Title

省立醫院體制轉型評估-高階主管意見調查

Translated Titles

The Transitions of the Taiwan Provincial Hospital – A Survey of High Ranking Officials

DOI

10.6288/TJPH2001-20-01-03

Authors

郎慧珠(Hui-Chu Lang);李丞華(Cheng-Hwa Lee)

Key Words

省立醫院 ; 轉型 ; 過程觀點 ; Kaluzny模式 ; Provincial Hospital ; transition ; process perspective ; Kaluzny model.

PublicationName

台灣公共衛生雜誌

Volume or Term/Year and Month of Publication

20卷1期(2001 / 02 / 01)

Page #

15 - 26

Content Language

繁體中文

Chinese Abstract

目標::本研究是以Kaluzny的轉型理論為基礎來瞭解台灣省省立醫療機構之轉型,以了解省立醫療機構的轉型歷史及型態,並調查高階主管對轉型所持之態度。方法:研究對象為全省省立醫療院所之高階主管,以問卷調查之方式來收集所需的資料。問卷調查悉利用87年10、11月間省府衛生處所舉辦之「省立醫院經營管理專案計畫」精進研習會之聚會時間,進行問卷調查。結果:研究結果顯示轉型方案的優先權排序為(1)體制內改革,政府仍然繼續予以預算補助。(2)先朝體制內改革,以達自給自足之後,在適當時刻再轉變為公設財團法人醫院。(3)先朝體至內改革,以改變營運體質並自負盈虧。結論:省立醫院目前最適的轉型模式仍是以體制內的改革為優先考量,若是法令上的鬆綁的確無法解決,再行考量直接的組織再造,轉變為法人機構。(台灣雜誌2001;20(1):15-26)

English Abstract

Objectives: This study used Kaluzny's transition theory to analyze transitions in Taiwan's Provincial Hospital in order to determine medical, legal and historical implications. Methods: A survey of high ranking officials was performed to obtain data concerning their attitudes toward these transitions. The study surveyed high ranking officials at provincial medical organizations throughout Taiwan using a questionnaire. The questionnaires were distributed from October to November 1998 at the Provincial Department of Health's ”Provincial Hospital Management Plan” seminar. Results: The results of the study indicate that the preferred modes of transition were: I) Change within the existing system, with the government continuing to provide budgetary assistance; 2) Transition which promoted internal change first in order to reach self-sufficiency, with the aim of further transition to status as a public hospital corporation at a suitable later date. Conclusion: The results of this study indicate that change to an internal system model should be the first priority for most provincial hospitals. If a relaxation of legal ties fails to solve transition-related problems, then direct reorganization should be considered. This would involve changing the status of the hospital to a corporate entity. (Taiwan J Public Health. 2001 ;20(1): 15-26)

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
Times Cited
  1. 李天申(2008)。署立醫院組織變遷之研究。臺北大學公共行政暨政策學系學位論文。2008。1-259。
  2. 葉承鑫(2009)。臺北市立聯合醫院治理模式建置之研究─制度變遷理論的觀點。臺北大學公共行政暨政策學系學位論文。2009。1-186。
  3. 陳怡芳(2011)。臺北市立聯合醫院策略管理之研究。臺北大學公共行政暨政策學系學位論文。2011。1-139。