無障礙計程車替代復康巴士之可行性評估－以東部地區某國軍醫院為例

Wheelchair accessible taxi as an alternative of Rehabus - the feasibility assessment of military hospital in eastern Taiwan

余瑞宏(Jui-Hung Yu) ； 陳永煌(Yung-Hwang Chen) ； 周正修(Cheng-Hsiu Chou)

《中華職業醫學雜誌》 25卷3期 (2018/07) Pp. 183-192

摘要

本研究期望藉由系統性的研究調查，歸納醫院將病患接送交通工具業務委外辦理的關鍵因素，以期對接送病患交通工具委外作業有所助益。找到可替代復康巴士的交通工具，以及探究委外決策的重要影響因素為何是本研究的目的。以文獻探討方式建立研究層級架構，探討「組織」、「承包商」、「合約」、「成本」、「風險」、「服務」等6大構面及「高階主管的支持」等23項細部影響因素，依據層級分析法（AHP）之程序來分析病患接送交通工具委外的關鍵因素，並求其整體權重值及優先順序，作為病患接送交通工具委外執行時之參考依據，以健全委外機制運作並達到病人安全之目標，發揮醫院委外作業最大效益。本研究於106年2至5月份期間，針對國軍醫院民診管理人員(12員)做層級分析法。研究結果發現，交通工具委外的重點除了成本考量外，合約、風險和服務亦佔相對比例的權重20％左右，這呼應了Quinn提出的策略委外之觀點，由於企業資源有限，通常管理者會將企業的資源做適當的配置，部分價值鏈項目的委外，以借重外部供應商的資源能力，伸展企業本身的核心能力，而創造最大的使用效益。

關鍵字

無障礙計程車 ； 復康巴士 ； 層級分析法

並列摘要

This study is intended to determine the influential factors of deciding outsourcing transportation to shuttle patients between their residences and the hospital. Due to geological characteristics of the study area, wheelchairs accessible taxi is maybe the most available alternatives of hospital rehabus. However, most local hospitals are hesitant of outsourcing transportation despite of manpower and vehicle shortage. In order to identify the influential factors that hospital stakeholders are concerned about, the author implement a self administered structured survey instrument composed of six facets of questions including organization, contractor, contract, cost, risk and service. As a result, an Analytic Hierarchy Process (AHP) is undertaken to analyze the survey results. By Feb to May in 2017, the questionnaires had been answered by 12 managerial staff in the local military hospitals and 12 hospital stakeholders including hospital directors, deputy directors, and supervisors in the non-military hospital. In addition, four in-depth interviews with driver and passenger of wheelchair accessible taxi as well as rehabus are performed at the same period of time. We find that except for cost, concerns regarding contract, risk and service weigh the equal proportion around 20%. Our results reapprove Quinn’s study in 1992 that enterprise managers usually allocate the limited resources to the most appropriate investment and outsource the rest. Through outsourcing, the resources of the suppliers could be introduced to reinforcing the enterprise competencies and creating the greatest benefits for both parties.

並列關鍵字

Wheel chair accessible taxi ； rehabus ； analytic hierarchy process