profit.
3.Long-term-care facilities can virtually help increase business and profits of district hospitals, thus enhance the effectiveness of the hospital’s management.
4.To transform into a long-term-care facilities, a district hospital has to refine and reduce the size of its staff, make employees support one another Meanwhile, in view of sales and marketing, long-term-care patients shall be the main sources of patients. In addition, aggressively expanding community services and searching for potential sources are their major goals; in the field of medical service management, enhancing the qualities of both chronic diseases service and the elderly-related diseases services is a must; as to the financial aspect, district hospitals are considered more flexible and active in utilizing their capital.
Based on this study, one can easily find that, the transformation from district hospitals to long-term-care facilities has benefited for the management of the former, in terms of not only hospital business, financial income, staff interactions but also the relation with communities. The outcome of this study shows an encouraging opportunity for district hospitals in Taiwan to strengthen their competitiveness for survival.

並列關鍵字

District Hospitals ； Transformation ； Long-Term Care Facilities ； Business Strategies

參考文獻

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