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E93017
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我國全民健康保險制度實施後醫院的適應策略分析
Adaptation Strategies of Taiwan Hospitals under National Health Insurance
1.黃國哲
1.Kuo-cherh Huang
1.台北醫學大學醫務管理學系
1.Department of Health Care Administration, Taipei Medical University
001,002,003,004
1.台北醫學大學醫務管理學系
1.Department of Health Care Administration, Taipei Medical University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2004-08-01
A.14 計畫執行期間(訖):2005-07-31
2005-03-152005-05-15
A.16 收到日期:2005-10-26
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以民國93年加入全民健保特約,並通過醫院評鑑地區醫院層級(含)以上之醫院,共計462家。

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C.2 聯絡日期:2005-10-26
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1.台北醫學大學醫務管理學系
1.Department of Health Care Administration, Taipei Medical University
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C.7 資料公開日期:2007-08-01
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1.市場導向策略
2.資源基礎策略
3.適應策略
1.Adaptation Strategies
2.Market-orientated Strategies
3.Resource-based Strategies
 本研究計畫的研究目的係在分析國內醫院在面臨現今激盪的醫療環境所採取的適應策略:是市場導向策略或資源基礎策略為主流?而影響醫院採取不同類型的適應 策略之因素又為何?本研究以加入全民健保特約並通過醫院評鑑地區醫院層級(含)以上之醫院(民國93年資料)為研究母群體,其中醫學中心有17家,區域醫 院有70家,地區醫院則有375家,合計462家受訪醫院。本研究以結構式問卷進行調查,問卷詢問對象則設定為受訪醫院的院長、副院長、或管理中心主任等 高階經營主管。回覆問卷數計有198份,回覆率則為42.9%。扣除無效問卷後,有效問卷數為醫院中心8份,區域醫院46份,地區醫院為140份,共計 194份;有效回覆率則為42.0%。實證結果顯示,回覆之樣本醫院面臨現今競爭激烈的醫療環境所採取的適應策略,是以顧客為主的市場導向策略為主流。另 一方面,影響醫院採取不同類型的適應策略之相關因素則包含醫院評鑑等級等變項。

Adapting an organization to changes in the environment is one of the main concerns of strategic management. To survive in the dynamic and competitive health care market under National Health Insurance, Taiwan hospitals often cope with external environmental changes by engaging in some adaptation strategies. However, there is a dearth of related research in Taiwan. The study aims to supplement the understanding of the issue. The objectives of the present research are twofold: (1). To investigate adaptation strategies employed by Taiwan hospitals under the National Health Insurance. (2). To examine the influencing factors regarding the types of adaptation strategies among hospitals. The study population was all 462 district hospitals (and above) in Taiwan (year 2004 data). Structured questionnaires were mailed to each hospital. After two rounds of mailing, the final effective sample size was 194, with the effective response rate of 42.0%. The statistical analyses used were descriptive analysis, factor analysis, Chi-squared test and logistic regression analysis. The results indicated that the most prevalent adaptation strategies adopted by hospitals were market-orientated ones. Predicting factors of adaptation strategies employed by hospitals included hospital level, etc.

D.16 完成檢誤日期:2006-07-31
D.17 預定釋出日期:2007-08-01
D.18 初次釋出日期:2007-08-01
D.19_1 最新版釋出日期:2007-08-01
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10.6141/TW-SRDA-E93017-1
https://efenci.srda.sinica.edu.tw/webview/index.jsp?object=https://efenci.srda.sinica.edu.tw:80/obj/fStudy/E93017
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