醫療照護整合如何影響醫院績效？
—知識整合與雙元俱存的中介效果

劉紫娟

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醫療照護整合如何影響醫院績效？ —知識整合與雙元俱存的中介效果

How Health Care Integration Influences Hospital’s Performance? ̶ The Mediating Roles of Knowledge Integration and Ambidexterity

劉紫娟 , Ph.D　　Advisor：嚴奇峰;黃銘章　　

繁體中文

醫療照護整合；知識整合；雙元俱存；醫院績效；中介效果； Health care integration ； Knowledge integration ； Ambidexterity ； Hospital performance ； Mediating Effect

Abstract │ Reference (94) │ Altmetrics

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The demand for health care integration services is increasing amid advancements in medical technologies and specializations, changes in disease patterns, and exacerbation of population aging. Hospitals are complex organizations, wherein a network of coreliant professionals work together to provide medical care. Quality and security are crucial elements in hospitals, and poor cooperation among care providers increase the likeliness of medical malpractice. Therefore, health care integration can strengthen the relationships of professional medical providers and effectively improve medical quality and ensure patient safety by encouraging practitioners to appropriately and effectively contribute their professional knowledge and skills in a timely manner, thereby providing patient-centered medical services. These advantages highlight the importance of health care integration.
However, integrating health care demands hospitals to invest a considerable amount of resources. Although a number of previous studies have focused on the relationships between health care integration, hospital operational efficiency, and medical quality, theoretical propositions and empirical results remain considerably controversial. Therefore, it is crucial that the positive effects of health care integration on hospital performance be elucidated.
This study proposed that knowledge integration and ambidexterity may mediate the relationship between health care integration and hospital performance. The empirical results of 84 medical care institutes that are covered by the National Health Insurance Scheme and offer 100 or more acute care beds show that health care integration significantly affected hospital performance. Although the mediating effect of knowledge integration was not significant, the ambidexterity did significantly mediate the relationship between health care integration and hospital performance.

Reference ( 94 ) 〈TOP〉

尹祚芊、張念慈、陳俞琪與巫菲翎 (2000)。以病患結果為考量的照護模式－整合式健康照護系統。護理雜誌。47(2)，33-41。
王敏容、王如萱、王佳惠、郭乃文 (2005)。市場競爭程度對醫院開發自費醫療服務之影響。北市醫學雜誌，2(10)，895-906。
何怡澄 ( 2012)。台灣醫院網頁公開揭露財務資訊決定因素。臺灣公共衛生雜誌，31(2)，136-151。
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許碧峰 (2014)。台灣醫療觀光發展困境之省思。臺灣公共衛生雜誌, 33(5)，455- 458。

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