健保制度實施以來,對其與醫療機構發展、競爭形態與策略作為等管理之研究評論已有相當多的文獻發表,但都僅以醫院、診所之研究,鮮少對醫學實驗室做評論,所以本研究希望了解健保制度與轉檢機制對醫學實驗室內部資源、競合強度與策略行為的影響。 本研究採問卷調查法,以桃園地區為例,研究對象以境內65家醫療檢驗機構的醫檢師為母群體,發放420份問卷,回收353份問卷,回收率為84%,資料以SPSS及Excel等軟體進行統計分析與檢定。 研究結果顯示:(1)健保制度在醫學實驗室間競爭與合作程度(競合強度),不會影響實驗室策略行為,且與「內部資源」及「策略行為」沒有顯著相關。(2)轉(代)檢驗機制對實驗室間的「競合強度」、「內部資源」、「策略行為」有正向顯著相關。(3)競合強度皆與實驗室策略行為有正向顯著相關。
After the National Health Insurance system was carried out, plenty of studies regarding medical care institution developments, competition situations and strategy managements were published. However, the literature focuses mainly on hospitals and clinics, and much less on medical laboratories. Therefore, in this study, we intend to examine the impact of the national health insurance system and referral system upon interior resources in medical laboratory and co-opetition strength and strategic behavior. This study is based on questionnaire surveys, focuses on 65 medical care institutions of medical technologists in Taoyuan .The total number of questionnaires sent out was 420 copies; of which 353 copies were received, we successfully received 84%. The software SPSS 12.0 version and Excel were utilized for analyzing the questionnaires. The findings of this study are: (1) The National health insurance system in co-opetition strength of medical laboratories does not affect laboratory strategic behavior. And, interior resource and strategic behavior has no significant correlation. (2) Inspection system has significant correlation with laboratories of co-opetition strength, interior resource and strategic behavior. (3) Both co-opetition strength and lab strategic behavior have significant correlation.