醫療工作者工作價值觀對組織承諾關聯性之研究

The relationship between health employees’ work values and organizational commitment

林佩萩(Pei-Chiou Lin)

指導教授 ： 李弘暉

元智大學/管理學院/管理研究所/碩士(2008年)

摘要

醫療係所有行業別中最具高度人力密集之產業，且由於醫療服務涉及生命的維持與健康的維護，故對醫護人力的需求與團隊合作默契的重視尤為重要，近年醫療產業在全民健康保險及醫院總額支付制度的框架下，經營績效大不如前，為求生存，醫院致力於開源節流，以因應微利且多變的經營環境。
本研究主要目的在於探討在醫療工作者在現行醫院經營環境與條件下，暫時排除相關干擾因素的假設，醫療工作者對於工作價值觀的認知、組織承諾的認知，工作價值觀是否會影響醫療工作者對其組織承諾的認知，以及不同醫療工作類別的醫療人員、不同醫院服務層級的人員在工作價值觀與組織承諾的差異情形。
本研究透過便利抽樣的方式，對醫學中心、區域醫院及地區醫院之醫師、護理人員、醫技人員（含檢驗、藥事、放射等專技人員）及醫事行政人員進行問卷調查，共計發出400份問卷，回收有效問卷為361份，回收率達90.25%，並針對所回收之有效問卷進行敍述性統計分析、Pearson積差相關、T檢定、單因子變異數分析及Scheffe事後檢定及簡單線性迴歸分析等分析法，以了解醫療工作者工作價值觀對組織承諾間各式相關假設與各類醫事人員之差異。
本研究得到如下的結論:
一. 醫療工作者的工作價值觀確實顯著影響其對醫院及組織的承諾。其中以工作價值觀之內在價值及晉升價值對組織承諾之關聯最為顯著且為正向相關。
二. 醫療工作者之工作價值觀會因受測者之個人變項(性別、教育程度、年齡、工作年資及是否具有主管職務)的不同而有顯著差異。
三. 醫療工作者之組織承諾會因受測者之個人變項(教育程度、年齡、婚姻狀況、工作年資、是否具主管職及醫療者所服務醫院的層級)的不同而有顯著差異。

關鍵字

工作價值觀 ； 組織承諾 ； 醫療工作者

並列摘要

In all walks of life, medical treatment is the most manpower-intensive industry. On account of the fact that employees in the medical service are involved in the maintenance of life and health, the requirements placed on medical manpower and the tacit understanding among teams in terms of cooperation are especially important. In recent years, under the circumstances of National Health Insurance and the Hospital Global Budget Payment System, the performance of the medical treatment industry is worse than ever before. In order to survive in such low-earning and unpredictable surroundings, hospitals are committed to broadening their sources of income and to reducing expenditure.
The main purpose of this research is to discuss the following four points, a) work values; b) organizational commitment; c) whether health employees’ work values have an influence on organizational commitment under the current hospital business environment and conditions; d) different organizational commitments of health employees working in different fields and at different levels within hospitals.
In this research, using the spot-check method, a total of 400 questionnaires were distributed among doctors, care workers, medical technical personnel (including examination, pharmacy and radiology) and medical treatment administrative personnel in medical centers, regional hospitals and community hospitals. A total of 361 reliable questionnaires were obtained and these were analyzed using descriptive statistics including Pearson Correlation, a T-Test, One-Way ANOVA & Scheffe’s test and a simple linear regression model. This was done in order to analyze the relationship between health employees’ work values and organizational commitment in the various medical fields. The recycling rate was 90.25%.
The followings conclusions were reached:
1. Health employees’ work values have a significant impact on their commitment to the hospitals and organizations surveyed. Inner values and promotional values, in particular, have the most significant positive connection to organizational commitment.
2. Health employees’ work values are significantly influenced by individual backgrounds such as gender, educational level, age, work experience and position within
Organization.
3. Health employees’ organizational commitments are significantly influenced by individual background such as educational level, age, material status, work experience, position within the organization and the level of hospital in which s/he works

並列關鍵字

work values ； organizational commitment ； health employee

參考文獻

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