知識管理對於醫院績效影響之實證研究：以醫院評鑑資訊系統為例

The Influence of Knowledge Management on Hospital Performance: An Empirical Study of Hospital Accreditation Information Systems

莫馥榕(Fu-Jung Mo)

指導教授 ： 郭光明 ； 劉振隆

義守大學/醫學院/醫務管理學系/碩士(2015年)

https://doi.org/10.6343/ISU.2015.00087

摘要

背景與目的：對於醫療產業而言，由於健保總額預算影響，各醫院均面臨成本管控與營運的壓力，導致醫院間競爭日益激烈，並尋求如何改善營運績效；此外，在現今知識爆炸的時代，如何有效運用知識管理改善組織營運績效，已成為組織所需了解的重要議題之一，因此，本研究主要目的為探討知識管理對於醫院營運績效之影響。
材料與方法：本研究依據Barney所提出的知識基礎理論(Knowledge-based theory)為基礎，提出研究架構探討知識管理對於醫院營運績效之影響，知識管理構面包含知識創造、知識儲存/取回、知識移轉與知識應用4個變數；醫院營運績效構面則包含外部競爭績效、經營管理績效與服務表現績效3個變數。透過問卷調查法，採立意抽樣，針對南部某大型區域醫院具評鑑資訊系統使用權限之員工進行調查，共發放94份問卷，回收有效問卷76份，有效問卷回收率80.85%，回收資料分析方法包括驗證性因素分析、相關分析與典型相關分析。
結果與結論：資料分析結果顯示知識管理與醫院營運績效呈正向顯著相關(ρ = 0.69)；此外，除知識創造與服務表現績效2者未具顯著相關外，其餘知識儲存/取回、知識移轉、知識應用與外部競爭績效、經營管理績效與服務表現績效兩兩均呈現正向顯著相關。建議醫院可透過知識管理藉以改善醫院營運績效。

關鍵字

知識管理 ； 知識基礎理論 ； 醫院營運績效

並列摘要

Background and Purpose: Due to the impact of the total health care budget, the hospitals are under pressure to control costs and operations, which lead to increasing competition between hospitals, and seek ways to improve the operational performance in the medical industry. In addition, how to effectively apply knowledge to improve the organization’s management operational performance, then, has become an important issue. Therefore, the main purpose of this study served to investigate the impact of knowledge management operational performance of the hospital.
Materials and Methods: This study was based on “Knowledge-based theory” that proposed by Barney in 1991. Barney proposed that the research framework on knowledge management should be exploring the performance impact to the hospital operations. The facets of knowledge management contain 4 variables: knowledge creation, knowledge storage / retrieval, knowledge transfer and knowledge application. The facets of hospital operational performance, on the other hand, contain 3 key performance variables, which include external competitive performance, management performance and the performance. For the survey conducted, the research purposely sampled the staff with knowledgeable competence in the evaluation information system applied from a big-scaled, undisclosed hospital in southern Taiwan. A total of 94 questionnaires were sent out, and 76 of which were valid. The effective response rate was at 80.85%. The methodologies that applied for data analysis included confirmatory factor analysis, correlation analysis and canonical correlation analysis.
Results and Conclusions: Data analysis showed that knowledge management and hospital operating performance was significantly positive correlation (ρ = 0.69). Moreover, the two variables of knowledge creation and service performance with the performance indicated were not significantly related. The other knowledge storage / retrieval, knowledge transfer, knowledge application and external competitive performance, management performance and service performance were indicating a significant positive correlation side-by-side each way. The research indicates that hospitals can thereby improve hospital operational performance through knowledge management.

並列關鍵字

knowledge Management ； Knowledge-based Theory ； Hospital Performance

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