私立醫院改制醫療社團法人之效益研究-以某區域教學醫院為例

A Research to the Advantage of Private Hospital reform to Medical Incorporation – Case of a Regional Teaching Hospital

郭咏臻(Yung-Chen Kuo)

指導教授 ： 李弘暉

元智大學/管理學院/管理研究所/碩士(2007年)

https://doi.org/10.6838/YZU.2007.00163

摘要

民國九十三年四月，醫療法大幅修正,其修正重點之一，即參考日本制度增訂，增訂舊法所無之「醫療社團法人」一節，並於該法第十六條規定：「私立醫療機構達中央主管機關公告一定規模以上者，應改以醫療法人型態設立。」，且另公告規模200床以上之私立醫療機構應改以醫療法人型態設立。
本研究旨在針對醫療機構在面臨既有的醫療經營環境的困境下，透過醫療產業發展趨勢分析，了解私立醫院所面臨經營管理上之瓶頸，另以組織轉型研究發展做回顧，從醫療法人的意義與本質探討，藉由私立醫療機構與醫療社團法人之比較，尋找私立醫院改設醫療社團法人之效益，從企業的觀點在公司治理的角度了解醫院治理內外部關係之管理機制，透過個案醫院之組織與背景因素分析，了解改設醫療社團法人對個案醫院之影響 ，並期望能提供為其他私立醫院轉型為醫療社團法人之參考，與建議政府再思考目前私立醫院多抱持觀望態度不願進行組織變革之問題所在。
本研究結論認為私立醫院改設醫療社團法人為一嚴肅的課題，因此，各私立醫院應正視此一課題不要因為改制而改制，改制非萬靈丹，其改制後醫院文化、人員、組織架構、作業方式、經濟效益、效率分析等能否妥予整合方為改制是否成功之重要因素；因此，堅定永續經營理念，改制非唯一途徑。

關鍵字

醫療社團法人 ； 組織變革 ； 家族企業

並列摘要

In Apr. 2004, the central government had amended the medical regulation in great deal. One of the major amendments was referred to Japan’s regulation and added a paragraph named “Medical Incorporation”. And also stated in clause 16: “Any private medical organization has to reform to a medical incorporation while it achieve a certain scale that central government announce. “. The “certain scale” was then announced as 200 sickbeds later.

This thesis aims at the research of the following scopes: First is to understand the bottleneck of business administration of a private hospital in such a tough situation through analysis to current medical industry development and the trend. Second is to find the advantage of reforming from a private hospital to a medical incorporation through the reviews of organization transaction researches and the fundamental essence plus intents of a medical organization together with comparison of the private medical organization and medical incorporation. Third is to understand its impact of reforming to medical organization from the private hospital through analysis of structure and background of the hospital in this case study and also to realize the relationship of internal and external management mechanism of a hospital administration through the view point of a corporate and business administration. And the last is hoping to provide references to those who would reform from a private hospital to a medical incorporation, and to suggest the central government to rethink the issues of why many private hospitals straddled and are not willing to proceed with such organizational revolution.

This thesis concludes that a private hospital reform to a medical incorporation is a serious topic and every private hospital has to face it and consider the impact. “Reform” is not “one fits all” solution. The success factors to a reform are the integrations of the culture, personnel, organization structure, operation process, economic benefit and efficiency analysis after the reform. All in all, reform is not the only solution but the notion of an enduring prosecution of the private hospital.

並列關鍵字

Medical Incorporation ； Organizational Revolution ； Family Business

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