部立醫院行政法人化之芻議

The transition to non-departmental public bodies -- a preliminary study of hospitals affiliated with Taiwan's Ministry of Health and Welfare (MOHW)

李天申(Tien-Shen Li)

《台灣公共衛生雜誌》 35卷3期 (2016/06) Pp. 294-303

https://doi.org/10.6288/TJPH201635104102

摘要

目標：本研究探討署立醫院改制行政法人未成功的原因，以及針對部立醫院(原署立醫院)未來行政法人化提出建議。方法：本研究採用深度訪談，對象包括5位署立醫院高階主管，5位行政院與衛生署官員，1位立法委員。結果：當年行政法人化未成功的主因為：第一，政治氛圍不利於行政法人化；第二，員工抗拒行政法人化；第三，部分醫院擔憂行政法人化後財務更困難。結論：衛生福利部應從行政、法律、政治等面向，個別評估各家部立醫院改制為行政法人的可行性。針對適合行政法人化者，衛生福利部應積極向立法院遊說推動組織法案，以及向醫院員工充份宣導行政法人化的工作權益事項。

關鍵字

部立醫院 ； 署立醫院 ； 行政法人

並列摘要

Objectives: This study determined the reasons for failed transformation of DOH- affiliated hospitals into non-departmental public bodies (NDPBs). Suggestions are proposed for the future transformation of MOHW-affiliated hospitals into NDPBs. Methods: Five senior officers in DOH-affiliated hospitals, five political appointees and senior officers in the Executive Yuan and the Department of Health, and one member of the Legislative Yuan were interviewed. Results: There are three main reasons for failed transformation of DOH- affiliated hospitals into NDPBs. First, the political atmosphere was unfavorable for the transformation. Second, the hospital staff declined the transformation. Third, some hospitals feared that the transformation might result in a worsening financial condition. Conclusions: We suggest that transforming MOHW-affiliated hospitals into NDPBs can be evaluated individually based on the administrative, legal, and political feasibility by the MOHW. For hospitals which are well-suited for transformation into a NDPB, the MOHW should actively lobby the Organizational Act Reform, and communicate the working benefits of the transformation to the hospital staff.

並列關鍵字

MOHW-affiliated hospitals ； DOH-affiliated hospitals ； non-departmental public bodies (NDPBs)

參考文獻

李天申(2014)。省思「一臂之距」—論我國準政府組織的治理與課責。思與言人文與社會科學期刊。52，161-201。

()。

Harding, A,Preker, AS.(2000).Understanding Organizational Reforms: The Corporatization of Public Hospitals.Washington, DC:World Bank.

台灣行政法學會編(2003)。行政法人與組織改造、聽證制度評析。台北=Taipei:元照出版=Angle Publishing。

朱宗慶(2005)。行政法人對文化機構營運管理之影響—以國立中正文化中心改制行政法人為例。國立台灣大學高階公共管理組=The Executive MBA Program in Senior Public Administration (EMBAE), National Taiwan University。