台灣聯合執業醫師對其執業模式之自我評價

本研究旨在探討影響醫師聯合執業成功的因素及聯合執業的成功模式。研究對象為2002年4月在行政院衛生署醫政處登記執業的兩位或兩位以上共同執業的開業醫師，共計3,193位，全面施以郵寄問卷普查，共回收769份，回收率為24.06%。在影響醫師聯合執業成功的因素方面，發現聯合執業醫師認為影響聯合執業成功因素最重要的五個因素依序為醫師具親和力、醫療團隊之間易溝通、合夥或聘僱醫師理念相同、就診方便性及提供優質的醫療照護品質。其次在成功模式方面，發現接受調查的執業醫師中，在聯合執業型態方面，相較於與其他醫師合夥經營，自己獨資經營雇用其他醫師或成為被雇用醫師比較不覺得目前所參與聯合執業是成功的；在聯合執業診所收入分配方式方面，相較於固定薪水加績效，每位醫師平均分配或按看診診數的聯合執業內醫師比較覺得目前所參與的聯合執業是成功的。建議醫師聯合執業的模式可為與其他醫師合夥經營、合夥醫師為由熟識的朋友或同學所介紹、由合夥人或擁有人自行管理及收入由每位醫師平均分配等。

關鍵字

聯合執業；基層開業醫師；成功模式；成功因素

並列摘要

The purpose of this study is to explore the factors contributing to the success of group factice and success model of physician group practice. The study population consists of 3,193 primary care physicians who registered to the Department of Health as co-practitioner with other physicians in April 2002. A postal survey was conducted to these physicians to collect data. A total of 769 questionnaires were returned and yielded a response rate of 24.06%. This study found that five factors respondents considered as the most important are that physician is friendly, that physician S easy to promote open communication, shared the same vision, convenience, and that physician feels himself as a member in group practice. With regard to success mode, the study found that sole proprietorship or being an employed physician were less likely to feel a group practice successful compared to partnership. As to revenue distribution, physicians in a group practice that uses equal shares or numbers of working sessions were more likely to feel successful than their counterparts in a group practice that uses fixed payment plus production. It is suggested that the model of a successful group practice could be partnership, partner physicians from the introduction of friends or classmates, managed by owner or co-owners, and equal shares to distribute revenue.