醫師滿意度與醫院利潤於分區排班之研究

A Study on Physician Satisfaction and Hospital Profits of Cross-branches Scheduling

林怡均(Yi-Chun Lin)

指導教授 ： 黃怡詔

國立屏東科技大學/管理學院/工業管理系所/碩士(2016年)

摘要

近年來，多數民眾無論病況輕重，皆往大醫院求診，造成醫療資源的浪費。因此，政府提出跨院整合計劃，配合醫師支援模式，落實轉診制度以促使醫療資源的整合。本研究針對醫師支援模式，探討該分派哪幾位醫師於其他院區支援時，可替醫院帶來更多的支援金額，並同時考量醫師於排班情況之滿意度，因此，本研究利用整數規劃法建構一套完整的排班模式，再以實際案例作為實證，由結果顯示，本模式能滿足最大醫院支援收益並同時減少醫師於分院區排班之次數，以提升醫師對排班情況的滿意度。最後，透過電腦取代傳統人工方式進行求解，只需花費極少時間就能排定一個最適醫師班表，以提供決策人員做為排班之依據並能提升排班之效率。

關鍵字

醫師分區排班 ； 滿意度 ； 整數規劃 ； 資源整合

並列摘要

Patients with minor symptoms use large hospitals is waste of valuable medical resources. Unfortunately, it happens in Taiwan in recent years. Hence, the government comes up with a proposal -- a joint inter hospitals integration project combined with physician support models designed to implement referral system -- to facilitate the integration of medical resources. This study aims at discussing maximizing profits of hospital while maximizing physician satisfaction of work schedule when assigning physicians to support other branches under physician support models. Method of integer programming is illustrated and analyzed in this study, and then an actual case is also demonstrated in this study. The result shows that this model can meet the demand of maximization of profits of hospital while maximization of physician satisfaction of work schedule by reducing the number of times which physicians are assigned to work at cross-branches scheduling. Finally, comparing to traditional way, it only costs several seconds to arrange the optimized work schedule by the use of computer to provide management as the basis for scheduling and to improve the efficiency.

並列關鍵字

Cross-branches scheduling ； Satisfaction ； Integer programming ； Integration of resources

參考文獻

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