醫院知識管理系統之建立—以中部某署立醫院為例

The Establishment of the Hospital Knowledge Management System-A Case Study of A Public Hospital in Mid-Taiwan

郭宇仁(Kuo Yu-Jen)

指導教授 ： 吳武明

亞洲大學/資訊學院/資訊工程學系碩士班/碩士(2006年)

摘要

知識是企業競爭力的關鍵要素，更是企業未來的價值所在，而知識管理（Knowledge-Management，KM）毫無疑問的將是企業維持競爭優勢的不二法門。
醫院也不例外；全民健康保險開辦後，單一給付制度使得公立醫院不再有低價收費的優勢，消費者對醫療服務品質的期望也越來越高，但是公立醫院由於其組織文化、人事會計制度的僵化、財務制度的不健全等問題，使得經營績效及醫療服務品質廣受各界批評；再加上醫療市場競爭的白熱化，使得公立醫院的經營更加艱難。當醫師待遇無法依市場行情調整時，勢必無法有效留住優秀的工作人員，優秀員工的流失，原本累積在員工腦海中的知識和經驗，也隨著員工之離職而消失，無法被有系統地記錄下來，實在是醫院在無形資產中的一大損失。
本篇研究係以知識密集業務的知識管理系統為研究主題，探討利用Notes群組軟體來建構屬於醫院使用的知識管理系統，研究重點為如何將醫院內眾多的知識文件加以分類及分享、和知識管理系統的建置。經過實務上的運用，已產生下列的成果：知識庫的建立以及提供內外部顧客一個獲得健康資訊的管道。

關鍵字

知識管理 ； 醫務管理 ； 醫療資訊 ； 醫院

並列摘要

Knowledge is the key factor of enterprises’ competitiveness. Knowledge is also the representative of future value of enterprises. Knowledge management (KM), no doubt, is the only way that the enterprise maintains competitive advantage.

Hospitals are no exception; After national health insurance were practices, unified payment system makes the whole health market to low price charge, public hospitals are no longer have the advantage on price. Customers have higher and higher expectation upon medical treatment service quality, but public hospitals are struggled in their imperfect organizes culture, deadlock personnel accounting system, incomplete finance institution…etc. These problems make public hospitals suffer criticism from public. Crucial competition in health market makes operations of public hospital to difficulty. When doctor's salary can't match a condition of the market adjusts, public hospitals certainly can not keep excellent staffs. Knowledge that accumulates in staffs’ brain will also quit with the left employees without any record. It is a serious immaterial assets loss for hospitals.

This research took hospital knowledge management system as to study topic. The author investigated whether Note software can tailor-make knowledge management system in the hospital. The study focuses on the construction of knowledge management system, and also focuses on classification and sharing numerous established knowledge documents in the hospital. After practical operation, a following result has been produced: The knowledge base has been established well. It provides employees and exterior customers a piping to gain healthy information.

並列關鍵字

Knowledge Management ； Hospital Management ； Medical Treatment Information ； Hospital

參考文獻

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