省立醫院體制轉型評估－高階主管意見調查

The Transitions of the Taiwan Provincial Hospital – A Survey of High Ranking Officials

郎慧珠(Hui-Chu Lang) ； 李丞華(Cheng-Hwa Lee)

《台灣公共衛生雜誌》 20卷1期 (2001/02) Pp. 15-26

https://doi.org/10.6288/TJPH2001-20-01-03

摘要

目標:：本研究是以Kaluzny的轉型理論為基礎來瞭解台灣省省立醫療機構之轉型，以了解省立醫療機構的轉型歷史及型態，並調查高階主管對轉型所持之態度。方法：研究對象為全省省立醫療院所之高階主管，以問卷調查之方式來收集所需的資料。問卷調查悉利用87年10、11月間省府衛生處所舉辦之「省立醫院經營管理專案計畫」精進研習會之聚會時間，進行問卷調查。結果：研究結果顯示轉型方案的優先權排序為(1)體制內改革，政府仍然繼續予以預算補助。(2)先朝體制內改革，以達自給自足之後，在適當時刻再轉變為公設財團法人醫院。(3)先朝體至內改革，以改變營運體質並自負盈虧。結論：省立醫院目前最適的轉型模式仍是以體制內的改革為優先考量，若是法令上的鬆綁的確無法解決，再行考量直接的組織再造，轉變為法人機構。(台灣雜誌2001;20(1):15-26)

關鍵字

省立醫院,轉型,過程觀點,Kaluzny模式

並列摘要

Objectives: This study used Kaluzny's transition theory to analyze transitions in Taiwan's Provincial Hospital in order to determine medical, legal and historical implications. Methods: A survey of high ranking officials was performed to obtain data concerning their attitudes toward these transitions. The study surveyed high ranking officials at provincial medical organizations throughout Taiwan using a questionnaire. The questionnaires were distributed from October to November 1998 at the Provincial Department of Health's ”Provincial Hospital Management Plan” seminar. Results: The results of the study indicate that the preferred modes of transition were: I) Change within the existing system, with the government continuing to provide budgetary assistance; 2) Transition which promoted internal change first in order to reach self-sufficiency, with the aim of further transition to status as a public hospital corporation at a suitable later date. Conclusion: The results of this study indicate that change to an internal system model should be the first priority for most provincial hospitals. If a relaxation of legal ties fails to solve transition-related problems, then direct reorganization should be considered. This would involve changing the status of the hospital to a corporate entity. (Taiwan J Public Health. 2001 ;20(1): 15-26)

並列關鍵字

Provincial Hospital,transition,process perspective,Kaluzny model.