公立醫院部分開放醫療業務營運狀況之調查研究

近年來面臨醫療政策與環境改變，醫療院所林立，因此公立醫院經營日趨困難，為突破營運之困境，必須朝多元化經營模式規劃，而部分開放醫療業務是可行的方案。本研究之目的是為探討屏東醫院施行部分開放醫療業務的營運績效及人員工作滿意度情形，以及人員對此營運模式之看法。比較部分開放醫療業務前後其營運量、醫療業務收益、勞務生產力之差異，並以所有人員為對象共發出問春496份，回收275份，回收率為55.4%。結果發現其營運績效有顯著進步，將近80%的受到者贊成繼續維持部分開放的模式，51.9%希望未來可擴展部分開放之範圍，另外員工認為部分開放後尚待解決之問題依序為溝通協調、管理決策、組織文化差異、待遇薪資、人事管理等問題。本研究結果可作為檢討及改善部分開放醫療業務制度之建議，並提供其他公立醫院採用此經營模式之參考。

關鍵字

公立醫院；營運績效；工作滿意度

並列摘要

Owing to the change of medical insurance policies and competitive circumstance healthcare organizations grow in recent days. Therefore, public hospitals operated difficult gradually. It is necessary to draw up diversified mane gerent strategies for break through the dilemma. The partial opened medical business is a feasible program. This study aim is to investigate the performance, employee job satisfaction and opinions of the Ping-Tung hospital applying partial opened medical business. It compared the differences of working capacity, profit and labor productivity between partial opened system and closed system. The study was conducted on 496 employees. In total, 275 copies of the questionaires were collected. The response rate was 55.4%. This research reveals that hospital performance had remarkable progress. Nearly 80% respondents approved of continue to keep partial opened system and 51.9% respondents hoped to stretch the range of partial opened medical business, On the other hand, there were some problems need to solve, such as communication and coordination, administrative policy, organic cultural difference, treatment and salary, staff administration. This study may provide the recommendations of review and improve the partial opened medical business system. It also serve as a reference for other public hospitals adopted this management model.